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Full-Text Articles in Medicine and Health Sciences

Longitudinal Analyses Of The Sexual And Reproductive Health Knowledge And Parent-Adolescent Communication Of At-Risk Adolescents, Courage Chikomborero Mudzongo Jun 2017

Longitudinal Analyses Of The Sexual And Reproductive Health Knowledge And Parent-Adolescent Communication Of At-Risk Adolescents, Courage Chikomborero Mudzongo

Faculty Publications - Doctor of Psychology (PsyD) Program

Despite declining rates, unintended adolescent pregnancy remains a considerable public health challenge in the United States (Hamilton, Martin, & Osterman, 2015). Unintended pregnancy leads to a host of negative outcomes not only for adolescents, but also for their children who are more likely to get trapped in a cycle of poverty that is difficult to break (Rew & Wong, 2006). Factors such as poverty are difficult to address; nonetheless, sexual reproductive health (SRH) knowledge and parent-adolescent communication (PAC) have been identified as important tools for prevention, and potentially modifiable (Swenson et al., 2009; 2010). The goal of the current study …


Barriers And Facilitators Of Adolescent Health In Rural Kenya, Molly Secor-Turner, Brandy A. Randall, Courage Chikomborero Mudzongo May 2016

Barriers And Facilitators Of Adolescent Health In Rural Kenya, Molly Secor-Turner, Brandy A. Randall, Courage Chikomborero Mudzongo

Faculty Publications - Doctor of Psychology (PsyD) Program

The purpose of this research was to identify perceived barriers and facilitators of health from the perspective of rural Kenyan adolescents and to characterize the cultural context that shapes these barriers and facilitators. Design: Following a semistructured interview guide, qualitative focus group interviews were conducted at day schools with 64 upper-primary and secondary students in rural central Kenya. Participants provided written parental consent and individual assent for study participation. Results: Findings were organized into seven categories (individual, family, peer, school, community, institutional, and cultural) according to a social–ecological framework to highlight the multiple social and environmental contexts that shape health …


Fas Behavioral Survey Of Traits: Screening For Effects Of Prenatal Exposure To Alcohol, Glena Andrews, C. Joe Robins Jan 2010

Fas Behavioral Survey Of Traits: Screening For Effects Of Prenatal Exposure To Alcohol, Glena Andrews, C. Joe Robins

Faculty Publications - Doctor of Psychology (PsyD) Program

The FAS BeST was developed by parents and educators of children with Fetal Alcohol Syndrome rating behaviors characteristic of FASD including; easily influenced by others, difficulty learning from experience, appearing and declaring innocence even when confronted with evidence to the contrary, and experiencing difficulties in other domains. The FAS BeST differentiates between children with PEA, dysgenesis of the corpus callosum (DCC), and attention deficit hyperactivity disorder (ADHD; Porter & Andrews, 2004). The sample included 294 participants. Using the cutoff score suggested by Porter and Andrews (2004) the accuracy rates were 78% for FAS/E, 100% for controls, 85% for DCC, and …


Denominational Support For Clergy Mental Health, Bobby L. Trihub, Mark R. Mcminn, William C. Buhrow, Thomas F. Johnson Jan 2010

Denominational Support For Clergy Mental Health, Bobby L. Trihub, Mark R. Mcminn, William C. Buhrow, Thomas F. Johnson

Faculty Publications - Doctor of Psychology (PsyD) Program

To date, minimal research has addressed the actual services provided to maintain the mental health of leadership in the church. Three major Protestant denominations were consulted within this study, including a total of 434 pastors across the United States. Among these three denominations, a range of services are now being offered to support clergy, with services such as time off, prayer support groups, and clergy retreats among the most valued, adequately provided, and utilized. Still, clergy do not see the provision of services as fully adequate, and report a number of obstacles to utilizing services. Generally, the most highly rated …


Barriers To Rural Mental Health Care: Perspectives From Those Who Live There, Amanda R. Turlington Apr 2008

Barriers To Rural Mental Health Care: Perspectives From Those Who Live There, Amanda R. Turlington

Faculty Publications - Doctor of Psychology (PsyD) Program

This research evaluated barriers to mental health care according to the perceptions o f rural dwellers. A survey was mailed to randomly selected registered voters in Lincoln County, Washington, in order to assess their perceptions of barriers to mental health care. The survey consisted of a request for demographic information, Lik:ert-style questions, and forced-choice responses that inquired about barriers to mental health care from the rural respondent' s perspective. Response patterns were then compared to (a) historical factors identified as barriers to mental health care: transportation, cost, accessibility, stigma, and self-reliance, and (b) the additional factors: distrust of outsiders, rural …


Assessment Of Nonverbal Cognitive Processes In Children With Attention Deficit Hyperactivity Disorder, Jacqueline J. Head Mar 1997

Assessment Of Nonverbal Cognitive Processes In Children With Attention Deficit Hyperactivity Disorder, Jacqueline J. Head

Faculty Publications - Doctor of Psychology (PsyD) Program

This study reviewed the literature on ADHD/ADD including a survey of the disorder, current clinical interventions and, diagnostic techniques. Data was collected comparing three groups of children (control, ADHD, ADD) on a newly developed nonverbal assessment test, the Leiter-R. The findings show that the Leiter-R resulted in significant differences in scores between the control group and the ADHD and ADD groups on twelve of the twenty subtests. This demonstrates the efficacy of the Leiter-R as an assessment tool for ADHD and ADD. Based on these findings the following tentative recommendations were proposed to assist children with ADHD and ADD. Children …


Selected Demographic Variables As Predictors Of Behavior Change Among Adolescents In A Residential Treatment Center, Paul Stoltzfus Jan 1994

Selected Demographic Variables As Predictors Of Behavior Change Among Adolescents In A Residential Treatment Center, Paul Stoltzfus

Faculty Publications - Doctor of Psychology (PsyD) Program

Research has demonstrated that theories of coping resources can be clarified by delineating risk factors and protective factors. These factors modulate the impact of traumatic events and which predict treatment outcome. This research project selected variables, conceptualized as risk and protective factors, to predict behavioral changes of adolescents at Chehalem House, a residential treatment center. The predictor variables were gender, age, diagnoses, level of intellectual functioning, the occurrence of sexual abuse, and severity of sexual abuse . The behaviors selected as criterion variables were non-compliance, negative attention seeking, and passivity/depression. Statistically significant regression equations were derived : a positive correlation …


Obesity: A Biobehavioral Point Of View, M. Katahn, Mark R. Mcminn Jan 1990

Obesity: A Biobehavioral Point Of View, M. Katahn, Mark R. Mcminn

Faculty Publications - Doctor of Psychology (PsyD) Program

Excerpt: "If you ask an overweight person, “Why are you fat?’, you will, almost invariably, get the answer, “Because 1 eat too much.” You will get this answer in spite of the fact that of thirteen studies, six find no significant differences in the caloric intake of obese versus nonobese subjects, five report that the obese eat significantly less than the nonobese, and only two report that they eat significantly more."


Mechanisms Of Energy Balance In Obesity, Mark R. Mcminn Jan 1984

Mechanisms Of Energy Balance In Obesity, Mark R. Mcminn

Faculty Publications - Doctor of Psychology (PsyD) Program

The proper understanding of obesity requires a multifaceted approach. Behavioral considerations of eating and activity patterns do not account for the large between- and within-subjects variance associated with the energy-balance equation. Sources of adaptive and dispositional variance in metabolic rates are reviewed and suggested to be a likely source of importance for the proper conceptualization and intervention of obesity. Five proposed mechanisms of metabolic variation are reviewed with consideration of the supporting evidence for each mechanism. The generalizability of some of the proposed mechanisms is limited because of the scope of past research. However, the roles of lipoprotein lipase in …


The Helper-Therapy Principle Applied To Weight Management Specialists, Kenneth A. Wallston, Mark R. Mcminn, Martin Katahn, John Pleas Jan 1983

The Helper-Therapy Principle Applied To Weight Management Specialists, Kenneth A. Wallston, Mark R. Mcminn, Martin Katahn, John Pleas

Faculty Publications - Doctor of Psychology (PsyD) Program

One hundred twenty applicants to a weight management specialist training program were studied over a 33-month period. Following a nine-month training period, Specialists (N = 29; those leading at least one posttraining weight management group) were compared to Contact Controls (N = 31; persons participating in the weight management program, but not in the helper role) and No Contact Controls (N = 60; those not accepted into the training program and whose only contact with the program was for data collection purposes) in a test of the helper-therapy principle. The major question was, "What are the long-term physical, psychological, and …


A Third Variable In Obesity: The Effects Of Brown Adipose Tissue On Thermogenesis, Mark R. Mcminn Jan 1981

A Third Variable In Obesity: The Effects Of Brown Adipose Tissue On Thermogenesis, Mark R. Mcminn

Faculty Publications - Doctor of Psychology (PsyD) Program

Approaches to weight management which consider only energy intake and/or expenditure do not consistently lead to favorable outcomes. A third variable, thermogenesis, must also be considered in a comprehensive understanding of obesity· Three types of thermogenesis have been outlined-shivering thermogenesis, nonshivering thermogenesis (NST), and diet-induced thermogenesis (DIT). The latter two types of thermogenesis, NST and DIT, may share a common biochemical mechanism which leads to heat production in brown adipose tissue (BAT) which is unchecked by energy needs. Four categories of studies are reviewed which implicate BAT as an important factor in DIT and point to commonalities in NST and …