Medicine and Health Sciences Commons^™

Inclusive Approaches For Measuring Demographics Of Underrepresented Populations In Stem And Biomedical Research Training Programs, Stephanie E. Paris, Teala W. Alvord, Brandy Lentz, Mollie C. Marr, Angie Setthavongsack, Alexis Dinno, Jae Downing, Aaron Raz Link, Dawn M. Richardson, Shanthia N. Espinosa, Phuc T. Nguyen, Lisa K. Marriott

Student Research Symposium

Federal strategic plans call for increased diversity within the biomedical workforce. The National Institutes of Health (NIH) defined underrepresented populations in biomedical science (NOT-OD-20-031), though operationalization remains a challenge for training programs. Implementing inclusive demographic measures may help to identify key demographic groups facing barriers to participation and retention in STEM programs and the biomedical workforce. Approaches for measuring demographic variables were sourced from scientific literature and research stakeholders. Gender, race/ethnicity, disability, and disadvantaged background were prioritized for comparison given their focus by NIH, with opportunities for stakeholders to identify additional demographic variables important in their work. Gender minorities, sex …

Barriers And Supports For Stem Motivation For Pacific Islander High School And Undergraduate Students, Shanthia N. Espinosa, Alma M. O. Trinidad, Lisa K. Marriott

Student Research Symposium

Pacific Islander (PI) students disproportionately come from low socioeconomic backgrounds and are often first-generation college students. PI students have been historically underserved with limited access to educational resources and support. As a result, PI students face low student retention rates and have reported dissatisfaction with higher education student services. There is little research dedicated to understanding the STEM experiences of PI students related to access, success, and motivational resilience in higher education. This study examines barriers and facilitating factors for motivation among PI students using electronic surveys, focus groups, and group discussions. Participants comprise high school and undergraduates residing in …

Factors Impacting Heritage Language Maintenance In Children, Helena Sai

Student Research Symposium

This review article aims to examine families’ beliefs and strategies regarding heritage language maintenance in the US. Language status, caregiver beliefs, and community factors are explored in relation to language maintenance across generations. The broader context in which parents make decisions about family language policies were investigated through the following research questions:

1. What is the nature of the relationship between a heritage language’s language status in society and language maintenance across generations?

2. How do parents’ beliefs about the impact of heritage language on academic, social, and career success influence their decision to pass this language to their children?

3. To what …

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Augmentative And Alternative Communication Course Design And Features: An Analysis Of Course Syllabi And Calendars, Celine Goodbody, Hosanna Broderick, Brandon Eddy

Student Research Symposium

Augmentative and alternative communication (AAC) is an area of clinical practice that supplements or compensates for impairments in speech-language production and/or comprehension (ASHA, n.d.). A survey study by Johnson and Prebor (2019) found 86% of graduate speech-language pathology (SLP) programs offered an AAC course, though half (49%) suggested their students were underprepared to provide AAC services. High-quality graduate training, including AAC coursework, has been suggested as a solution to prepare clinicians to provide AAC services. Recently, Sauerwein and Burris (2021) surveyed AAC course instructors at accredited SLP graduate programs to analyze AAC course design features. Sixty-four (24.2%) programs responded to …

Effect Of Sin Lek Rice Intervention On Cognitive Function, Dietary Patterns, And Fecal Microbiota Of Elementary School Children In Chiang Rai, Thailand, Angie Setthavongsack, Siam Popluechai,, Jackilen Shannon, Justin Denny, Eleni Gentekaki, Kongkiat Kespechara, Lucky Gruneck, Thomas J. Sharpton, Eddie Niwed, Lisa K. Marriott

Student Research Symposium

I will be speaking about our ongoing project with OHSU and Mae Fah Luang University about the effects of a highly fibrous rice called “Sin Lek” and the changes it will do to both the gut microbiome and cognitive function. My data analysis focuses solely on memory, attention span, and impulsivity on Thai schoolchildren. The poster will document baseline data and it’s outcomes, along with brief information about Dr. Siam Popluechai’s lab findings on certain microbiome species. I will also be going in depth about the area of the study, along with how these were tested such as explaining the …

Implicit Learning In Preschoolers With Developmental Language Disorder, Crystal L. Cairns, Sam Ward, Emma Duran, Molly Franz, Carolyn Quam

Student Research Symposium

We compared implicit learning in preschoolers with and without developmental language disorder (DLD), to test the procedural deficit hypothesis (PDH), which proposes that implicit learning is the core impairment in DLD. During the first experiment we tested 26 preschoolers with typical language development (TLD) and 26 preschoolers with DLD. Eligibility was determined through standardized assessment. We predicted children with DLD would show impairments in a test of implicit learning.

Using computer-based tasks, participants received training on sound discrimination in two dimensions: duration and pitch.They were tested on their ability to accurately categorize these two dimensions by mapping sounds to meaning. …

Investigation Of The Externship Selection Process Across Asha-Accredited Speech Language Pathology Programs, Teale Niles, Lindsey Schwab, Brandon Eddy

Student Research Symposium

Graduate students in speech-language pathology (SLP) must complete 400 clinical clock hours during graduate training, the majority of which frequently come from off-campus externship experiences. Graduate students are matched to externship sites by their program. No studies to date have systematically documented how graduate programs in speech-language pathology select students for externship experiences nor the constraints involved in the externship process (e.g., academic schedule). The goal of this study is to survey ASHA accredited SLP programs to describe the current procedures being used to place students at externship sites and the roles and perspectives of the externship coordinators. Externship coordinators …

The Effects Of Running On Arithmetic Problem Solving, Kayia C. Snyder, Nicholas Smith Dr.

Student Research Symposium

In this work, we propose to examine the effects of physical activity on academic performance as physical activity is shown to improve mood, energy levels, confidence, and memory retention. We propose to recruit a sample of 200 psychology students from Portland State University. Each student will be asked to take an arithmetic problem-solving test then asked to study the material for three weeks. Of the 200 students, 100 will be randomly assigned to a physical activity condition, in which they will be asked to run 30 minutes prior to studying, then all students will be asked to take a timed …

Perspectives Of Special Educators And Paraprofessionals On Person-Centered Planning Tools For People Who Use Aac, Samantha K. Stidham, Brandon Eddy, Andryce Andres

Student Research Symposium

Person-centered planning (PCP) is an intervention approach for people experiencing disability. This often results in a document outlining the individual’s preferences in their care, life goals, and transitions. Some people with disabilities communicate using augmentative and alternative communication (AAC), which supplements or compensates for impairments in speech and language production often involving the use of external communication tools. Current PCP tools may not fulfill the needs of people who use AAC (PWUAAC) due to limited focus on supporting communication. No PCP tools yet exist specifically designed for PWUAAC. The purpose of this study was to inform the design of a …

Developing Therapeutic Alliance Through Improvisation: A State-Of-The-Art Review For The Speech-Language Pathologist, Ryan Depauw

Student Research Symposium

Background: With the needs of patients in modern healthcare becoming increasingly complex, providers may benefit from using adaptive skills to develop therapeutic alliance in patient-centered care. This review examined the potential application and benefit of theatrical improvisational skills in healthcare generally and in the allied health profession of speech-language pathology specifically.

Methods: A literature search was completed across 6 databases. Search terms included “clinical improvisation,” “medical improvisation,” and “applied improvisation.” Searches were limited to journal articles published in English from November 2011 through November 2021. Articles included for full review were of original research and focused on applied …

Respiratory Function In Transgender And Gender Diverse Individuals On Testosterone Therapy: A Comparative Study, Jillian River R. Browy, Alicia Heitzman, Deanna Britton, Jeff Conn, Karen Drake, Aaron Ziegler

Student Research Symposium

Introduction: The primary goal of this pilot study was to examine the impact of testosterone therapy, as part of medical treatment to align gender identity, on measures of respiration and voice.

Methods: Participants consisted of a group of transgender and gender-diverse individuals, assigned female at birth, who had been taking testosterone for at least one year and a control group of age- and race-matched peers, also assigned female at birth, who had never taken testosterone. Data were collected on the primary outcomes of respiratory volume and strength, reflected by measures of forced vital capacity (FVC), maximum inspiratory pressure (MIP), and …

Qualitative Research Approaches: Descriptive Phenomenology In The Healthcare Field, Emily Goble, Karyssa Stonick, Alison Wong, Deanna Britton

Student Research Symposium

Qualitative research analyzes psychosocial aspects of the world in an effort to synthesize and understand lived experiences. It is a powerful tool for collecting rich data to explore and build theory in new areas of research with limited existing theory. This oral presentation will share an overview of commonly used qualitative research approaches and their applications with a focus on descriptive phenomenology for patient-centered healthcare research. Developed as part of a student-led research team looking into experiences of dysphagia among individuals with Ehlers-Danlos syndrome, this project will justify why we selected a descriptive phenomenological approach for this project, provide a …

Patterns Of And Experiences With Dysphagia In People With Hypermobile Ehlers Danlos Syndrome (Heds) With Or Without Dysautonomia, Karyssa A. Stonick, Deanna Britton Dr., Emily Goble, Alison Wong, Alena Guggenheim Dr., Donna Graville

Student Research Symposium

Ehlers Danlos Syndromes (EDS) are collagen-based hereditary connective tissue disorders characterized by decreased tissue integrity. Historically, the musculoskeletal and dermatological manifestations have been emphasized. However, EDS is associated with symptoms and conditions affecting nearly all body systems, including swallowing (dysphagia). A Cohort Discovery analysis at Oregon Health & Science University (OHSU) revealed that 14.9% ± 0.3% of patients with an ICD-10 diagnosis of EDS also have an ICD-10 diagnosis of dysphagia in their medical record. Despite only one article in the current literature, the prevalence of dysphagia in EDS is not insignificant and warrants further investigation. Our long-term hypothesis is …

Dietary And Behavioral Reflux Management, Adam M. Gehr, Deanna Britton

Student Research Symposium

Chronic gastroesophageal reflux is a common contributing factor to dysphagia. Consequently, dysphagia treatment often includes discussion and education regarding behavioral management strategies and dietary modification to prevent reflux, including the provision of written materials to encourage follow-through. The goal of the current project was to revise and update the existing evidence-based pamphlet of behavioral modifications to manage reflux being used at Oregon Health & Science University (OHSU), including the addition of non-pharmaceutical beverage and homeopathic alternatives to reduce reflux and soothe gastrointestinal (GI) tissues. A scoping literature search was conducted during the period from June 2021 to March 2022 via …

Changes In Blood Mineral Concentrations And Adhd Symptoms After 8 Weeks Of Micronutrient Supplementation, Elizabeth S. White

OHSU-PSU School of Public Health Annual Conference

Previous studies have discovered associations between nutritional status of children with ADHD and severity of ADHD symptoms. Data from the Micronutrients in ADHD Youth (MADDY) study was analyzed to assess the effectiveness of micronutrient supplementation for ADHD symptoms in children. The MADDY study is a randomized double-blinded three-center clinical trial. Data on the following seven minerals were assessed based on blood measurements from OHSU and OSU: lithium, selenium, copper, zinc, iron, manganese, and magnesium. All of these minerals were contained in the supplement given to subjects who received the active treatment and absent from the placebo supplement given to the …

Association Between Abdominal Aortic Calcification Severity And Depressive Symptoms: Cross-Sectional Study Findings From Nhanes 2013-2014, Shabir Sarwary

OHSU-PSU School of Public Health Annual Conference

Association between Abdominal Aortic Calcification Severity and Depressive Symptoms: Cross-Sectional study findings from NHANES 2013-2014

Shabir Sarwary, MPH

BACKGROUND

Abdominal aortic calcification (AAC) is an asymptomatic condition in which calcium deposits build up in abdominal aorta. AAC is detectable only by imaging. When present, severe AAC increases the risk of developing major coronary heart disease compared to no or minimal AAC. Depression affects nearly 10% of U.S. adults and is often present among those who have experienced a major coronary heart disease event, such as myocardial infarction. It is unknown if the prevalence of depression is elevated in adults who …

The Effects Of Running On Arithmetic Problem Solving, Kayia C. Snyder, Nicholas Smith

OHSU-PSU School of Public Health Annual Conference

In this work, we propose to examine the effects of physical activity on academic performance as physical activity is shown to improve mood, energy levels, confidence, and memory retention. We propose to recruit a sample of 200 psychology students from Portland State University. Each student will be asked to take an arithmetic problem-solving test then asked to study the material for three weeks. Of the 200 students, 100 will be randomly assigned to a physical activity condition, in which they will be asked to run 30 minutes prior to studying, then all students will be asked to take a timed …

Provider Perspectives On Benefits And Challenges Of Mhealth Autism Screeners​ In Underserved Families, Yesenia Morales

OHSU-PSU School of Public Health Annual Conference

Background: Mobile-health (mHealth; using mobile devices) screening tools for autism are becoming more prevalent, and have potential benefits such as video content, eye tracking, and adaptive design. However, it is unclear whether such tools will ameliorate disparities in access to autism diagnosis and treatment for children from under-privileged backgrounds, instead of improving treatment only for those already advantaged in autism care.

Objective: To understand factors affecting equity in use of mHealth autism screening tools from the perspective of primary care providers (PCPs) and Early Intervention/Early Childhood Special Education providers (EIPs).

Design/Methods: We conducted qualitative interviews about mHealth autism screening tools, …

Examination Of An Individual-Level Stigma Reduction Tactic In Front-Line Service Encounters, Christopher J. Waterbury, Nicholas A. Smith Phd., Larry Martinez Phd., Shi (Tracy) Xu Phd.

OHSU-PSU School of Public Health Annual Conference

Minority stress theory links short- and long-term negative health outcomes to stigma and discrimination. It is important that workers have the agency to effect change in the processes of discrimination as a social determinate of health. Identity management strategies are elective tactics that workers may wish to use to reduce discrimination. Front line service workers may be discriminated against by customers in the form of negative customer service evaluations. Group-level stereotypes may influence customer service perceptions more than objective service quality. In this poster, we report findings from two studies in which we examined the effectiveness of an individual-level stigma …

Building Resistance And Sustainability To Improve Population Health In Tokyo, Japan., Ma'adjoa N. Manu

OHSU-PSU School of Public Health Annual Conference

The use of policy decisions and urban health indicators can promote a more healthy and equitable city. Over a period of ten weeks, stories and activities going on in Tokyo, Japan, were followed to identify pressing urban health issues in the city. Disaster preparedness measures, city sustainability initiatives, and ageing population health improvement were selected and focused on for this poster presentation. Through policy actions and urban redevelopment plans, Tokyo, a super-aged society, and a city prone to natural disasters like tsunamis and earthquakes, is developing structures that will reduce the impact of disasters, improve the living conditions of the …

Association Of Patient- Provider Language Concordance With Health Care Comprehension Among Latino/As In Oregon: Work In Progress, Grace Parra

OHSU-PSU School of Public Health Annual Conference

Authors: Grace Parra, Sara Diaz-Anaya, & Blair G. Darney PhD, MPH.

Title

Association of patient- provider language concordance with health care comprehension among Latino/as in Oregon: Work in progress

Background

Language concordance in a healthcare setting is a clinical encounter where the patient and provider speak the same language. Health care comprehension is the degree to which individuals understand health-related information given by the provider. Research to date suggests that language barriers in health care negatively impact quality of care .The purpose of this study is to describe need and preferences for language concordant care and test the association …

Prevalence Of Perceived Weight Stigma And Its Psychological Impact On Obese People In Saudi Arabia, Wafi Albalawi

OHSU-PSU School of Public Health Annual Conference

No abstract provided.

Lifetime Smoking History And Prevalence Of Osteoporosis And Low Bone Density In U.S. Adults, Nhanes 2005-2010, Molly Joyce

OHSU-PSU School of Public Health Annual Conference

Background

Osteoporosis and low bone density are common among older adults; women are more likely to have osteoporosis and low bone density than men. The prevalence of osteoporosis and low bone density varies with race/ethnicity, with the greatest prevalence being among non-Hispanic, Asian women. Prior studies identified a negative association between smoking and changes in bone mineral density; however, the association between smoking and osteoporosis or low bone density has not been investigated according to race/ethnicity.

Materials and methods

This study utilized National Health and Nutrition Examination Survey data from 2005-2010. In this study 4,226 U.S. adults aged 50 years …

Effect Of Sin Lek Rice Intervention On Cognitive Function, Dietary Patterns, And Fecal Microbiota Of Elementary School Children In Chiang Rai, Thailand, Angie Setthavongsack, Siam Popluechai, Jackilen Shannon, Justin Denny, Eleni Gentekaki, Kongkiat Kespechara, Lucsame Gruneck, Thomas J. Sharpton, Kullawong Niwed, Lisa K. Marriott

OHSU-PSU School of Public Health Annual Conference

Thailand has struggled with malnutrition rates in young children. Rice is a key component of Southeast Asian diets and a whole grain rice varietal (Sin Lek) may support improved nutrition. Diet can influence cognitive function and human gut microbiota, which were explored in the context of a rice intervention. We conducted a pilot study using a non-randomized, crossover clinical trial of Sin Lek rice versus traditional white rice consumption in elementary school children in Chiang Rai, Thailand. Outcomes related to diet, anthropological factors, cognitive function (e.g., short-term working memory, attention, impulsivity), and gut microbial populations were measured at baseline and …

Coaching For Covid: A Qualitative Assessment Of Incorporating Community Health Workers Into Primary Care-Based Covid-19 Outreach, Gina Richardson, Emily Mitchell, Armin Takallou, Brian Frank

OHSU-PSU School of Public Health Annual Conference

Context/background: In July 2020, recognizing the potential negative interaction between COVID-19 quarantine and medical and social needs, Oregon Health & Science University Family Medicine at Richmond developed a workflow to support clinic patients with acute social and medical needs who test positive for COVID-19. The workflow relies on Community Health Workers (CHWs) who call these patients and ask questions intended to identify social and medical needs. Within this workflow, patients with identified needs are connected by CHWs to community resources. The workflow is intended to reduce barriers to patients’ ability to maintain isolation while adhering to physical distancing guidelines, and …

Focusing The Lens: Recognizing U.S. Prisons As Fortresses Of Environmental Injustice, Elijah R. Hart

OHSU-PSU School of Public Health Annual Conference

Background:

Mass incarceration, the dramatic increase in incarcerated people over the past four decades, disproportionately impacts Black, Brown, Indigenous, and low-income communities in the United States. The health impacts of imprisonment in the U.S. are well documented (increased risk for chronic health disorders and mortality). However, public health professionals have only recently recognized the relationship between the prison industrial complex and environmental justice issues.

Methods:

Through a mini-literature review of the experiences of prisoners across the nation, this presentation will examine the location of prisons, exposure to environmental hazards in prisons, and pollution from prisons as key pathways by which …