Medicine and Health Sciences Commons^™

Interdisciplinary Treatment Approach To Youth With Intellectual Or Developmental Disabilities And Co-Occurring Mental Health Conditions, Ashley Greenwald, Erika Ryst, Diane D. Thorkildson, Lauren Brown

Developmental Disabilities Network Journal

Many individuals with Intellectual and/or Developmental Disabilities (IDD) have co-occurring mental health needs, yet service delivery options often do not allow for the integrated delivery of mental health treatment and social behavioral support services. Siloed treatment approaches often result in lack of collaboration between providers, increasing the difficulty in accessing comprehensive and coordinated treatments and reducing treatment potential and effective outcomes. Additionally, many service providers in behavioral support services are not trained to address significant mental health needs; similarly, providers of mental health services lack experience in modifying practices for differing cognitive needs. The lack of cross-training and cross-collaboration makes …

Skills To Support Mental Health In Uncertain Times, Part 2: Cultivating Awareness, Heather H. Kelley, Rachel Byers, Ty Aller, Timothy Keady

All Current Publications

Uncertainty and worry can be a common struggle for many people, whether they are uncertain about their jobs, health, or relationships. Events such as COVID-19 and the recent wars in Israel and Ukraine increase the stress and uncertainty many people face. This fact sheet discusses awareness, a fundamental part of psychological flexibility, which can help individuals maintain a high quality of life—even when experiencing uncertainty and mental health concerns.

Applying The Self-Determined Learning Model Of Instruction To The Psychotherapeutic Context For People With Intellectual/Developmental Disabilities, Richard Chapman, Jessica Schuttler, Karrie Shogren, Sydney Walls, Hannah Adams, Aderonke O. Oyetunji

Developmental Disabilities Network Journal

The Self Determined Learning Model of Instruction is an evidence-based intervention for supporting self-directed goal setting and problem solving. Traditionally, the SDLMI has not been applied in the psychotherapeutic context, however we propose that the SDLMI is an approach that could be integrated into such a context to support self-determination, goal setting, and goal attainment. In this paper, we specifically focus on connections between the SDLMI and cognitive behavior therapy (CBT) and how the approaches can be used jointly, during psychotherapy to support teens and young people with intellectual and developmental disabilities to set, work towards, and reach goals. Implications …

Contributions Of Community Organizations To Personal Outcomes For People With Intellectual And Developmental Disabilities: A Study Of Special Olympics Program Participation, Seb M. Prohn, Parthenia Dinora, Kayla Diggs Brody

Developmental Disabilities Network Journal

Community organizations can enhance the intellectual and developmental disability (I/DD) service system’s ability to improve the health, wellness, and participation of people with I/DD. This study added an item about Special Olympics (SO) participation to the 2019-2020 National Core Indicators In-Person Survey to predict active SO participation and to determine whether personal outcomes differed for SO participants. Results of a multinomial logistic regression showed that people who were younger or who did not require mobility aids were more likely to participate in SO. Compared with people who never or formerly participated in SO, current SO athletes had better personal outcomes. …

Paths To Equity: Parents In Partnership With Ucedds Fostering Black Family Advocacy For Children On The Autism Spectrum, Elizabeth H. Morgan, Benita D. Shaw, Ida Winters, Chiffon King, Jazmin Burns, Aubyn Stahmer, Gail Chodron

Developmental Disabilities Network Journal

Racism and ableism have doubly affected Black families of children with developmental disabilities in their interactions with disability systems of supports and services (e.g., early intervention, mental health, education, medical systems). On average, Black autistic children are diagnosed three years later and are up to three times more likely to be misdiagnosed than their non-Hispanic White peers. Qualitative research provides evidence that systemic oppression, often attributed to intersectionality, can cause circumstances where Black disabled youth are doubly marginalized by policy and practice that perpetuates inequality. School discipline policies that criminalize Black students and inadequate medical assessments that improperly support Black …

Microaggressions Experienced By Lgbtq Individuals In Cjclds Contexts, Jane Bell

Fall Student Research Symposium 2021

Relative to heterosexual and cisgender individuals, sexual and gender minorities (SGM) have elevated rates of minority stress and heightened chances of health problems, including mental health disorders and suicidal ideation. This process can be exacerbated in a conservative Christian religious setting, such as in the context of the Church of Jesus Christ of Latter-day Saints (CJCLDS). Although CJCLDS doctrine embraces love for all, LGBTQ+ individuals experience discrimination, sometimes through subtle verbal/nonverbal barbs called microaggressions. There is limited research on this intersection of experience, which makes it difficult to understand how to help the individuals being adversely affected. This study seeks …

Theory Of Mind Acquisition In Children Who Are Deaf: The Importance Of Early Identification And Communication Access, Kimberly A. Peters, Jessica Beer, David Pisoni, Ethan Remmell

Journal of Early Hearing Detection and Intervention

Objectives: The aim of this study was to compare Theory of Mind (ToM) acquisition in typically-hearing preschool-age children (TH), and deaf children of hearing parents (DCHP) who received a cochlear implant by 18 months of age, to determine if early access to spoken language via a cochlear implant affected ToM acquisition.

Methods: Participants included 25 children with cochlear implants ages 3.0 to 6.5 years and 25 age-matched children with TH all of whom were enrolled in preschools with typical peer models. The test battery included measures of expressive and receptive language and ToM.

Results: There were no …

Professional Education To Reduce Provider Stigma Toward Harm Reduction And Pharmacotherapy, Sandra H. Sulzer, Suzanne Prevedel, Tyson Barrett, Maren Wright Voss, Cassandra Manning, Erin Fanning Madden

Extension Research

Aims: A novel professional training was developed to reduce stigma toward harm reduction and pharmacotherapy for substance use disorders.

Methods: The training was delivered over three sessions to n = 147 health professionals in Utah between 2019 and 2020, including n = 40 substance use disorder treatment professionals. Pre and post-training survey measures provided evaluation information on knowledge, attitudes, and planned action regarding harm reduction and pharmacotherapy. Items were grouped into a stigma score, and multilevel modeling, regression analyses, and McNemar tests were used to quantify changes in overall stigma toward harm reduction interventions both before and after the training. …

Efficacy Of A Yfv-Specific Monoclonal Antibody In The Treatment Of Yf In A Hamster Model, Ryne Christiansen

Student Research Symposium

The yellow fever virus (YFV) is a flavivirus found mainly in South America and Africa. Infection may result in fever, chills, jaundice, nausea, and vomiting. Outbreaks may have up to 50% case mortality. Although Yellow Fever (YF) is a highly preventable disease through the use of an effective vaccine, there are no approved antivirals for this disease. An effective antiviral is necessary to treat infected individuals in areas where the YF vaccine was not used and an outbreak of YF occurs. In this study, female Syrian golden hamsters were infected with YFV and treated with YFV-specific monoclonal antibodies (mAbs). Weight …

Mental Health Supportive Services During Covid-19: Proposing An Online, Self-Guided Acceptance And Commitment Therapy Program For Parents In The Disability Community, Ty B. Aller, Elizabeth B. Fauth, Sarah Hodgskiss, Jeff Sheen, Michael E. Levin

Developmental Disabilities Network Journal

Parents of Children with Intellectual and Developmental Disabilities (I/DD) often experience stress, and the COVID-19 pandemic has likely increased their stress. In the current paper, we describe four things. First, we describe how mental telehealth treatments can effectively decrease parent stress, including programs that target behavior training and those that provide therapy. Teleheath programs are delivered by phone, computer, or fully online. Second, we describe challenges of these programs and explain how online, self-guided programs may help address these challenges. Third, we explain our online, self-guided program based in Acceptance and Commitment Therapy (ACT). ACT is a specific type of …

Ehealth Parent Education For Hearing Aid Management: A Pilot Randomized Controlled Trial, Karen F. Muñoz, Guadalupe G. San Miguel, Tyson S. Barrett, Courtney Kasin, Kelsey Baughman, Bailey Reynolds, Caitlyn Ritter, Makynzie Larsen, John J. Whicker, Michael P. Twohig

Psychology Student Research

Objective: Parents frequently experience challenges implementing daily routines important for consistent hearing aid management. Education that supports parents in learning new information and gaining confidence is essential for intervention success. We conducted a pilot study to test an eHealth program to determine if we could implement the program with adherence and affect important behavioral outcomes compared to treatment as usual.

Design: Randomized controlled trial

Study sample: Parents of children birth to 42 months who use hearing aids. Eighty-two parents were randomly assigned to the intervention or treatment-as-usual group. Four parents assigned to the intervention group did not continue after baseline …

Odds Of Autism At 5 To 10 Years Of Age For Children Who Did Not Pass Their Aabr Newborn Hearing Screen, But Were Diagnosed With Normal Hearing, Shihfen Tu, Craig A. Mason, Deborah L. Rooks-Ellis, Patricia Lech

Journal of Early Hearing Detection and Intervention

Background: Research has found atypical Auditory Brainstem Response (ABR) activity in some children with Autism Spectrum Disorder (ASD). The current study examined whether an association may also be found between ASD and pass/refer results obtained via Automated Auditory Brainstem Response (AABR) screening. As stewards of large-scale AABR data, an AABR – ASD association may be of interest to EHDI programs.

Methods: State EHDI data for 29,350 children born in Maine between 2003 and 2005 were linked with education records, including special education status, for the 2010/2011 and 2013/2014 school years.

Results: Children who did not pass their …

Scaling Out Evidence-Based Interventions Outside The U.S. Mainland: Social Justice Or Trojan Horse?, Melanie M. Domenech-Rodriguez, Ana A. L. Baumann, Alejandro L. Vázquez, Nancy G. Amador-Buenabad, Natalie Franceschi Rivera, Nydia Ortiz-Pons, J. Rubén Parra-Cardona

Psychology Faculty Publications

Global health disparities continue to widen as professional standards for effectiveness of mental health services provision become more precise and difficult to achieve across varied economic and social contexts. Within the U.S., health disparities are evident in Latinx populations. Globally, the health disparities are also evident in Latin America as compared to the U.S. and other economically affluent nations. The diversification of psychology in content and persons has led to a unique opportunity to build bridges that can help reduce disparities in- and outside of the U.S. mainland. Collaborations can be of great use in addressing health disparities internationally but …

Training Parents In Descriptive Assessment And Function Identification, Makenzie Sip

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

It is often difficult for parents to address their child’s problem behavior. Children with special needs can display more frequent and intense problem behavior. Therefore, professionals need to help parents of children with special needs identify how to decrease their child’s problem behavior. Professionals help to decrease problem behavior by performing assessments called descriptive assessments to identify why the problem behavior is happening, and then using these assessments to create an appropriate plan of how to prevent and respond to the problem behavior. We examined if parents could be taught the skills necessary to perform descriptive assessments and then use …

Examining Effects Of Technology Level And Reinforcer Arrangements On Preference And Efficacy, Audrey N. Hoffman

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Applied behavior analysts use reinforcement to enact socially meaningful outcomes with the individuals that they work with. Identifying the ways in which reinforcers function optimally is an important consideration for behavioral research. Preference for reinforcers, and how effective reinforcers are, may change depending upon several factors. Two important factors to consider are how reinforcers are arranged and the technology level of the reinforcers used. Reinforcers can be delivered following every response in a distributed manner or they can be delivered following several responses in an accumulated manner. Additionally, leisure items used as reinforcers can be classified according to technology level, …

Home Visiting Programs For Families Of Children Who Are Deaf Or Hard Of Hearing: A Systematic Review, Nannette Nicholson, Patti Martin, Abby Smith, Sheila Thomas, Ahmad A. Alanazi M.Aud.

Journal of Early Hearing Detection and Intervention

Prelingual hearing loss greatly restricts a child’s language development, hindering his or her behavioral, cognitive and social functioning. Although technology such as hearing aids and cochlear implants are an option for providing access to sound, they fail to teach the child how to listen or attend, how to process language (whether visual or spoken), or how to produce language and communicate. Home visiting is widely recognized as a cost-effective intervention service delivery model. Home visiting programs for promoting language development in children who are diagnosed as deaf or hard of hearing have been in existence for over 50 years, yet …

The Mental Health Disparity Among Nonheterosexuals: Risk, Resiliency, And New Perspectives To Consider In The Context Of Mormonism, Katherine Ann Crowell

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Nonheterosexuals disproportionately experience mental illness when compared with heterosexuals. Although it has been well established that the apparent mental health disparity among sexually diverse populations is almost exclusively derived from minority stress (i.e., the excess stress associated with culturally maintained sexual stigma), our understanding of how specific aspects of minority stress lead to specific psychological syndromes (e.g., depression) remains limited. On the other hand, in attempts to destigmatize individuals who do not identify as heterosexual, researchers have increasingly begun to shift the focus of their work towards understanding the specific characteristics or experiences that facilitate individuals’ capacity to adapt and …

Concurrent Neurological And Behavioral Assessment Of Number Line Estimation Performance In Children And Adults, Joseph Michael Baker

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Understanding the brain’s response to common math-learning activities may help improve math education. For example, by imaging the brains of typically developing children and adults throughout a number line estimation task, it is possible to establish a baseline of what “typical” brains do in such situations. Thus, comparisons may be made to determine the degree to which brain functioning differs between typical and atypical math learners. Moreover, by identifying methods that may increase the brain’s response to real-world math activities, it may be possible to improve the math learning process for typical and atypical learners alike.

Brain imaging devices such …

Evaluating Complementary And Alternative Medicine (Cam) Utilization In A College Sample: A Multisite Application Of The Sociobehavioral Model Of Healthcare Utilization, Kimberly M. Pratt

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The use of complementary and alternative medicine (CAM) among U.S. college students and the general public is substantial and growing; however, research on the characteristics of college students who use CAM and the factors that influence their decision to use CAM is scarce. Even fewer studies have explored such factors within the framework of an empirically supported theory. The college years are seen as an important time for developing long-lasting health behaviors and in many ways college students play an important role in setting the foundation for future healthcare. Thus, it is important for healthcare practitioners to have a clear …

Therapists' And Families' Views On Family Involvement In Adolescent Residential Treatment, Jonathan D. Zabriskie

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study of 24 therapists and 64 family members representing 109 adolescent residents of six residential treatment centers aimed to better understand therapists' and family members' points of view about family involvement in residential treatment for troubled adolescents. The study also provided the therapists' and family members' recommendations for family involvement in residential treatment.

Findings from this mixed-methods study suggest that (a) the families from this study were involved in many different ways in their adolescents' treatment, including phone calls, visits to the treatment center, participation in therapy, and so forth; (b) there were areas in which therapists and family …

The Role Of Dopamine In Resistance To Change Of Operant Behavior, Stacey L. Quick

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Psychological disorders such as autism, obsessive-compulsive disorder, drug addiction, and attention-deficit/hyperactivity disorder involve atypically persistent behavior and atypical activity of the neurotransmitter dopamine. Behavioral momentum theory states that the persistence of behavior in a context is determined by the reinforcement received previously in that context. Contexts previously associated with higher rates of reinforcement yield greater persistence of behavior than contexts previously associated with lower rates of reinforcement. According to a prominent hypothesis in behavioral neuroscience, dopamine mediates the incentive salience of a stimulus. A synthesis of behavioral momentum theory and the incentive salience hypothesis proposes similar roles for dopamine activity …

Examining The Perceived Benefits For Engaging In Cybersex Behavior Among College Students, Delores D. Rimington

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study examined college students’ cybersex use, perceived benefits of use, time spent online, and compulsive cybersex. Participants consisted of students attending Utah State University Spring semester 2007. Data were collected via an online survey, and 262 surveys were used in the correlation and regression analyses.

Results indicated that age, religion and gender are predictive of perceiving more benefits for cybersex participation. A strong positive correlation was found between perceived benefits and compulsive cybersex use. Students’ lack of social skills was predictive of more time spent online. Time spent online for cybersex was predictive of sexually compulsive behavior. There was …

Threat Perception As A Determinant Of Pro-Environmental Behaviors: Public Involvement In Air Pollution Abatement In Cache Valley, Utah, Joshua D. Marquit

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Threat perception related to environmental issues such as air pollution may be a determinant of pro-environmental behaviors. Among the potential threats of air pollution, include the perceived impacts on the psychological, social, and economic wellbeing of a community. Because of rapid increases in population growth, urbanization, and the mountainous landscapes, the American West is extremely susceptible to the adverse impacts of air pollution.

A secondary data analysis was conducted using data from the Air Quality Perception Survey conducted in Cache County, Utah. The survey focused on the public perception of air pollution in Cache County and perceived impact on personal …

The Minnesota Multiphasic Personality Inventory-2 And Low Back Pain Surgery Outcome, David S. Shearer

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Chronic back pain is a serious problem in the U.S. for which about 10% of back pain sufferers will undergo elective surgery. Unfortunately, back surgery is not successful in alleviating back pain in a substantial number of surgery patients. Various psychological and psychosocial variables have a demonstrated relationship to back surgery outcome. The most widely used personality test used to predict back surgery outcome is the Minnesota Multiphasic Personality Inventory (MMPI). Past research has shown that elevations on three MMPI clinical scales (Hs, D, and Hy) are positively correlated with poor back surgery outcome. The current prospective study shows a …

Psychosocial Factors And Their Relationship To Type-2 Diabetes Mellitus Outcome Among The Strong Heart Study Cohort, Brian O'Leary

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Diabetes mellitus is a serious problem that affects 15.7 million individuals in the United States. The complications of this disease are catastrophic and can lead to blindness, kidney disease, lower limb amputations, nerve damage, increased risk of heart disease, stroke, and death. Among Native Americans, diabetes has reached epidemic proportions. A variety of psychosocial variables has demonstrated relationships to diabetic outcome. Past research has shown a relationship between psychological variables and glucose control. The current study of Native Americans shows a similar pattern using the psychosocial instruments to measure the constructs of depression, anger, hostility, social support, and perceived stress. …

Factors Related To First Year College Success In A Selected Group Of Scholarship Recipients, Laverl C. Giles

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The idea of a scholarship program is almost as old as the oldest institution of higher learning. The universality of such a program is almost completely comprehensive throughout the world. Although the purpose of scholarship programs has varied as much as each of the institutions varies, in most of the situations the programs have been well acclaimed. The success of these programs in terms of the student has often been tested or at least scrutinized. This type of study has been attempted several times. However, both Harris (11) and Endler (7), in reviewing the literature from 1931 to 1959, report …