Medicine and Health Sciences Commons^™

Veteran Wellness And Reintegration: Factors Contributing To Their Success In The Community, Melissa A. Escamilla

Theses and Dissertations

The purpose of the following study is to determine if there is a relationship between veteran wellness based on gender, discharge status, theatre of operations, substance use disorder, veteran self-efficacy, community reintegration post discharge, stigma and veteran physical and psychosocial factors. Military veteran wellness has been the focal point of service providers for ensuring post-discharge veterans' success. During the last decade there has been an increase in military veterans reintegrating into society with chronic ailments and undiagnosed conditions. The study examined 85 Texas veterans: (a) the relationship between veterans' substance abuse and their perception of stigma, (b) the relationship between …

Aac Device Use In School-Aged Special Education Students, Vanessa Medina

Theses and Dissertations

This investigation analyzes how often AAC users typically utilize their devices throughout their day in their school setting. A survey method was implemented where elementary school educators were asked to report on their special education students use of their device during their school day. To identify special education educators' perceptions regarding the use of AAC devices in the public-school system, special education educators in the public-school system were contacted via email to conduct a survey in regard to current practice in their school setting regarding AAC use.

A letter of consent was obtained from the University of Texas Rio Grande …

Early Educator Awareness Of Autism Spectrum Disorder In Preschool Hispanic Populations, Karla Cecilia Vidaurri

Theses and Dissertations

Christensen et al. (2016) highlights how "there are disparities by race/ethnicity in estimated ASD prevalence, particularly for Hispanic children, as well as disparities in the age of earliest comprehensive evaluation and presence of a previous ASD diagnosis or classification, suggesting that access to treatment and services might be lacking or delayed for some children" With an increase in autism prevalence and Hispanic population, there's a crucial demand for effective servicing and referrals for early identification of Autism.

The aim of this study was to analyze how prepared early educators are in identifying children that fall under the category of autism …

Comparison Of Knowledge And Diagnostic Practices Relating To Autism Spectrum Disorder Between The United States And Mexico, Maria F. Valdez

Theses and Dissertations

The present study examined and compared the knowledge, screening, and diagnostic practices of health care practitioners from Mexico and the United States of America (U.S.) as they relate to autism spectrum disorder (ASD). The participants included 56 healthcare professionals from U.S. and 16 healthcare professionals from Mexico. Data was collected via an online survey. Overall, participants achieved a mean knowledge accuracy of 0.58 (SD = 0.13). The mean accuracy of knowledge in Mexico was 0.52 (SD = 0.13) and the mean accuracy of knowledge in the U.S. was 0.60 (SD = 0.13). Location, years of experience, patient contact, and comfort …

Servant Leadership Towards Cultural Competency And Critical Thinking: A Mixed Methods Study In Zambia, Jill Marie Brown

Occupational Therapy Program Student Theses, Dissertations and Capstones

There is a paucity of occupational therapy literature related to the professional development process that occurs when students participate in immersive, international servant leadership experiences in developing countries. A scarcity of literature exists on how such culturally rich experiences can influence the development of the participating students’ dispositional critical thinking and cultural competency skill sets. This mixed methods study depicts how a 3-week servant leadership experience in Zambia, Africa, measured the acquisition of dispositional critical thinking and cultural competency skill sets in novice to experienced occupational therapy students. Moreover, this study infuses a constructivist grounded theory approach to uncover a …

Harnessing Nature For Occupational Therapy: Interventions And Health Promotion, Gina Ferra Kaplanis

Occupational Therapy Program Student Theses, Dissertations and Capstones

Literature is beginning to emerge which states that participation in natural environments can be restorative, provide much needed physical activity and assist with health promotion and prevention of illness. Theories such as Attention Restoration Theory (Kaplan, 1995) and Biophilia Hypothesis (Wilson, 1993) support the benefits for participation in natural outdoor environments. Health benefits of participation in nature including accessing Vitamin D, improving balance, attention restoration, reduced myopia, stress reduction are widely present in literature. Despite the health benefits of participation in nature, occupational therapists rarely complete interventions in the natural environment. Principles of adult learning and occupational adaptation were used …

Practice Makes The Deficiency Of Global Motion Detection In People With Pattern-Related Visual Stress More Apparent, Jana Wegrzyn

Student Theses, Dissertations and Capstones

Pattern-related visual stress (PRVS) refers to the perceptual difficulties experienced by some individuals when exposed to high contrast striped patterns. People with PRVS were reported to have reduced sensitivity to global motion at baseline testing and the difference disappears at a second estimate. The present study was to investigate the effect of practice on global motion threshold in adults with and without PRVS. Methods: A total of 101 subjects were recruited and the Wilkins & Evans Pattern Glare Test was used to determine if a subject had PRVS. The threshold to detect global motion was measured with a random dot …

A Clinical Documentation Practice Improvement To Increase Insurance Reimbursement, Allison R. Hamilton

Student Theses, Dissertations and Capstones

Background: The National Institute Mental Health (2015) estimated there were about 44.7 million people diagnosed with a serious mental illness and 62.9% of those diagnosed were without mental health services. The loss of services was due to unemployment, reoccurring hospitalization, inabilities to care for themselves, and lack of participation in societal norms (World Health Organization [WHO], 2014). According to Insel (2011/2015), the U.S. cost of mental healthcare was an estimated $57.5 billion in 2006. This cost was not due to actual care but associated with the economic burden of job loss and the excessive use of community resources. The Affordable …

Improved Use Of Interact To Decrease 30-Day Readmissions From A Skilled Nursing Facility, Folasade Omobowale Adewunmi

Student Theses, Dissertations and Capstones

Background: The rising cost of health care in relation to rehospitalizations continues to be a challenge. Medicare 30-day readmissions have an annual estimated cost of $17.4 billion. Irrespective of these costs and the continued improvement in the quality of care, skilled nursing facilities (SNF) still face high readmission rates. Purpose: The purpose of this quality improvement project was to enhance SNF care processes by improving the utilization of the electronic medical record software program “INTERACT” to increase early identification and treatments of patients to minimize 30-day hospital readmissions. Theoretical Framework: The theory of planned behavior by Icek Azjen was used. …

Implementing A Culturally Sensitive Intervention For Haitian Patients Non-Adhering To Hypertensive Medications, Guilaine Gabriel-Percinthe

Student Theses, Dissertations and Capstones

Background: The pervasiveness of hypertension (HTN), morbidity, and mortality in Haitians immigrants are frightening. Nonadherence with hypertensive medications, disease management, lifestyle modifications, and cultural and spiritual beliefs, including prayer; faith healing; use of herbal teas; and a diet that is deficient in potassium, rich in sodium, high in fat, cholesterol, and carbohydrates result in increased prevalence of HTN and disability in the Haitian community. Purpose: The purpose of this quality improvement project was to examine the existing system for adherence to hypertensive medications, standardized clinical practice guidelines, identify patients at risk for nonadherence to hypertensive medications, disease management, medical follow-up, …

Lived Experience Of Post-Licensure Nurses In A Perioperative Clinical Rotation, Amy Stahley

Student Theses, Dissertations and Capstones

A projected deficit in the perioperative workforce of 32,000 perioperative nurses retiring by 2024, creates an inability to meet the nursing needs of the United States population. The need for experienced perioperative nurses has been increasing while the availability of nurses with perioperative education has been decreasing. The purpose of this phenomenological study was to explore the lived experience of post-licensure nurses who participated in a perioperative clinical rotation within their baccalaureate nursing program and did that experiential experience affect the recruitment and employment for perioperative nursing to halt the impending shortage. The integrations of Kolb’s experiential learning theory and …

Use Of Evidence-Based Test Development In Pre-Licensure Nursing Programs: A Descriptive Study Of Faculty Beliefs, Attitudes And Values, Richild Berrick

Student Theses, Dissertations and Capstones

Background: Effective testing in pre-licensure nursing programs is a challenge in nursing education. Implementing evidence-based test development is essential to successful assessment of students’ competence and preparation for licensure. Purpose: Identifying the beliefs, attitudes and values of nursing faculty will contribute to the use of best practices in student assessments, ultimately contributing to increased retention of competent students and increasing the workforce within the healthcare industry. Theoretical Framework: This study is based on Rokeach’s theory of beliefs, attitudes and values. Methods: A quantitative descriptive research methodology was used in this study using survey data collection. A purposive, non-probability, convenience sample …

Thrust Joint Manipulation To The Cervical Spine In Participants With A Primary Complaint Of Temporomandibular Disorder (Tmd): A Randomized Clinical Trial, Breanna C. Reynolds

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background: Temporomandibular disorder (TMD) is a common and costly problem often leading to chronic pain. There exists moderate evidence for physical therapy (PT) interventions in the management of TMD. A known relationship between TMD and the cervical spine exists with some evidence to support cervical intervention treatments. Cervical spine thrust joint manipulation (TJM) is an effective PT intervention explored in a limited fashion for this population. Objectives: To determine the immediate and short term (1 and 4 week) effects of cervical TJM on pain, dysfunction, and perception of change in individuals with a primary complaint of TMD. Methods: In this …

Cognitive Load Theory Principles Applied To Simulation Instructional Design For Novice Health Professional Learners, Susan M. Grieve

Department of Physical Therapy Student Theses, Dissertations and Capstones

While the body of evidence supporting the use of simulation-based learning in the education of health professionals is growing, howor why simulation-based learning works is not yet understood. There is a clear need for evidence, grounded in contemporary educational theory, to clarify the features of simulation instructional design that optimize learning outcomes and efficiency in health care professional students.

Cognitive Load Theory (CLT) is a theoretical framework focused on a learner’s working memory capacity. One principle of CLT is example based learning. While this principle has been applied in both traditional classroom and laboratory settings, and has shown positive …

Trigger Point Dry Needling, Manual Therapy And Exercise Versus Manual Therapy And Exercise For The Management Of Achilles Tendinopathy: A Feasibility Study, Alex Michael Koszalinski

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background: The effect of trigger point dry needling (TDN) on myofascial trigger points (MTP) in Achilles tendinopathy are unknown. Objectives: To determine the feasibility of a large randomized controlled trial (RCT) to compare the effects of TDN to exercise in a patient population with Achilles tendinopathy. Methods: This single-factor, pretest-posttest control group design included 22 subjects between the ages of 24 and 65 years with Achilles tendinopathy. Subjects were randomly assigned to either a control group (MT+Ex) or experimental group (TDN+MT+Ex). Subjects in both groups completed 8 physical therapy treatment sessions over 4 weeks. The intervention for the TDN+MT+Ex group …

Effects Of Generic Group-Based Versus Personalized Individual-Based Exercise Programs On Balance, Gait, And Functional Performance Of Older Adults With Mild Balance Dysfunction And Living In Residential Care Facilities - A Randomized Controlled Trial, Varatharajan Lingam

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background and Purpose: To investigate the effect of an individualized exercise program versus a generic group-based exercise program on balance, gait, and functional performance of older adults categorized as having mild balance dysfunction and living in residential care facilities. Methods: Single blind randomized control design. One hundred-twenty residents fulfilled screening criteria for mild balance dysfunction based on the BioSwayTM balance and the Multi-Directional Reach Test (MDRT) primary outcome measures. Secondary assessment was completed using the Modified Physical Performance Test (PPT), hand-held dynamometer (lower-limb muscle strength testing), and gait speed analysis. Sixty subjects received individualized treatment from physical therapists (8 weeks). …

Effectiveness Of A Manual Therapy Approach In Treatment Of Patients With Lumbar Spinal Stenosis, Haitham Ramadan

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background: The use of manual therapy for the management of lumbar spinal stenosis (LSS) has not been adequately systematically reviewed in an attempt to determine its effectiveness on patients with LSS. The lack of evidence in support ofcommonly used conservative interventions continues to result in a lack of clarity regarding what interventions should be used to manage patients with LSS. Objective: To use a randomized comparative trial to compare the functional clinical outcomes achieved by patients with LSS receiving two different physical therapy interventions. Methods: In this randomized controlled trial, a total of40 participants diagnosed with LSS were randomized into …

Integrative Molecular Pathological Epidemiology Of Congenital And Infant Acute Leukemia, Heather Elizabeth Williams

Health Sciences Program Student Theses, Dissertations and Capstones

Congenital and infant acute leukemia remain one of the most puzzling clinical issues in pediatric hematology-oncology. There is a paucity of studies focused on these rare, aggressive, acute leukemias; specifically, there is little study on the differences in disease in the youngest of infants less than 1 year of age unlike the numerous studies of the disease in older children. The United States National Cancer Institute’s Surveillance, Epidemiology, and End Results (SEER) cancer population registry program has been integral for a plethora of clinical population and pathology research studies for numerous diseases in the last 40 years and has an …

Chinese Immigrants With Non-Insulin-Dependent Diabetes Mellitus: Nutritional Self-Management Approach, Winnie Manlai Wong

Student Theses, Dissertations and Capstones

Background: Chinese immigrants (CIs) with non-insulin dependent diabetes mellitus (NIDDM) generally have poor control in their diet regimen. Due to the variation in body mass, physiology, and cultural differences as compare with the general American population, special attention must be conducted in treating diabetes in Cis, emphasizing culturally sensitive care and nutrition therapy that acknowledge the differences. Purpose: The purpose of this project was to assess cultural challenges in self-management for CIs living with non-insulin dependent diabetes mellitus and evaluate the effectiveness of a diabetic nutritional self-management guide tailored to this population. Theoretical Framework: Havelock’s theory of change is a …

Vocational Rehabilitation Counselors' Experiences, Perceptions, And Readiness Related To Self-Employment Of People With Disabilities, Deborah Ashley

Theses and Dissertations

The purpose of this dissertation study was to explore the experiences, perceptions, and readiness (EPR) of vocational rehabilitation counselors (VRCs) supporting people with disabilities (PWD) in self-employment. While PWD are twice as likely to be self-employed than the general population, self-employment case closure rates within vocational rehabilitation remain historically low around 2%.

Descriptive, inferential, and correlational statistical analysis were used to investigate the EPR of 205 Certified Rehabilitation Counselors across the nation via an online survey, the Vocational Rehabilitation Counselor Self-Employment Process Survey (VRC-SEPS). The VRC-SEPS consists of demographic items, two Likert-type scales examining experiences and readiness, and a set …

A Systematic Approach To High Blood Pressure Risk Analysis And Healthcare Cost Reduction In Young Adults [Metodología Sistemática Para El Análisis De Riesgo Y Reducción De Costos De Servicios Médicos De Hipertensión En Adultos Jóvenes], Francisco Rafael Torres Diaz

Theses and Dissertations

The purpose of this research is to utilize publicly available data to estimate the current rate of occurrence of undiagnosed High Blood Pressure (HBP) in young adults (18 to 24 years old) and the out-of-pocket healthcare expenses associated with complications of HBP, to provide feasible alternatives to mitigate the effects on a region's economy. This has been done by building a Risk Factor Simulation Model that utilizes known HBP risk factors’ correlation to HBP, insurance coverage data, and rate of diagnosis to formulate the average Risk Factor Value for a region, which through an Annual Expected Cost Function estimates the …

A Study Of Counselor Trainees' Self-Perceived Competency In Social Justice Advocacy, Mary Ann Rocha

Theses and Dissertations

The purpose of the study is to examine the social justice advocacy competencies of rehabilitation counselor trainees. The study aims to explore rehabilitation counselor trainees’ self-perceived social justice advocacy competencies. More specifically, counselor trainees’ demographic and training variables will be examined to understand the process of social justice advocacy competency. Also, the study will explore the correlation between social justice advocacy competency and ethical awareness. A convenience sample of counselor trainees who are in a master’s-level or doctoral level rehabilitation counseling program or related counseling program was utilized for this study. In total, 132 counselors in training completed the online …

Certified Rehabilitation Counselors' Self-Perceived Competency In Facilitating End-Of-Life Care Services, Miranda Lopez

Theses and Dissertations

As of 2010, certified rehabilitation counselors (CRC) have been provided ethical guidelines addressing end-of-life care (EOL) service delivery for persons with disabilities. Due to the plethora of pertinent knowledge and skills sets needed to facilitate comprehensive EOL issues, it is vital to examine rehabilitation counselors’ self-perceived competence in facilitating EOL care service delivery. The study was conducted as a non-experimental exploratory design. Based on the study’s sample (N = 188), descriptive statistics reported 70% of counselors lacked education while 69% had not participated in EOL training. Approximately 81% of the participants reported the need for EOL education and training. …

Factors Contributing To Successful Employment Outcomes For Individuals Who Are Hard-Of-Hearing, Sergio Cuevas

Theses and Dissertations

This study examined the relationship between demographic variables (gender, race and ethnicity, age, level of education, and secondary disability), state-federal vocational rehabilitation (VR) services, and VR employment outcomes among individuals who are hard-of-hearing. This study also explored what VR services contribute to employment outcomes for individuals who are hard-of-hearing. Data from The U.S. Department of Education Rehabilitation Service Administration Case Service Report (RSA-911) FY 2014 was used to focus on individuals who are hard-of-hearing. Logistic regression, Chi-square, and Chi-square Automatic Interaction Detector (CHAID) analyses were used to analyze the RSA-911 dataset.

Survey Assessment Of Community Knowledge And Prevention Of Chagas Disease And Its Vector In Hidalgo And Cameron Counties, Adam Dennis Wiejaczka

Theses and Dissertations

Chagas disease, caused by the parasite Trypanosoma cruzi, kills thousands of people annually and is the dominant cause of infectious myocarditis worldwide. Kissing bugs are vectors that carry T. cruzi . and are found in the Lower Rio Grande Valley (LRGV). There is no vaccination nor cure for Chagas. The best mechanism of prevention is to control vector infestations. Little research is available regarding the level of understanding local communities have about Chagas.

Our goal was to test the knowledge of several communities in the LRGV on Chagas disease. Our hypothesis states that local communities do not have sufficient …

An Exploratory Factor Analysis: Factors That Influence Employers Disposition To Hire And Retain Persons With Disabilities, Javier Nazario Rodriguez

Theses and Dissertations

Despite the laws that are in place to ensure equal employment opportunities for persons with disabilities, there continues to be a disparity in employment rates for persons with disabilities when compared to persons without disabilities. Understanding factors that influence employers disposition to hire and retain persons with disabilities is the first step towards developing a guide for professionals that provide direct job placement services to this population in developing an educational intervention plan that is conducive to employers being more receptive to hiring persons with disabilities.

Currently there are many studies that focus on employers’ attitudes towards hiring and retaining …

Perceptions Of Applied Behavioral Analysis In Speech-Therapy With Individuals With Autism, Irene Cortez

Theses and Dissertations

Speech language pathologists in the pediatric setting will typically find themselves working with children with autism and implementing behavior management strategies in order to implement the most effective therapy. Many of these behavior management strategies fall under the category of applied behavioral analysis, however applied behavioral analysis is not widely implemented as a whole in speech therapy. This thesis reviews current literature regarding autism, behavior management, and Applied Behavioral Analysis in speech therapy; and how speech language pathologists currently perceive applied behavioral analysis and its usefulness in speech therapy. General findings of this thesis revealed that the majority of speech …

Cultural Awareness: Latinos Perceptions In A Multicultural Counseling Course [Concientización Cultural: Percepciones De Estudiantes Latinos En Un Curso De Consejería Multicultural], Leila Flores-Torres

Theses and Dissertations

This study explored the experiences and perceptions from a multicultural counseling course of Latino graduate counseling students at a Hispanic Serving Institution (HSI). The purpose of the study was to understand the students’ lived experience and its impact in developing their multicultural counselor identity and competencies. The research questions included the following: What course experiences and personal values do Latino graduate students identify as relevant to their multicultural counseling preparation? What psychological process do Latino graduate students use to make meaning of their experiences and values in their multicultural counseling preparation to serve the needs of culturally diverse clients?

The …

Knowledge And Attitudes Toward Persons With Schizophrenia Among Hispanic University Students Enrolled In Mental Health And Non-Mental Health Disciplines, Manisha Sharma

Theses and Dissertations

The present study was designed to examine university students’ knowledge regarding schizophrenia and factors that can influence university students’ attitudes toward persons with schizophrenia. An attribution questionnaire ([AQ-27], Corrigan, Markowitz, Watson, Rowan, & Kubiak, 2003), the Error Choice Test ([ECT], Michaels & Corrigan, 2013), and the Social Desirability Scale ([SDS-13], Reynolds, 1982) were utilized to collect data from undergraduate students attending The University of Texas Rio Grande Valley (UTRGV), the largest U.S. Hispanic serving university located on the Texas-Mexico border. Descriptive and inferential statistics were utilized to analyze the survey data. Results indicated a non-significant relationship between students’ knowledge regarding …

The Effects Of Dance Therapy On Voice In Patients With Parkinson's Disease In A Multicultural Population, Ivon N. Ramirez

Theses and Dissertations

Current literature suggests that dance therapy in individuals with Parkinson’s disease shows noticeable improvement in motor functions, for example gait and balance improvement. Additionally, patients with Parkinson’s disease who participate in dance therapy may perceive positive benefits on their quality of life. Therefore, it is believed that increases in core support and improvements in posture, as a result of dance therapy, will have effects on the voice in patients with PD.

This thesis pulls from literature supporting treatment approaches in the field of speech-language pathology for voice patients with Parkinson’s disease. The aim of this study was to evaluate the …