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Condiciones Laborales De La Floricultura En Colombia, Alexander Thibado Jun 2024

Condiciones Laborales De La Floricultura En Colombia, Alexander Thibado

University Honors Theses

This thesis analyzes the laboral conditions and the socioeconomic implications of the Colombian floriculture industry. The proportion of employment opportunities for rural Colombian peasant women is examined and how it challenges traditional gender structures in Colombia and the empowerment of the female workers. Likewise the controversy of domestic violence is addressed and how workshops given in flower farms contribute to its prevention and addressing. In addition, the usage of pesticides in flower production and its significance for the health of the workers is examined, highlighting the associated risks with long-term exposure to chemical pesticides and the importance of protection and …


Determining Factors For Improved Uptake Of Harm Reduction Services In The United States: A Study Of Inclusive, Culturally Sensitive Messaging, Lauretta Ekanem Omale Jun 2024

Determining Factors For Improved Uptake Of Harm Reduction Services In The United States: A Study Of Inclusive, Culturally Sensitive Messaging, Lauretta Ekanem Omale

Dissertations

Harm reduction refers to public health policies and programs aimed at decreasing the adverse consequences associated with drug use. While harm reduction services (e.g., syringe exchange programs) can mitigate health risks, marginalized groups face barriers to service access and utilization, partially due to ineffective messaging approaches that fail to align with cultural values and experiences. A one-size-fits-all approach to messaging can negatively impact service utilization, health outcomes, and health disparities. Ineffective communication can lead to poor adherence to treatment, poorer health outcomes, and increased adverse events.

Culturally insensitive communication contributes to stigma, mistrust, and lack of perceived relevance, discouraging service …


Incarceration Vs Treatment: Is One More Effective Than The Other In Preventing Recidivism For Drug Abuse?, Scott G. Kang Jun 2024

Incarceration Vs Treatment: Is One More Effective Than The Other In Preventing Recidivism For Drug Abuse?, Scott G. Kang

Student Theses

This study aims to determine the most effective approach for reducing recidivism among drug offenders, comparing incarceration with treatment. Two hypotheses were formulated for this research: 1) Drug offenders undergoing residential treatment will experience lower recidivism rates compared to those sentenced to incarceration. 2) Extended therapeutic treatment is more likely to positively influence behavior change among drug abusers compared to longer prison sentences. These hypotheses were tested using data from 263 participants in the Drug Treatment Alternative-to-Prison (DTAP) program, analyzed through logistic regression in SPSS. The results indicate that therapeutic interventions, specifically rehabilitative treatment, are more effective than incarceration in …


Validation Of Harmonized Cognitive Assessment Protocol (Hcap) In Egypt: A Sub Study Of The Egyptian Longitudinal Study Of Aging (Al-Seha), Sara Ayman Moustafa Jun 2024

Validation Of Harmonized Cognitive Assessment Protocol (Hcap) In Egypt: A Sub Study Of The Egyptian Longitudinal Study Of Aging (Al-Seha), Sara Ayman Moustafa

Theses and Dissertations

Abstract Building upon the insights gained from the AL-SEHA pilot study, which underscored the pressing need for comprehensive cognitive assessment tools in Egypt, a subsequent research initiative was launched. This initiative sought to address the escalating burden of dementia and Alzheimer's Disease Related Dementias (ADRD) by adapting and validating the Harmonized Cognitive Assessment Protocol (HCAP) for the Egyptian context. The validation study, conducted with 300 participants aged 55 and over, drawn from diverse backgrounds and healthcare settings in Cairo, Mansoura, and Beni Suef, demonstrated the HCAP's effectiveness across different age and education levels within the Egyptian population. The tool exhibited …


Dietary Probiotic Supplement Attenuates Methamphetamine-Induced Conditioned Place Preference In Female Sprague-Dawley Rats, Kristen Powell Jun 2024

Dietary Probiotic Supplement Attenuates Methamphetamine-Induced Conditioned Place Preference In Female Sprague-Dawley Rats, Kristen Powell

Masters Theses

Substance use disorders (SUD) represent a global public health crisis with limited effective treatment options. Recent findings implicate the gut microbiome and gut/brain axis in the pathophysiology of SUDs. Several preclinical studies have established that psychostimulants alter gut microbiome composition, but no published studies have assessed behavioral effects of dietary probiotic supplements on drug-induced behavioral changes. This study utilized rodent conditioned place preference (CPP) as a behavioral index of conditioned drug reward to determine if a dietary probiotic supplement alters the behavioral effects of (+)-methamphetamine (METH). Fifty-four adult female Sprague-Dawley rats were randomly assigned to receive either a standard rodent …


Vestibular Correlates Of Cochlear Implantation, Danielle Lewis Jun 2024

Vestibular Correlates Of Cochlear Implantation, Danielle Lewis

Dissertations, Theses, and Capstone Projects

Previous research has illustrated that vestibular dysfunction is the most prevalent complication of cochlear implant (CI) surgery. There is substantial evidence of both short- and long-term vestibular dysfunction following CI surgery. The objective of this survey was to determine CI recipients’ expectation and satisfaction with their audiologists’ counseling regarding the possible vestibular effects of cochlear implantation. Survey participants included unilateral and bilateral adult CI recipients recruited through the NYC chapter of the Hearing Loss Association of America (HLAA), audiology-related Facebook groups, and Linked-In. The first 25 participants were offered a $20 Amazon gift card upon completion of the survey. The …


Development Of The Hearing Emotion/Activity Restrictions On Teenagers (Heart), Robin G. Axelrod Jun 2024

Development Of The Hearing Emotion/Activity Restrictions On Teenagers (Heart), Robin G. Axelrod

Dissertations, Theses, and Capstone Projects

DEVELOPMENT OF THE HEARING EMOTION/ ACTIVITY RESTRICTIONS ON TEENAGERS (HEART)

By: Robin Axelrod

Advisor: Barbara Weinstein

Background:

The Hearing Handicap Inventory for the Elderly is a self-assessment tool used to assess and quantify the impact of hearing loss on emotional and social wellness in the geriatric population. However, there is not an existing version for the teenage population. Hearing loss has the potential to impact social, emotional, and academic domains in the daily lives of teenagers with hearing loss. In this study, a new self-assessment tool called the Hearing Emotion/ Activity Restrictions on Teenagers (HEART) was created and distributed via …


Toolkit For Users Of Over-The-Counter Hearing Aids, Sabrina Malasarte Jun 2024

Toolkit For Users Of Over-The-Counter Hearing Aids, Sabrina Malasarte

Dissertations, Theses, and Capstone Projects

Untreated hearing loss oftentimes has significant adverse effects on the quality of life of older adults. The associations include, but are not limited to loneliness, isolation, anxiety, and a decrease in cognitive function. Hearing aids significantly improve audibility, social interactions, and decrease feelings of loneliness or isolation. However, despite technological advances, and evidence of positive outcomes associated with hearing aid use, uptake and continued use of hearing aids remain low. Accessibility and affordability are considered barriers to uptake. Purchasing a prescription hearing aid from an audiologist is the traditional approach to receiving an amplification device, but the advent of over …


Failure To Mourn: Challenges To The Work Of Mourning In Twentieth-Century Italian Literature, Mattia Mossali Jun 2024

Failure To Mourn: Challenges To The Work Of Mourning In Twentieth-Century Italian Literature, Mattia Mossali

Dissertations, Theses, and Capstone Projects

This project brings together, in a novel combination and through a comparative and transnational perspective, three Italian authors from the Twentieth century who around the same years have produced texts in an effort to verbalize the pain caused by the loss of a loved one: Gina Lagorio (1922-2005), Lalla Romano (1906-2001), and Pier Vittorio Tondelli (1955-1991). Through a variety of literary forms, from fictional self-representations in “autobiographical” novels to the desire for authenticity that characterizes so-called grief memoirs, each of them confronts the challenge of how to write about the deeply painful experience of mourning. After witnessing death, they look …


Red Raspberries Attenuate Blood Glucose Spike Of A High Glycemic Load Breakfast Cereal, Dante J. Martin Jun 2024

Red Raspberries Attenuate Blood Glucose Spike Of A High Glycemic Load Breakfast Cereal, Dante J. Martin

Master's Theses

Blood glucose (BG) spikes increase chronic disease risk in those with and without diabetes. The fiber and phytonutrient content of fruit, such as raspberries has the potential to attenuate the BG spike of a high glycemic load (HGL) meal. We examined the effect of red raspberries (RRs) on the BG spike when added to a HGL meal. In this randomized cross-over trial, 16 university students were given breakfast cereal and almond milk (control), the control breakfast with 140g added RRs, and the control breakfast with sugar equivalent to the sugar content of the RRs (50% sugar increase from control). Meals …


Deciphering The Contribution Of Microglia To Neurodegeneration In Friedreich's Ataxia, Sydney N. Gillette Jun 2024

Deciphering The Contribution Of Microglia To Neurodegeneration In Friedreich's Ataxia, Sydney N. Gillette

Master's Theses

Friedreich's ataxia (FRDA) is the most prevalent inherited ataxia, affecting one in every 50,000 individuals in the United States. This hereditary condition is caused by an abnormal GAA trinucleotide repeat expansion within the first intron of the frataxin gene resulting in decreased levels of the frataxin protein (FXN). Insufficient cellular frataxin levels results in iron accumulation, increased reactive oxygen species production and mitochondrial dysfunction. Tissues most heavily impacted are those most dependent on oxidative phosphorylation as an energy source and include the nervous system and muscle tissue. This is evident in the clinical phenotype which includes muscle weakness, ataxia, neurodegeneration …


Naturify 2300, Yarina Yiwei Dai Jun 2024

Naturify 2300, Yarina Yiwei Dai

Masters Theses

In my art practice, I explore the interplay between human desires to manipulate and anthropomorphize nature, as seen in the technological augmentation of plants and living entities. This investigation delves into how this intersection, alongside empathy towards these creations, contributes to fears of uncontrollability and the risks of addiction and excessive dependence on technology.

Bioengineering and genetic modification have cultivated unprecedented developments, allowing humans to manipulate the fundamental building blocks of life. My research speculates on this technology further, modifying the genetic code of organisms and creating bioengineered wearable entities with enhanced traits or entirely new functionalities. The primary objective …


Guilty Pleasure: Women's Perception Of Health, Body Image, And Femininity, Irene *Yi-Han Chung Jun 2024

Guilty Pleasure: Women's Perception Of Health, Body Image, And Femininity, Irene *Yi-Han Chung

Masters Theses

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A Comparison Of Temporary Threshold Shifts In Dentists, Hygienists, And Dental Assistants, Sabina E. Ciaccio Jun 2024

A Comparison Of Temporary Threshold Shifts In Dentists, Hygienists, And Dental Assistants, Sabina E. Ciaccio

Dissertations, Theses, and Capstone Projects

Objective: The purpose of this study is to compare the temporary threshold shifts (TTS) in dentists, hygienists, and dental assistants. The specific aim of this study is to compare the differences in temporary shifts caused by the different dental equipment and the proximity to the equipment. The current literature does not compare the change in hearing thresholds of dental personnel.

Methods: Dentists, dental assistants, and hygienists from Hermann Dental Associates will be given a case history form to determine inclusion status for this study. Exclusion criteria will include known hearing loss and significant noise exposure the day prior. …


The Association Between Body Image Satisfaction And Depressive Symptoms Among Young Women In The Uae With Polycystic Ovary Syndrome (Pcos) And Non-Pcos: A Comparative Quantitative Cross-Sectional Study, Shaima Abdrahman Al-Mekhlafi Jun 2024

The Association Between Body Image Satisfaction And Depressive Symptoms Among Young Women In The Uae With Polycystic Ovary Syndrome (Pcos) And Non-Pcos: A Comparative Quantitative Cross-Sectional Study, Shaima Abdrahman Al-Mekhlafi

Theses

Polycystic Ovary Syndrome (PCOS) is one of the most common syndromes affecting women of reproductive age, (Laggari et al., 2009). PCOS not only impacts women's physical health but also their psychological well-being, often leading to depressive symptoms and lower body image satisfaction, Wang et al. (2023). Recent research indicates a growing prevalence of PCOS among women in the United Arab Emirates (UAE), Mirza et al. (2023). However, there is a noticeable gap in understanding the psychological effects of PCOS on women in the UAE, likely due to cultural sensitivities. This study aims to investigate the association of depressive symptoms and …


Using Self-Assessment Tools And Complementary Alternative Therapy For Chronic Migraines In Menopausal Women, Krystal Rachelle Bridwell Jun 2024

Using Self-Assessment Tools And Complementary Alternative Therapy For Chronic Migraines In Menopausal Women, Krystal Rachelle Bridwell

Electronic Theses and Dissertations

Abstract

Migraine headaches are ranked as one of the highest disabling conditions in the United States. Women who are in the perimenopausal transition phase have a higher prevalence of disabling migraines that can result in a decreased quality of life, loss of income, decreased productivity, and a higher risk for emotional difficulties. The gap in practice is the lack of education on complementary alternative medicine (CAM) and the use of a migraine diary to recognize individual symptoms as a substitute or cotherapy with pharmacologic treatments. The purpose of this scholarly project was to improve clinical practice and outcomes for perimenopausal …


Safety Project To Prevent Unintentional Retained Surgical Items, Sherri Bobo Jun 2024

Safety Project To Prevent Unintentional Retained Surgical Items, Sherri Bobo

Electronic Theses and Dissertations

Abstract

Fifty million surgeries are performed annually in the United States with an estimated 5,000 patients affected by unintentionally retained surgical items (RSIs) due to errors in the operating room. Surgical items inadvertently left inside patients may include sponges, instruments, needles, or small miscellaneous parts. It is not well understood why the surgical counting process fails to prevent the incidence of unintentional RSIs. The proposed educational curriculum was intended to enhance the knowledge and self-efficacy of surgical nurses and technicians to minimize errors and eliminate RSIs. Evidence-based strategies to complement existing knowledge of unintentional RSIs were introduced through didactic and …


Clonality And Epidemiological Studies Of E. Coli Strain Collected From Abu Dhabi Emirate Using Ngs And Bioinformatic Tools, Ahmed Abdelrahman Mohamed Jun 2024

Clonality And Epidemiological Studies Of E. Coli Strain Collected From Abu Dhabi Emirate Using Ngs And Bioinformatic Tools, Ahmed Abdelrahman Mohamed

Theses

In the current landscape, where antibiotic resistance in bacteria is steadily rising, the role of bacterial genomics has assumed increasing significance. Therefore, it is necessary for microbiologists to acquire proficiency in the utilization of these methods and tools to harness their potential in gaining valuable insights into bacterial genomes. This can facilitate the development of innovative strategies for managing and treating bacterial infections. Here we present the power of the whole-genome sequencing technology in characterization of multidrug resistant Escherichia coli isolates. Fourteen Escherichia coli isolates were selected for this study. Following the standard microbiological techniques to confirm the sample identification, …


Salivary Microbiome Signature In Pediatric Inflammatory Bowel Disease, Ghaidaa Mohammed Mesto Jun 2024

Salivary Microbiome Signature In Pediatric Inflammatory Bowel Disease, Ghaidaa Mohammed Mesto

Theses

Inflammatory bowel disease (IBD) is a complex disorder characterized by chronic inflammation of the gastrointestinal tract (GIT). IBD mainly includes two distinct diseases, namely Crohn’s disease (CD) and ulcerative colitis (UC). To date, the precise etiology of these conditions is not fully elucidated, although a strong relationship between microbial dysbiosis in the GIT and IBD has been proposed. In general, limited data is available on the oral microbiome of IBD patients, despite its recognizable role in impacting gut health. There is a paucity of research on IBD in the pediatric population, although this disease is becoming more prevalent than in …


Pharmacogenomic Biomarkers Of Angiotensin Converting Enzyme Inhibitors (Aceis) Induced Cough Among Healthy Emiratis And Multi-Ethnic Hypertensive Patients, Sahar Mohammad Altoum Jun 2024

Pharmacogenomic Biomarkers Of Angiotensin Converting Enzyme Inhibitors (Aceis) Induced Cough Among Healthy Emiratis And Multi-Ethnic Hypertensive Patients, Sahar Mohammad Altoum

Theses

Pharmacogenomics (PGx) is an emerging field that merges genetics with pharmacology. It focuses on how an individual's genetic makeup influences their response to specific medications. This relatively new area of medicine seeks to understand the genetic factors that affect drug efficacy and safety. One practical application of PGx is in the context of treatment with angiotensin-converting enzyme inhibitors (ACEIs), which are widely used medications for managing hypertension. However, ACEIs are often associated with cough as a side effect, leading to drug discontinuation and the adoption of alternative medications like Angiotensin II receptor blockers (ARBs). The prevalence of ACEIs-induced cough varies …


Mitochondrial Control Of Tumorigenicity And Immunogenicity Of Colorectal Cancer, Maram Esam Ahmed Jun 2024

Mitochondrial Control Of Tumorigenicity And Immunogenicity Of Colorectal Cancer, Maram Esam Ahmed

Theses

The Methylation-controlled J protein (MCJ), also known as DNAJC15, serves as an endogenous negative regulator of mitochondrial respiration. MCJ plays a crucial role in cellular bioenergetics by regulating cellular metabolism, and its expression is inversely proportional to the extent of mitochondrial ATP production. In the current study, we aimed to investigate the relationship between MCJ expression and the tumorigenicity and immunogenicity of colon adenocarcinoma. To this aim, we utilized MCJ knockout (KO) mice to assess the impact of tumor-extrinsic MCJ expression in host cells, particularly immune cells, on anti-tumor responses. Comparing the growth of MCJ-expressing cancer cells in wild-type vs. …


I See You! Play: A Therapeutic Playgroup For Caregivers And Their Intensive Care Group Infants, Mariana Cerqueira Aokalani Jun 2024

I See You! Play: A Therapeutic Playgroup For Caregivers And Their Intensive Care Group Infants, Mariana Cerqueira Aokalani

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This paper articulates a new therapeutic playgroup for caregivers of Intensive Care Unit (ICU) infants, named I See You! Play. This intervention is an adaptation of WePlay! (Gross et al., 2021), a cooperative learning and therapeutic playgroup for caregivers and their children from 6 to 36 months old. Dr, Tracy Vozar developed this program inspired by Saleem Penny’s program with the same name in Chicago. Parents of ICU infants face several challenges that can affect their experience of parenthood, their parenting skills, caregivers' sensitivity, their mental health, and their relationship with their premature infant. This in turn affects infant’s attachment …


Evolution Of Morning Sickness And How It Relates To Maternal Nutrition And Fetal Development, Leena Macias Jun 2024

Evolution Of Morning Sickness And How It Relates To Maternal Nutrition And Fetal Development, Leena Macias

University Honors Theses

A multitude of pregnant mothers throughout the world experience some sort of nausea and vomiting symptoms while pregnant. There is a large body of literature that has examined the evolutionary significance of nausea and vomiting of pregnancy (NVP), and why it continues to persist within our society. The purpose of this thesis is to perform a literature review and to add onto the current literature present within this multidisciplinary field. In order to do so, the field's published works were compiled and examined, being careful to only choose credible and significant sources in order to understand why pregnant mothers experience …


Once, I Was Very Very Scared And More: An Exploration Into Depictions Of Interpersonal Trauma In Children's Literature, Emma K. Siepmann Jun 2024

Once, I Was Very Very Scared And More: An Exploration Into Depictions Of Interpersonal Trauma In Children's Literature, Emma K. Siepmann

University Honors Theses

This thesis examines the ways in which experiences of interpersonal trauma are depicted in English-language contemporary literature for elementary-aged children (6-11 years). A review of academic literature suggests that interpersonal trauma can have devastating and ongoing repercussions for individuals and their communities, although establishing a sense of relational safety can help mitigate these effects and facilitate healing after a traumatic experience. This research explores age-appropriate literature as a therapeutic tool for developing relational safety and providing critical skills to children at risk for and recovering from interpersonal trauma. This study analyzes the depictions of interpersonal trauma found in 11 picture …


Early Detection Of Alcohol Related Dementia Across The Lifespan: An Integrative Literature Review For Primary Care Providers, Kaylee A. Chapman Jun 2024

Early Detection Of Alcohol Related Dementia Across The Lifespan: An Integrative Literature Review For Primary Care Providers, Kaylee A. Chapman

University Honors Theses

Introduction: Alcohol related dementia (ARD) is a long-term, heterogeneous cognitive impairment that can develop in the course of excessive and prolonged use of alcohol. This integrative literature review evaluated the relevant research, preventative measures, and early detection of brain changes leading to memory impairment as a result of the chronic consumption of alcohol. Widespread prevention and detection of ARD can be achieved through the support of healthcare professiona ls in understanding, observing, and catching behavioral patterns ahead of time to properly direct treatment. The risk factors associated with an early diagnosis of dementia include, but are not limited to, abnormal …


A Cost-Effectiveness Analysis Of Telehealth Vs. Office-Based Delivery Of Buprenorphine At The Addiction And Substance Abuse Program (Asap) Clinic - University Of New Mexico Hospital: A Societal Perspective, Rana Alkhafaji May 2024

A Cost-Effectiveness Analysis Of Telehealth Vs. Office-Based Delivery Of Buprenorphine At The Addiction And Substance Abuse Program (Asap) Clinic - University Of New Mexico Hospital: A Societal Perspective, Rana Alkhafaji

Pharmaceutical Sciences ETDs

This study evaluates the cost-effectiveness of office-based versus telehealth delivery of buprenorphine treatment for opioid use disorder (OUD). A retrospective chart review of 135 patients at the University of New Mexico Hospital's Addiction and Substance Abuse Program compared retention rates and costs between the two settings. Retention was defined as continuous treatment for at least six months. No statistically significant difference in retention rates was found, with 51% for office-based and 42% for telehealth. However, office-based treatment had higher total costs, with an incremental cost-effectiveness ratio of $3,750 per 1% increase in retention. The findings suggest telehealth is a cost-effective …


Examining The Association Of Type 2 Diabetes Mellitus Risk Factors Between African Immigrants Living In The United States And African Americans Born In The United States, Philip Effiong May 2024

Examining The Association Of Type 2 Diabetes Mellitus Risk Factors Between African Immigrants Living In The United States And African Americans Born In The United States, Philip Effiong

Walden Dissertations and Doctoral Studies

The purpose of the study was to investigate the risk factors for Type 2 diabetes mellitus (T2DM) among African immigrants and African Americans born in the United States to identify differences and similarities in their impact and prevalence. Variables considered as potential differentiators included alcohol consumption, income, educational levels, and smoking habits, age, and gender. The health belief model served as the theoretical framework. Utilizing data from the National Health and Nutrition Examination Survey 2015-2016, logistic regression analyses were used to test for significant factors affecting T2DM prevalence in these groups. Results indicated that country of origin did not predict …


Targeted Drug Delivery: Investigating Protein Corona Behavior, Atharva Markale May 2024

Targeted Drug Delivery: Investigating Protein Corona Behavior, Atharva Markale

Theses

Due to high specificity and less toxicity, nanoparticles have become promising for targeted drug delivery against cancer, although they face challenges when they enter the bloodstream, making their behavior unpredictable. The deposition of proteins on nanoparticles, the protein corona, changes their biosignature, affecting their circulation, drug release potency, targeting ability, and immunogenicity. The continuous exchange of protein layers on a nanoscale is complex to analyze.

Nanoparticle tracking analysis (NTA) is a method to characterize nanoparticles in blood plasma by combining principles of light scattering microscopy and Brownian motion. In this work, time-dependent experiments with plasma were conducted to analyze the …


Optimizing Social Determinant Of Health Concept Extraction, Niharika Singh May 2024

Optimizing Social Determinant Of Health Concept Extraction, Niharika Singh

Theses

Generative Artificial Intelligence has recently garnered enormous attention for a varied number of reasons, one of them being its capacity to automate complex tasks. As the potential for integrating Generative Artificial Intelligence across technology, media, and healthcare grows, many tasks previously reliant on manual or algorithm-intensive methods can be simplified significantly. One such challenge is concept extraction, which is a labor-intensive process, especially when performed manually for building robust ontologies. It involves analyzing text to identify and extract relevant concepts, key phrases, entities, and relationships between these entities. This thesis explores various challenges of concept extraction from the ABCD (Adolescent …


Exploring Counseling Self-Efficacy Development Among Graduate Speech-Language Pathology Students, Rebecca Jones May 2024

Exploring Counseling Self-Efficacy Development Among Graduate Speech-Language Pathology Students, Rebecca Jones

Dissertations, 2020-current

Two thematically linked studies are contained within this dissertation document, completed in partial fulfillment of the degree requirements for the Doctor of Philosophy, per the Communication Sciences and Disorders Ph.D. handbook, and in agreement with an advisory committee. These projects serve to advance the scholarship of teaching and learning in the areas of counseling skill development and therapeutic alliance building. The first study deals with the impact of a university-based caregiver coaching program on SLP graduate students' counseling self-efficacy (CSE) and their perceptions of therapeutic alliances with infant caregivers. A mixed-methods approach was employed utilizing reflexive thematic analysis (RTA) and …