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Articles 2311 - 2340 of 2829
Full-Text Articles in Psychiatry and Psychology
The Effects Of A Brief Mindfulness Intervention On Impulsivity In College Students, Myles Elgin Trapp
The Effects Of A Brief Mindfulness Intervention On Impulsivity In College Students, Myles Elgin Trapp
Undergraduate Honors Thesis Collection
This study investigated the impact of a brief, introductory mindfulness intervention on attention, executive control, and impulsivity. I randomly assigned forty-seven undergraduate students to a treatment group (TG) receiving mindfulness training and a waiting list control group (WLG). Participants completed a battery of self-report questionnaires and standardized neuropsychological tests before and after the intervention. Participants high in trait mindfulness suffered less interference on a Stroop task, were less impulsive on the Balloon Analogue Risk Task, but also evidenced less cognitive flexibility on a dual fluency test at baseline. The TG demonstrated greater improvement than the WLG from baseline to re-test …
The Hormonal Correlates Of Stress And Posttraumatic Stress Disorder Symptoms In Female Veterans, Meghan Pierce
The Hormonal Correlates Of Stress And Posttraumatic Stress Disorder Symptoms In Female Veterans, Meghan Pierce
UNLV Theses, Dissertations, Professional Papers, and Capstones
With the increase of female veterans serving in the military, a better understanding of posttraumatic stress disorder is needed to provide comprehensive treatment. This study examines salivary cortisol in female veterans with PTSD, female veterans without PTSD, civilian females with PTSD and healthy controls. The Posttraumatic Stress and Beck Depression Inventory-II were used to assess posttraumatic stress and depressive symptoms. Saliva samples were collected at bedtime and awakening, as well as in response to the Trier Social Stress Test. Significant results were not found for diurnal cortisol levels [ F (3, 11)= .979, p < .05] or stress cortisol levels (F (3,12) = 1.140, p >.05). …
Assessment Of Suny Upstate Medical University’S Child Telepsychiatry Consultation Program, Mary E. Lau
Assessment Of Suny Upstate Medical University’S Child Telepsychiatry Consultation Program, Mary E. Lau
Renée Crown University Honors Thesis Projects - All
Objectives: The project assesses the child telepsychiatry services provided by SUNY Upstate psychiatrists to several county mental health clinics in central New York State. Method: Data for forty-five patients was extracted from pre-consultation forms completed by the referring clinic and post-consultation summaries completed by the Upstate psychiatrists that occurred between July 13th, 2009 and May 12th, 2010. The study identified characteristics of patients for whom telepsychiatry consultations were sought, reviewed recommendations provided by the telepsychiatry consultant, and noted recommended changes in therapy and medication. Results: Analysis of the data showed that there was a large variation …
Reassessing The Architecture Of The Health Beliefs Models In Low-Income Diverse Families, Krista B. Highland
Reassessing The Architecture Of The Health Beliefs Models In Low-Income Diverse Families, Krista B. Highland
Department of Psychology: Dissertations, Theses, and Student Research
Health beliefs contribute to health outcomes. These health beliefs extend to include health beliefs parents have regarding their children’s health. However, the role of parental health beliefs remains unexplored among a low-income population. This study aims to assess these beliefs and the effects they have on child health. Furthermore, this study aims to delineate potential belief differences between socioecological-level groups (e.g. population density, Latino identification, and insurance coverage). The long-term goal is to understand the relationships among various personal health beliefs and parental health beliefs, psychosocial factors, community factors, cultural factors, organizational factors, and healthcare perceptions among this at-risk population. …
The Effects Of Body Characteristics On Perceived Competence, Courtney Michelle Kneip
The Effects Of Body Characteristics On Perceived Competence, Courtney Michelle Kneip
Masters Theses and Doctoral Dissertations
The purpose of this study was to examine the effect of different body characteristics on perceived competence; specifically, height, weight, and physical appearance. Participants were asked to login to their online school accounts and were then directed to a specific survey. All surveys consisted of the same questions, but included a different photograph. Participants then listened to a pre-recorded speech after being told that the individual in the photograph was the individual giving the speech. All surveys asked participants to rate judgments of height, weight, and physical appearance, compared to the average American. The speech provided the basis for the …
Child/Adolescent Sexual Abuse And Alcohol: Proposed Pathways To Problematic Drinking In College Via Ptsd Symptoms, Emotion Dysregulation, And Dissociative Tendencies, Alicia K. Klanecky
Child/Adolescent Sexual Abuse And Alcohol: Proposed Pathways To Problematic Drinking In College Via Ptsd Symptoms, Emotion Dysregulation, And Dissociative Tendencies, Alicia K. Klanecky
Department of Psychology: Dissertations, Theses, and Student Research
Research has discussed the use of alcohol to self-medicate posttraumatic stress (PTSD) symptoms following child/adolescent sexual abuse (CASA). Less research has examined the self-medication hypothesis in college students. Further, investigation of the self-medication hypothesis generally precludes the integration of additional psychological vulnerabilities that may impact students’ alcohol consumption. Supported by the “dynamic” stress-diathesis perspective, emotion regulation (ER) difficulties and insufficient dissociative tendencies existing prior to and potentially altered after CASA exposure may relate to problematic alcohol use. The current study aimed to provide an initial, cross-sectional examination of 1) the relations between CASA exposure severity and alcohol use, 2) the …
Development Of A Scale To Assess Avoidance Behavior Due To A Fear Of Falling: The Fear Of Falling Avoidance Behavior Questionnaire (Ffabq), Cortney Durand, D. Shalom Powell
Development Of A Scale To Assess Avoidance Behavior Due To A Fear Of Falling: The Fear Of Falling Avoidance Behavior Questionnaire (Ffabq), Cortney Durand, D. Shalom Powell
UNLV Theses, Dissertations, Professional Papers, and Capstones
Background: A history of falls or imbalance may lead to a fear of falling which may lead to self-imposed avoidance of activity; this avoidance may stimulate a vicious cycle of deconditioning and subsequent falls.
Objective: The purpose of this study was to develop a questionnaire that would quantify avoidance behavior due to a fear of falling.
Design: This study consisted of two parts, questionnaire development and psychometric testing. Questionnaire development included an expert panel and 39 assisted living residents. Psychometric testing included 63 community dwelling subjects with various health conditions.
Methods: Questionnaire development included the evaluation …
School Refusal Behavior: The Relationship Between Functions And Symptom Sets, Marisa Charlene Hendron
School Refusal Behavior: The Relationship Between Functions And Symptom Sets, Marisa Charlene Hendron
UNLV Theses, Dissertations, Professional Papers, and Capstones
The current study examined the relationship between functions of school refusal behavior and internalizing and externalizing symptom sets in a community sample of 200 youth and parents recruited from two truancy settings. The first hypothesis was that youth who endorsed refusing school primarily to avoid stimuli that provoke negative affectivity (function 1) would report more symptoms of generalized anxiety and depression. The second hypothesis was that youth who endorsed refusing school primarily to escape from aversive social or evaluative situations (function 2) would report more symptoms of social anxiety. The third hypothesis was that youth who endorsed refusing school primarily …
Clark County Mental Health Court: An Outcomes-Based Evaluation Model Of Residential And Treatment Programs Beyond Recidivism, Mark J. Nichols
Clark County Mental Health Court: An Outcomes-Based Evaluation Model Of Residential And Treatment Programs Beyond Recidivism, Mark J. Nichols
Graduate Research Symposium (2010 - 2017)
The number of America’s mental health courts has grown significantly over the course of the past 15 years. Mental health courts can be seen as a form of therapeutic jurisprudence where the court implements therapeutic interventions, case management and treatment (Palermo, 2010). A mental health court was established in Clark County during 2003. Its mission is to promote engagement in treatment, improve quality of life, decrease recidivism, and increase community safety and awareness (Glass, 2008).
The focus of the evaluation of the Clark County Mental Health Court, limited to performance measures related to the decreased recidivism by its clients and …
The Effects Of Working Memory On High And Low Working Memory Capacity, Colleen M. Parks, Christine Agnir
The Effects Of Working Memory On High And Low Working Memory Capacity, Colleen M. Parks, Christine Agnir
Festival of Communities: UG Symposium (Posters)
Acute stress is a factor that impairs working memory (McHugh et al.,2010). Emotional stimuli have been used in long-term memory studies. The emotional content of information is important in long-term memory studies that have focused on stress, but it is unknown if the valence of the stimuli matter for working memory tasks. Little research is know to use emotional pictures of N-back stimuli. Our goal is to determine whether these factors may significantly disrupt the working memory process of efficiently completing complex tasks.
Examining Physiological, Physical, And Cognitive Changes Over A Thirteen Week Training Program, Vanessa L. Roof
Examining Physiological, Physical, And Cognitive Changes Over A Thirteen Week Training Program, Vanessa L. Roof
Department of Psychology: Dissertations, Theses, and Student Research
Ten members of Lincoln Fire and Rescue in Lincoln, Nebraska agreed to participate in a thirteen week tactical strength and conditioning fitness program conducted by Athology Inc. that included a Physiological, Physical, and Cognitive Component. Participants completed three workouts per week lasting approximately 90 minutes each, conducted by fitness trainers from Athology Inc. Participants completed lab draws at the beginning and end of the program as well as an EKG at the onset of the program, conducted off-site at a local hospital. Participants completed performance and agility testing at the onset and end of the program. Lastly, participants completed cognitive …
Policy And Practice: An Analysis Of The Implementation Of Supported Employment In Nebraska, Heng-Hsian N. Liu
Policy And Practice: An Analysis Of The Implementation Of Supported Employment In Nebraska, Heng-Hsian N. Liu
Department of Psychology: Dissertations, Theses, and Student Research
Supported employment (SE) is an evidence-based practice (EBP) for persons with severe mental illness (SMI) aimed at competitive employment. SE has a large evidence base, demonstrating outcomes across settings and populations. SE has been promoted by the Centers for Medicare and Medicaid Services (in the U.S. Department of Health and Human Services) and widely disseminated through the internet via a “community tool-kit” sponsored by the Substance Abuse and Mental Health Services Administration.
The SE literature expresses the opinion that state governments can successfully implement SE. Researchers have developed implementation guidelines and identified stages of statewide implementation; however, most SE implementation …
Juror Perceptions Of Juveniles Transferred To Criminal Court: The Role Of Generic Prejudice And Emotion In Determinations Of Guilt, Megan Beringer Jones
Juror Perceptions Of Juveniles Transferred To Criminal Court: The Role Of Generic Prejudice And Emotion In Determinations Of Guilt, Megan Beringer Jones
Department of Psychology: Dissertations, Theses, and Student Research
Research examining juror perceptions of juveniles tried as adults has provided mixed results, with some studies providing evidence of bias against juveniles tried as adults, and others finding no evidence of this bias. The present research aimed to clarify this issue by examining the roles of generic prejudice and emotion in jurors’ judgments of juveniles tried as adults. Study 1 assessed which stereotypes people associate with juveniles tried as adults compared to juveniles tried in juvenile court and adults tried in criminal court. Study 2 examined to what extent angry, fearful, sad, and neutral mock jurors used these stereotypes to …
When East Meets West: Understanding The Misconduct Of Teenage Girls In Hong Kong, Violet Cheung
When East Meets West: Understanding The Misconduct Of Teenage Girls In Hong Kong, Violet Cheung
Psychology
Although acculturation towards western culture has been linked to higher levels of misconduct in previous research, little is understood about the mechanisms involved. The present study uses two mediators, early autonomy timetable and large family obligation discrepancy to explain how western values alter children’s behavior and family dynamics, that would push them towards misconduct. The sample included 138 girls (M = 13.8 years) from Hong Kong, a former British colony. Results showed that when indigenous youths adopted western values, their autonomy timetables were accelerated, which in turn manifested itself as misconduct. Meanwhile, the western acculturated youths also had a larger …
Suicide And Suicide Risk In Lesbian, Gay, Bisexual, And Transgender Populations: Review And Recommendations, Ann P. Haas, Mickey Eliason, Vickie M. Mays, Robin M. Mathy, Susan D. Cochran, Anthony R. D'Augelli, Morton M. Silverman, Prudence W. Fisher, Tonda Hughes, Margaret Rosario, Stephen T. Russell, Effie Malley, Jerry Reed, David A. Litts, Ellen Haller, Randall L. Sell, Gary Remafedi, Judith Bradford, Annette L. Beautrais, Gregory K. Brown, Gary M. Diamond, Mark S. Friedman, Robert Garofalo, Mason S. Turner, Amber Hollibaugh, Paula J. Clayton
Suicide And Suicide Risk In Lesbian, Gay, Bisexual, And Transgender Populations: Review And Recommendations, Ann P. Haas, Mickey Eliason, Vickie M. Mays, Robin M. Mathy, Susan D. Cochran, Anthony R. D'Augelli, Morton M. Silverman, Prudence W. Fisher, Tonda Hughes, Margaret Rosario, Stephen T. Russell, Effie Malley, Jerry Reed, David A. Litts, Ellen Haller, Randall L. Sell, Gary Remafedi, Judith Bradford, Annette L. Beautrais, Gregory K. Brown, Gary M. Diamond, Mark S. Friedman, Robert Garofalo, Mason S. Turner, Amber Hollibaugh, Paula J. Clayton
Publications and Research
Despite strong indications of elevated risk of suicidal behavior in lesbian, gay, bisexual, and transgender people, limited attention has been given to research, interventions or suicide prevention programs targeting these populations. This article is a culmination of a three-year effort by an expert panel to address the need for better understanding of suicidal behavior and suicide risk in sexual minority populations, and stimulate the development of needed prevention strategies, interventions and policy changes. This article summarizes existing research findings, and makes recommendations for addressing knowledge gaps and applying current knowledge to relevant areas of suicide prevention practice.
Improving Blood Pressure Control In Esrd Through A Supportive Educative Nursing Intervention, Zorica Kauric-Klein
Improving Blood Pressure Control In Esrd Through A Supportive Educative Nursing Intervention, Zorica Kauric-Klein
Wayne State University Dissertations
ABSTRACT
IMPROVING BLOOD PRESSURE CONTROL IN ESRD THROUGH A
SUPPORTIVE EDUCATIVE NURSING INTERVENTION
by
ZORICA KAURIC-KLEIN
May 2011
Advisor: Dr. Nancy T. Artinian
Major: Nursing
Degree: Doctor of Philosophy
Problem: Hypertension in chronic hemodialysis (HD) patients contributes significantly to their morbidity and mortality. Statistics indicate the hypertension rate amongst HD patients ranges from 75 to 100 %. Studies have indicated that adherence rates to self-care behaviors related to salt and fluid intake and medication regimens are very poor in the HD population. Traditional hypertension management strategies have been found to be largely ineffective. There is modest evidence indicating that interventions …
Work-Family Boundary Management Strategies: Examining Outcomes, And The Role Of Fit, Madhura Chakrabarti
Work-Family Boundary Management Strategies: Examining Outcomes, And The Role Of Fit, Madhura Chakrabarti
Wayne State University Dissertations
As more and more people attempt to effectively manage the simultaneous demands of work and family, researchers are now trying to investigate the various ways by which people choose to do so. The present study investigated the concept of boundary management strategies that describes the work-family interface in terms of cognitive, physical, and behavioral boundaries between work and family domains that individuals actively try to manage in order to balance the two worlds. Research in boundary management strategies has been minimal due to the the novelty of the construct. In this study, specific individual and organizational outcomes like work-family conflict, …
Middle School Teachers' Perceptions Of Barriers Of Managing Student Behavior, Winifred Nicole Whitlock
Middle School Teachers' Perceptions Of Barriers Of Managing Student Behavior, Winifred Nicole Whitlock
Walden Dissertations and Doctoral Studies
Despite training and support, many middle school teachers struggle to create, implement, and enforce research-based strategies to manage students' behaviors. The purpose of this case study was to examine teachers' perceptions about the barriers of managing student behavior. The research questions investigated 9 teachers' perceived barriers of managing student behavior at one middle school and the observed actions of these teachers' reactions to student behavior. Each participant was asked to participate in a 45-minute semistructured interview to examine their perceived barriers of managing student behavior and the strategies they use to manage student behavior relative to McGregor's theories X and …
Roles Of Internal Locus Of Control And Self-Efficacy On Managing Job Stressors And Ryff's Six Scales Of Psychological Well-Being, William A. Howatt
Roles Of Internal Locus Of Control And Self-Efficacy On Managing Job Stressors And Ryff's Six Scales Of Psychological Well-Being, William A. Howatt
Walden Dissertations and Doctoral Studies
The purpose of this study was to investigate the roles internal locus of control and self-efficacy play in moderating how employees manage their perceived work stress and positively engage in the behaviors that facilitate autonomy, environmental mastery, personal growth, self-acceptance, positive relations with others, and purpose in life. Investigators have documented the relationship between perceived workplace stress and strain and showed that how employees cope with perceived stress influences their psychological and physical health. However, there is less information available about the relationship between how employees cope with perceived workplace stress and engage in behaviors that facilitate their psychological well-being. …
Self-Hypnosis And Volitional Control Of Finger Temperature Among Adults, Joseph Swope
Self-Hypnosis And Volitional Control Of Finger Temperature Among Adults, Joseph Swope
Walden Dissertations and Doctoral Studies
Raynaud's disease is a condition in which circulation to the hands becomes restricted, causing an uncomfortable sense of cold and occasionally injury. The cause of Raynaud's disease is unknown. Earlier studies have shown that hetero-hypnosis is effective in the treatment of Raynaud's disease. Cost and access to providers limit such a treatment's availability. Theories of hypnosis suggest that self-hypnosis underlies all hypnotic processes. This study examined the utility of self-hypnosis and focused attention on the volitional control of hand temperature. Forty-three adult participants ranging in age from 19 to 77 years with no hypnosis experience were randomly divided into 2 …
The Relationship Between Depression And Cognitive Deterioration In Older Adults, Rakesh Chand
The Relationship Between Depression And Cognitive Deterioration In Older Adults, Rakesh Chand
Walden Dissertations and Doctoral Studies
The population structure of the United States is changing; the older age group is increasing in size relative to the younger generation. The trend is expected to continue, especially starting in 2020, when the baby boomer population---estimated at 80 million---will be reaching their 65 th birthday, a time associated with increasing health complications, including depression and dementia. The study employed a holistic paradigm as the conceptual framework to examine the association between depression and dementia in older adults, and generated a grounded theory to illuminate the relationship between depression and dementia. This theory was then used to assess the efficacy …
Attachment, Parentally Bereaved Adolescents, And High School Outcomes In A Large Inner-City High School, Silvana Amar
Attachment, Parentally Bereaved Adolescents, And High School Outcomes In A Large Inner-City High School, Silvana Amar
Walden Dissertations and Doctoral Studies
U.S. and world communities face the challenges of understanding how children grieve and of giving them sufficient social and educational support. Inner-city minority adolescents have not been represented well in the bereavement and attachment literature. The purpose of the quantitative study was to use the attachment theory to understand the impact of parental bereavement on these adolescents. Data were collected using the Adult Attachment Interview (AAI), the Piers-Harris Children's Self- Concept Scale (2nd ed.), and school records. MANOVAs were used to analyze the influence of attachment organization, bereavement status, and gender on self-concept and academic and behavioral functioning in school. …
Implementing Core Values In The High-Tech Industry, Arthur J. Smith
Implementing Core Values In The High-Tech Industry, Arthur J. Smith
Walden Dissertations and Doctoral Studies
Previous research has indicated that the path-goal theory is an effective way to study leadership behavior; however, a gap exists in the literature with respect to its achievement-oriented and participative leadership dimensions in high-tech organizations. In this quantitative study, the effects of a core values intervention on the four leadership dimensions of House's path-goal theory were evaluated at a semiconductor manufacturer with a focus on the differences between supervisors and non-supervisory personnel. Data were gathered from the validated, company-developed Corporate Culture Survey that was administered pre and post intervention. Data were also gathered from a categorization task that sorted the …
Knowledge Sharing And Competitiveness Of Professional Service Firms: A Case Study, Albert P. Cruz
Knowledge Sharing And Competitiveness Of Professional Service Firms: A Case Study, Albert P. Cruz
Walden Dissertations and Doctoral Studies
The problem addressed in this study is that little action is taken to create the social aspects and social value of knowledge-sharing culture within organizations. There is a need for increased understanding of the behavioral side of knowledge management. The purpose of this study was to focus on knowledge sharing from a behavioral perspective. Knowledge management is defined as the accumulation, protection, and leverage of knowledge. This research study investigated the relationship between knowledge sharing and competitiveness and approached the field of knowledge management from the organizational, cultural, and behavioral perspectives. The research questions examined how knowledge workers described the …
Spirituality And Depression In Parents With Children In Oncology Or Hematology Treatment, Kurt D. Soell
Spirituality And Depression In Parents With Children In Oncology Or Hematology Treatment, Kurt D. Soell
Walden Dissertations and Doctoral Studies
The psychological burden of cancer treatment affects not only child patients but also their parents. There is extensive literature on the positive influence of spirituality on the cancer patient. But there is a gap in the literature on the potential healing influence of spirituality on the parent of the cancer or hematology patient. The purpose of this study was to examine the relationship between spirituality and parents' levels of depression and anxiety during their child's hematological or oncology treatment. Using the transtheoretical model of change, a purposive sample of 48 parents of children undergoing cancer or hematology treatment completed a …
Impact Of Exercise Partner Attractiveness On Mood, Enjoyment, And Exertion, Thomas G. Plante, Sarah Gregg, Jaclyn Rubbo, Thomas Favero, Ashley Morisako, Jessica Cuadra
Impact Of Exercise Partner Attractiveness On Mood, Enjoyment, And Exertion, Thomas G. Plante, Sarah Gregg, Jaclyn Rubbo, Thomas Favero, Ashley Morisako, Jessica Cuadra
Psychology
Social comparison theory was used to examine if males exercising with a female research confederate posing as either attractive or unattractive would alter their exercise mood, exertion, and enjoyment. A total of 101 college students (51 males and 51 females) were randomly assigned to one of three conditions: biking alone, biking with an attractive female confederate, or biking with the same female confederate appearing unattractive. All participants were instructed to complete 20 minutes of exercise at 60%-70% of their maximum target heart rate. Standard exercise mood measures (e.g., Activation-Deactivation Adjective Check List) were administered immediately prior to and immediately following …
Work Intensity And Substance Use Among Adolescents Employed Part-Time In Entry-Level Jobs, Jessica Samuolis
Work Intensity And Substance Use Among Adolescents Employed Part-Time In Entry-Level Jobs, Jessica Samuolis
Psychology Faculty Publications
This study investigated the relationship between number of hours worked, or work intensity, and substance use in a sample of adolescent employees of a supermarket chain. Employees working half-time or more per week (high-intensity hours) were over three times as likely to smoke compared to those working an average of 10 hours or less per week (low-intensity hours). Males working a high intensity number of hours were more than twice as likely to drink compared to males working at low intensity. Utilizing participants drawn from a uniform employment setting, the research findings add to the growing body of evidence linking …
The Relationship Between Emotional Intelligence And Literacy Achievement Of Secondary Students, David P. Jones
The Relationship Between Emotional Intelligence And Literacy Achievement Of Secondary Students, David P. Jones
Walden Dissertations and Doctoral Studies
Proficiency in language arts and communication skills is essential to success in the global workforce. Most states assess students in language arts literacy (LAL) through standardized tests that assess a student's ability to read, interpret literature, and write expressively. Although educational reformers strive to improve the foundations that prepare students in literacy, reforms have not fully incorporated the theory of emotional intelligence (EI), which explains a student's ability to use, understand, perceive, and manage their emotions in order to think critically, make decisions, and solve problems. Although it is not known whether EI directly correlates to literacy, emotional skills are …
Evaluation Of Bureau Practice For Illegal Drugs Use Among Teens, Sharon D. Heard
Evaluation Of Bureau Practice For Illegal Drugs Use Among Teens, Sharon D. Heard
Walden Dissertations and Doctoral Studies
The Bureau of Substance Abuse Treatment Recovery and Prevention, which oversees drug intervention services for Detroit residents, has found the city's illegal drug use among teens to mirror national rates. Illegal drug use is associated with addiction, major health problems, and stigma. Incorporating evidence-based screening during all teen health care visits would decrease missed opportunities to identify at-risk behaviors, the number of teens that do not receive intervention, and the stigma associated with screening. The purpose of this project was to develop evidence-based policy and practice guidelines for teen screening services for illegal drug use. The Plan-Do-Study-Act (PDSA) model was …
A Concept Mapping Needs Assessment Of Young Families With Parental Cancer, Richard P. Durant
A Concept Mapping Needs Assessment Of Young Families With Parental Cancer, Richard P. Durant
Antioch University Dissertations & Theses
The purpose of this research is to investigate the support needs of young families living with and beyond a parental diagnosis of cancer. The sample includes 56 participants comprised of 31 professional stakeholders and 25 patient stakeholders affiliated with the Charles R. Wood Cancer Center. It was hypothesized there would be differences in how the groups of stakeholders rated needs in terms of importance, satisfaction, and utilization. Differences in ratings are thought to be barriers to effective program development. While not a formal research hypothesis, it was anticipated other program development barriers germane to naturalistic clinical settings would emerge from …