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Full-Text Articles in Other Public Health

Resource Needs And Disparities Among University Members During Covid-19, Raksha Kandlur Ma, Nathan Hager Ms, Catherine Glenn Phd Jan 2023

Resource Needs And Disparities Among University Members During Covid-19, Raksha Kandlur Ma, Nathan Hager Ms, Catherine Glenn Phd

College of Sciences Posters

Prior studies suggest that campus closures due to COVID-19 adversely impacted the well-being of college and university members. However, no research has examined the resources needed to assist university members as they return to pre-pandemic activities. The current study examined: (1) the resources university members wanted to assist their transition back to in-person activities, (2) their access to these resources, and (3) differences in access among various demographic groups, including those from minoritized backgrounds.

Participants completed a novel Wants and Access Questionnaire to gauge their desires for and access to various campus and community resources. The study included 471 university …


For Women Of Missoula: Menstruation And Refugees, Bella M. Spencer Jan 2023

For Women Of Missoula: Menstruation And Refugees, Bella M. Spencer

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Stigmatization, lack of accessible menstrual products, and an overall misconstrued sense of menstruation impact menstruators at a disproportionate rate. When delving into the literature, we found that refugee women not only faced stigmas and a lack of access to menstrual products and education, but also ran into cultural barriers and differing attitudes on menstruation. To address this issue, we formulated the idea of a menstrual drive. Instead of focusing on refugee menstruators as a whole, our focus will be the refugee population in Missoula, MT. We recognize that the stigmatization of menstruation is an ongoing global issue that affects many …


Coh 1700: Health Care Coordination Syllabus, Sasha Harry Jan 2023

Coh 1700: Health Care Coordination Syllabus, Sasha Harry

Open Educational Resources

This is the syllabus for a Health Care Coordination course.

The goal of health care coordination is to improve patient outcomes with better health care services. Care coordinators play a critical role in improving patient care. Students will learn how to effectively advocate for patients and interact with members of the healthcare team in finding solutions to provide high quality, value-based, and efficient care. Effective communication styles, assessing patient’s needs and goals, and helping with patients’ transitions of care are among many topics covered in this course. Upon course completion, students will have acquired basic knowledge and skills to educate, …


Using The Cipp Model Of Evaluation On A Health Disparities Curriculum Delivered To Medical Residents In 12 Residency Programs, Gauri K. Shevatekar Jan 2023

Using The Cipp Model Of Evaluation On A Health Disparities Curriculum Delivered To Medical Residents In 12 Residency Programs, Gauri K. Shevatekar

College of Graduate Studies: Theses & Dissertations

Background: Although the Accreditation Council for Graduate Medical Education (ACGME) has provided educational directives on health disparities education during residency program for the medical residents, there is paucity of curricula focused on disparities education within the graduate medical education.

Objective: The purpose of this study was to evaluate a Health Disparities Curriculum (HDC) that was delivered to twelve residency programs at a College of Medicine.

Methodology: The study employed a cross-sectional study design. Stufflebeam’s Context-Input-Process-Product (CIPP) model was utilized as theoretical framework to assess whether the curriculum achieved its stated goals and objectives, the teaching and learning processes, and the …


Minnesota Cottage Food Industry: Insights From Extension Food Safety Education, Morrine Omolo, Regina Mcgoff, Suzanne Driessen, Katherine Brandt, Joanne Slavin, Michael Schmitt Sep 2022

Minnesota Cottage Food Industry: Insights From Extension Food Safety Education, Morrine Omolo, Regina Mcgoff, Suzanne Driessen, Katherine Brandt, Joanne Slavin, Michael Schmitt

Journal of Extension

The cottage food industry has become a significant part of the food supply in Minnesota, most likely as a result of the growing consumer demand for locally produced, minimally processed and value-added foods. Using post-training evaluations, we characterized the cottage food producers in Minnesota and assessed the impact of our food safety course. The results showed that the producers are mostly white women (71%), producing and selling a variety of products. The learners gained knowledge to safely produce and handle homemade food products for direct sale to consumers. Majority (80%) of the learners were satisfied with the course.


Narrative Inquiry Into Postsecondary Transition Outcomes For Young Adults With Intellectual & Developmental Disabilities, Eric R. Sarrett Aug 2022

Narrative Inquiry Into Postsecondary Transition Outcomes For Young Adults With Intellectual & Developmental Disabilities, Eric R. Sarrett

Walden Dissertations and Doctoral Studies

Young adults with intellectual and developmental disabilities (IDD) continue to struggle with community engagement despite decades of research and policy initiatives addressing postsecondary transition. Evidence shows that persons with IDD are engaging in employment, postsecondary education, independent living, socialization, and other roles at significantly diminished rates, yet little data exists describing this participation in the voices of those affected. The purpose of this narrative inquiry was to describe community integration of persons with IDD in the decade following postsecondary transition in their own words. Critical disability theory was used as a lens to explore the successes and failures of public …


The Passive Approach: How Academically Motivated Students Approach Their Mental Health., Megan E. Mccoy Jun 2022

The Passive Approach: How Academically Motivated Students Approach Their Mental Health., Megan E. Mccoy

Anthós

The research utilizes qualitative interviews and focus groups to understand how academically motivated students approach their mental health. Mental health is defined as “emotional, psychological, and social well-being,” by the Center for Disease Control and Prevention and is becoming a more significant concern in collegiate student populations. At Portland State University, the effects of mental health concerns on students are nearly double that of students around the U.S (Community Commons, n.d.). Academically motivated students are a group who seemingly strive for success and likely experience high levels of stress daily. The study found that students often take a passive approach …


Burden Of Food Insecurity Among College Students: A Cross-Sectional Study During The Covid-19 Pandemic, Saba Sami May 2022

Burden Of Food Insecurity Among College Students: A Cross-Sectional Study During The Covid-19 Pandemic, Saba Sami

Electronic Theses, Projects, and Dissertations

Background: Food insecurity is lack of access to proper nutrition for an individual to obtain a healthy lifestyle. The goal of this research is to determine the frequency of food insecurity among college students at a four-year college institution during COVID-19 pandemic in association to mental and physical health status.

Methods: This study was conducted among college students using cross-sectional study method. All data were collection virtually and kept anonymous. All statistical analyses were conducted using SPSS version 28 with (p<.05), denoting significance.

Results: In the study there were a total of 98 participants who were being analyzed. All the participants were …


The Effects Of The Transition From Pre-Nursing To Nursing On Mental Health, Andrew J. Davis, Paige R. Mullins, Kimberly A. Sell May 2022

The Effects Of The Transition From Pre-Nursing To Nursing On Mental Health, Andrew J. Davis, Paige R. Mullins, Kimberly A. Sell

Undergraduate Honors Theses

Mental health is an ever-growing crisis among adolescents and young adults, with suicide as second leading cause of death and the number of those negatively affected continually on the rise. Transitions are one of the major stressors prevalent among these age groups, placing individuals at risk for mental health deficits. This quantitative voluntary response comparative study assesses the transitional mental health of pre-nursing students and students in the nursing program at East Tennessee State University. Emailed to all with a declared major of pre-nursing or nursing, this study measured mental health using evidenced based assessment tools. The PHQ-9 for depression …


A Case Study In Resiliency: How A University Survived A Pandemic, Mary Ellen Stewart Apr 2022

A Case Study In Resiliency: How A University Survived A Pandemic, Mary Ellen Stewart

Dissertations

This case study was conducted to investigate how the COVID-19 pandemic affected the campus of a small private university in central Mississippi, where traditionally, relational community and interaction were key contributors to campus culture. Through document analysis, individual interviews with campus leaders, and focus groups consisting of members of key departments, the role of resiliency was examined during the early days of the COVID-19 pandemic. Emerging from the data were the four thematic categories of leadership, campus culture, engagement and interaction, and challenges. Key components in each category revealed the significance of resiliency of university leaders, faculty, and staff as …


A Quantitative Analysis Of The Efficacy Of Various Essential Oils Against The Sars Cov-2 Virus, Elizabeth Wagstaff, Chandrelyn Kraczek, Jack Brandon Lopez Mar 2022

A Quantitative Analysis Of The Efficacy Of Various Essential Oils Against The Sars Cov-2 Virus, Elizabeth Wagstaff, Chandrelyn Kraczek, Jack Brandon Lopez

Annual Research Symposium

A poster presentation and abstract for the Roseman Symposium. The project focuses on testing 3 essential oil blends and two disinfectants containing an essential oil blend against SARS CoV-2 in response to the COVID-19 pandemic. The project procedure involves plaque assays, disinfection, and neutralization techniques.


Development Of A Men’S Health Course For First-Year Undergraduates Using Culturally Responsive Teaching Strategies, Ania A. Majewska, Johnasha D. Stuart, Kelsey M. Gray, Pearl V. Ryder, Ethell Vereen Feb 2022

Development Of A Men’S Health Course For First-Year Undergraduates Using Culturally Responsive Teaching Strategies, Ania A. Majewska, Johnasha D. Stuart, Kelsey M. Gray, Pearl V. Ryder, Ethell Vereen

Biology, Chemistry, and Environmental Sciences Faculty Articles and Research

Purpose

A novel first-year experience course was developed using culturally responsive teaching strategies at an undergraduate liberal arts college in the southeastern USA to promote health advocacy and to provide students with an overview of male health. The course focuses on the biological, sociocultural, economic and gender influences that shape men's health beliefs and practices. It also emphasizes health disparities in the USA among Black/African American men compared to other racial groups and intervention strategies to improve health outcomes.

Design/methodology/approach

The lecture and laboratory components of the course were designed as a blended learning environment with a modified flipped class …


The Program To Reduce Implicit Bias In Carroll Hospital Center Using The Implicit Association Test, Katherine E. Traynor Jan 2022

The Program To Reduce Implicit Bias In Carroll Hospital Center Using The Implicit Association Test, Katherine E. Traynor

Capstone Showcase

Natural brain processes make all individuals susceptible to unconscious bias; however, stressful, fearful, or anger-evoking situations as well as the negative influence of media and social surroundings increase the risk of holding obstructive bias, and there is a greater risk of being negatively impacted by this phenomenon when belonging to a minority population (Rose & Flores, 2020). As a result, high rates of infant mortality (10.2 deaths per 1,000 live births for the Non-Hispanic Black population compared to 4.1 in the White population) and cardiovascular related diseases (190.0 cases per 1,000 in the Non-Hispanic Black population compared to 161.3 in …


Digital Divide In Monterey County, Vanessa Diaz Dec 2021

Digital Divide In Monterey County, Vanessa Diaz

Capstone Projects and Master's Theses

The Monterey County Health Department Planning, Evaluation and Policy (PEP) Unit's goals are to empower the community, enhance public health and safety, ensure access to care, and engage the workforce. MCHD encourages all employees to understand social justice and equity for low-income and communities of color. Understanding and addressing health inequalities and justice in the county can improve overall health for everyone. The digital divide during the COVID-19 pandemic impacted too many Monterey County residents. The lack of computer access, computer literacy, and internet access may have impacted vaccination rates and even delayed COVID-19 resources. Utilizing the Monterey County COVID-19 …


Promoting Inclusion Of Adults With Disabilities In Local Fitness Programs: A Needs Assessment, Samantha M. Ross, Bridgette Schram, Kathleen Mccarty, Nicole Fiscella, Willie Chun Wai Leung, Kayla Lindland Oct 2021

Promoting Inclusion Of Adults With Disabilities In Local Fitness Programs: A Needs Assessment, Samantha M. Ross, Bridgette Schram, Kathleen Mccarty, Nicole Fiscella, Willie Chun Wai Leung, Kayla Lindland

Developmental Disabilities Network Journal

Fit-Pals* is a university-based, service-learning program with a mission to prepare adults with disabilities to engage in lifelong physical activity. We conducted a Needs Assessment to evaluate recent programmatic partnerships with community-based fitness organizations. We aimed to (1) evaluate organizational perceptions of Fit-Pals’ partnership efforts, and (2) identify perceived organizational needs to improve inclusion practices. Representatives from each of our seven partner organizations participated in an online-survey, follow-up interviews, and a stakeholder meeting. A thematic analysis of survey and interview responses highlighted areas for programmatic growth related to training in disability awareness and fitness accommodations, and improved communication across all …


Kentucky Equestrians: Defining Socioeconomic Contexts For Extension Programming, Kimberly I. Tumlin, Karin Pekarchik, Steven Claas Sep 2021

Kentucky Equestrians: Defining Socioeconomic Contexts For Extension Programming, Kimberly I. Tumlin, Karin Pekarchik, Steven Claas

Journal of Extension

Understanding relationships between demographic and economic factors and equestrian participation could improve horse program design. We implemented an online survey that characterized associations of participation in equine activities, socioeconomic factors, and economic factors with age. Seventy-five percent of respondents ride, and 34% are recreational, non-competitive participants. Respondents were mostly female, and many participate in the sport throughout life. Many respondents indicated they overspent on equestrian activities. Horse programs should incorporate information and activities that address issues unique to females, should develop skills required by amateur or recreational riders, and should incorporate information on financial wellness.


Eservice-Learning During Covid-19: How Community-Engaged Learning Courses At The University Of San Francisco Responded To The Pandemic, Erin I. Hassett Aug 2021

Eservice-Learning During Covid-19: How Community-Engaged Learning Courses At The University Of San Francisco Responded To The Pandemic, Erin I. Hassett

Master's Projects and Capstones

During the COVID-19 pandemic, universities and colleges had to quickly transition their courses from in-person to online. This switch to online learning heavily impacted community-engaged learning (CEL) courses because it meant that internships with community partners had to become remote as well as the coursework. The University of San Francisco (USF) requires their undergraduate students to take at least one CEL course during their four years there as a way to connect them to the school’s Jesuit Catholic values, so pivoting these courses to a remote setting and keeping them available to students throughout the pandemic was imperative. This paper …


Obesity Prevention Toolkit To Combat Weight Gain Related To Sedentary Behavior And Dietary Habits In College Students: An Evidence-Based Project, Maria Amos, Martha Fuller May 2021

Obesity Prevention Toolkit To Combat Weight Gain Related To Sedentary Behavior And Dietary Habits In College Students: An Evidence-Based Project, Maria Amos, Martha Fuller

Doctor of Nursing Practice Final Manuscripts

Abstract

Background: Forty percent of the US population ages 20-39 are categorized as obese,

their BMI is over 30, and 35% of college age students are obese or overweight. Issues related to obesity cost the US $147 billion annually. Between 40%-50% of college students are reported to be inactive. Inactivity can lead to increased morbidity and mortality related to increased risks of cardiovascular disease, diabetes, hypertension, musculoskeletal issues, and depression. Providing dietary and physical activity education and access to nutritional information promotes behavior change in young adults.

Aims of Service Change: This evidence-based project proposal aims to provide a toolkit …


Predicting Academic Success Using Grit And Academic Resiliency In College Freshmen, Julianna Boyle Apr 2021

Predicting Academic Success Using Grit And Academic Resiliency In College Freshmen, Julianna Boyle

Health and Kinesiology Theses

Background: The purpose of this study was to determine if there are other factors that could predict academic success. Specifically, is there an association between Grit and Academic Resiliency prior to the start of a semester and academic success (defined by GPAs) in college freshmen. This study also explored students’ experiences of high school, effects from the COVID-19 pandemic, perception about their journey through the beginning of their College freshmen year, and perception about success.

Methods: A mixed methods design was used. A quantitative survey was emailed to all incoming UT Tyler Freshmen students prior to the Fall …


P6: Predictors Of Compliance With Covid-19 Related Non- Pharmaceutical Interventions Amongst University Students, Spencer G. Shumway, Ethan R. Tolman, Jonas D. Hopper, David Patterson, Gabriella Hubble, Jamie L. Jensen Dr. Apr 2021

P6: Predictors Of Compliance With Covid-19 Related Non- Pharmaceutical Interventions Amongst University Students, Spencer G. Shumway, Ethan R. Tolman, Jonas D. Hopper, David Patterson, Gabriella Hubble, Jamie L. Jensen Dr.

Annual Research Symposium

College campuses have been an area where the novel coronavirus has spread rapidly, thus this study is focused on compliance with COVID-19 related non-pharmaceutical interventions among college students.
We surveyed over 600 college students from across the United States and modeled predictors of compliance with non-pharmaceutical interventions. To determine how applicable nationwide modeling might be to individual local campuses we also administered this same survey to nearly 600 students at two large universities in Utah County (Brigham Young University and Utah Valley University). We then ran structural equation modeling (SEM) to determine what factors are related to student compliance with …


Child Obesity Moderates The Association Between Poverty And Academic Achievement, Ashley W. Kranjac, Dinko Kranjac Feb 2021

Child Obesity Moderates The Association Between Poverty And Academic Achievement, Ashley W. Kranjac, Dinko Kranjac

Sociology Faculty Articles and Research

Childhood overweight and obesity are major public health problems in the United States. Children who experience poverty are 1.5 times more likely to suffer with overweight and 1.6 times more likely to have obesity. The extent to which overweight or obesity exacerbates the negative influence of socioeconomic inequality on child academic outcomes has not yet been examined. We estimated the effect of poverty on math and reading achievement trajectories using the Early Childhood Longitudinal Study (ECLS) Kindergarten class of 1998−1999 survey data and multilevel growth curve modeling techniques. Our findings indicate that the impact of obesity status is more pronounced …


Food Insecurity Experiences Of Idaho Head Start Families, Sherry Deiter, Yitza A. Arcelay-Rojas Jan 2021

Food Insecurity Experiences Of Idaho Head Start Families, Sherry Deiter, Yitza A. Arcelay-Rojas

Journal of Social, Behavioral, and Health Sciences

Using the social-ecological model, this basic interpretive qualitative study sought to examine the phenomenon of food insecurity among Idaho Head Start enrolled families, focusing on barriers and deterrents to accessing available nutrition assistance programs. A total of 11 interviews were conducted with parents who had children enrolled in five Idaho Head Start programs. The data were coded and analyzed and are reflective of how individual, interpersonal, community, and organizational levels factors are reflected in participants’ decisions to access available nutrition assistance programs. Participants reported feelings of stigma and shame and transportation concerns as individual barriers as well as the interpersonal …


Who Are The Older Adults Who Drown In Western Australia? A Cluster Analysis Using Coronial Drowning Data., Meg Abercromby, Dr Justine E. Leavy, Lauren Nimmo, Dr Gemma Crawford Dec 2020

Who Are The Older Adults Who Drown In Western Australia? A Cluster Analysis Using Coronial Drowning Data., Meg Abercromby, Dr Justine E. Leavy, Lauren Nimmo, Dr Gemma Crawford

International Journal of Aquatic Research and Education

Drowning amongst older people is a growing concern. Exploring demographic and other factors associated with unintentional drowning incidents amongst older adults may assist to identify key target groups and refine prevention strategies. This study sought to examine the heterogeneity of older individuals who have drowned and identify population subgroups in Western Australia (WA). A cluster analysis was used to segment the population by examining coronial data 2001-2018 (n = 93). Analysis identified four groups; 1) ‘men who boat & fish in company’ 2) ‘affluent men with poor health’ 3) ‘non-drinkers who boat and fish’, and 4) ‘older men, who slipped …


Move For A Healthy Mind: A Program Of Peer-Led Physical Activity For Adolescents With Depression And Anxiety, Emily Edwards Dec 2020

Move For A Healthy Mind: A Program Of Peer-Led Physical Activity For Adolescents With Depression And Anxiety, Emily Edwards

Master's Projects and Capstones

The following discusses adolescent depression and anxiety and the utilization of physical activity as an intervention or coping mechanism. Adolescents have been experiencing increased rates of anxiety or depression diagnoses over the past roughly two decades. Adolescence is, physiologically, a formative period in the developmental stage from childhood to adulthood. Current barriers to achieving optimal mental health among the adolescent population include the stigmatization of mental health issues, lack of education, socioeconomic status and healthcare access. Further, physical activity has been studied and identified to be an effective treatment for individuals experiencing depression and anxiety. In an effort to treat …


Three Decades Of Research: The Case For Comprehensive Sex Education, Eva Goldfarb, Lisa D. Lieberman Oct 2020

Three Decades Of Research: The Case For Comprehensive Sex Education, Eva Goldfarb, Lisa D. Lieberman

Department of Public Health Scholarship and Creative Works

Purpose

School-based sex education plays a vital role in the sexual health and well-being of young people. Little is known, however, about the effectiveness of efforts beyond pregnancy and sexually transmitted disease prevention. The authors conducted a systematic literature review of three decades of research on school-based programs to find evidence for the effectiveness of comprehensive sex education.

Methods

Researchers searched the ERIC, PsycINFO, and MEDLINE. The research team identified papers meeting the systematic literature review criteria. Of 8,058 relevant articles, 218 met specific review criteria. More than 80% focused solely on pregnancy and disease prevention and were excluded, leaving …


Fertility Awareness And Parenting Intentions Among Mexican Undergraduate And Graduate University Students, J. M. Place, Brennan D. Peterson, B. Horton, M. Sanchez Sep 2020

Fertility Awareness And Parenting Intentions Among Mexican Undergraduate And Graduate University Students, J. M. Place, Brennan D. Peterson, B. Horton, M. Sanchez

Marriage and Family Therapy Faculty Articles and Research

An online, cross-sectional survey was carried out between November 2017 and January 2018 to assess fertility awareness among students attending the National Autonomous University of Mexico (UNAM) in Mexico City. A total of 371 students participated in the survey (n = 228 females, 143 males). 75% of females and 74% of males believed a woman’s fertility begins to decline markedly after age 40. Over 75% of all participants overestimated the probability of couples having a live birth after undergoing one cycle of IVF. With regard to parenting intentions, only 48% of females wished to have children compared to 59% …


Promoting Community Engagement Through Basic User Tutorial Of Epa Geospatial Screening Tools, Jonas Nguyen Aug 2020

Promoting Community Engagement Through Basic User Tutorial Of Epa Geospatial Screening Tools, Jonas Nguyen

Master's Projects and Capstones

Social inequalities are riddled with health disparities and outcomes leading toward lower life expectancy. Communities of color, low income, and rural neighborhoods lack the voice and resources to effectively oppose industrial settlement which would likely lead to the release of toxic wastes into the water, air and ground ultimately affecting residential health. Empowering members through community engagement is a relatively new strategic process where researchers are finding mutual benefits in design, implementation, and results. This study aims to identify and promote tools for community engagement within the scope of environmental justice by working with EPA geospatial screening tools and designing …


Fit For Population Health Service: Assessing The Change In Public Health Competencies Of Interprofessional Undergraduate Health Sciences Students, Cassity Gutierrez, Sara Johnston Jun 2020

Fit For Population Health Service: Assessing The Change In Public Health Competencies Of Interprofessional Undergraduate Health Sciences Students, Cassity Gutierrez, Sara Johnston

International Journal of Health Sciences Education

Background. A 2012 IOM report is just one of an increasing number of recommendations to incorporate a population health approach into training of all health professionals. In light of the emphasis on and necessity for all future health professionals to possess core public health competences, a medium sized public University incorporated Introduction to Public Health as a required course in their undergraduate, interprofessional Health Sciences curriculum.

Purpose. The purpose of this study was to assess the change in core public health competencies of undergraduate Health Sciences students who completed an Introduction to Public Health course.

Methods. The Tier 1 …


Promising Practices For Boating Safety Initiatives That Target Indigenous Peoples In New Zealand, Australia, The United States Of America, And Canada, Mitchell Crozier, Audrey R. Giles May 2020

Promising Practices For Boating Safety Initiatives That Target Indigenous Peoples In New Zealand, Australia, The United States Of America, And Canada, Mitchell Crozier, Audrey R. Giles

International Journal of Aquatic Research and Education

Boating-related incidents are responsible for a significant number of the drowning fatalities that occur within Indigenous communities in New Zealand, Australia, the USA, and Canada. The aim of this paper was to identify promising practices for boating safety initiatives that target Indigenous peoples within these countries and evaluate past and ongoing boating safety initiatives delivered to/with Indigenous peoples within these countries to suggest the ways in which they – or programs that follow them - may be more effective. Based upon evidence from previous research, boating safety initiatives that target Indigenous peoples in New Zealand, Australia, the USA, and Canada …


Student Wellbeing And Open Studio Process In The School Curriculum, Maria Kim May 2020

Student Wellbeing And Open Studio Process In The School Curriculum, Maria Kim

Expressive Therapies Dissertations

This study aimed to explore whether Open Studio Process (OSP) increased wellbeing of middle and high school students when facilitated by teachers as a part of the regular art curriculum. It was hypothesized that OSP might increase the sense of wellbeing among middle and high school students as well as facilitating teachers. The research was conducted as a mixed methods study in South Korea where students need preventative interventions for their wellbeing. The researcher trained eight teachers to facilitate OSP and five of them implemented it with their classes for seven sessions. Quantitative data (K-YSR; pre- and posttest) were collected …