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Full-Text Articles in Social and Behavioral Sciences

Full Issue, Front Matter 01 Jun 2024

Full Issue, Front Matter 01

CouRaGeouS Cuentos: A Journal of Counternarratives

No abstract provided.


Curiosity, Passion, & Proximity: Motivations For Attending Safe Zone Trainings, D Chase J. Catalano, Daniel Tillapaugh, Rachel Wagner, Kari Dockendorff, Nina Tissi-Gassoway Jun 2024

Curiosity, Passion, & Proximity: Motivations For Attending Safe Zone Trainings, D Chase J. Catalano, Daniel Tillapaugh, Rachel Wagner, Kari Dockendorff, Nina Tissi-Gassoway

Journal of Queer and Trans Studies in Education

LGBTQ+ social justice educational interventions (SJEIs), usually named Safe Zone or Ally Training, offer opportunities for knowledge acquisition and reflection. Ideally, they provide components necessary to cultivate allyship through the development of a liberatory consciousness (Love, 2018) through increasing awareness, engaging in analysis, considering actions, and reflecting on accountability. In this instrumental case study (Stake, 2000) focused on 17 graduate students, faculty, and staff at a large, public university in the Mid-Atlantic, we used liberatory consciousness as a conceptual framework to examine motivation for attendance. Three findings emerged: (1) curiosity, (2) passion, and (3) proximity. Implications of these specific factors …


The Acute Effect Of Releasing The Thoracolumbar Facia By Osteopatic Technique On Lower Extremity Functional Performance On Lumbar Extensor Endurance And Mobility In Soccer Players, Erkan Özyılmaz, Ömer Şenel, Hasan Aka, Zait Burak Aktuğ Jun 2024

The Acute Effect Of Releasing The Thoracolumbar Facia By Osteopatic Technique On Lower Extremity Functional Performance On Lumbar Extensor Endurance And Mobility In Soccer Players, Erkan Özyılmaz, Ömer Şenel, Hasan Aka, Zait Burak Aktuğ

Baltic Journal of Health and Physical Activity

Introduction: The aim of this study is to examine the acute effect of osteopathic release of the thoracolumbar fascia on lower extremity functional performance, lumbar extensor endurance and mobility in professional soccer players. Materials and Methods: 30 volunteer male athletes who professionally play soccer participated in the study, and the participants were randomly divided into experimental and control groups. The functional performance of the lower extremities, lumbar extensor endurance and mobility of the subjects were measured twice – before and immediately after the Still Technique and placebo applications. Subjects' lower extremity functional performance was determined by the Single Leg Hop …


Training In Trauma-Responsive And Anti-Racist Telehealth: A Model For Behavioral Health Clinicians And Providers, Ritchie Rubio Jun 2024

Training In Trauma-Responsive And Anti-Racist Telehealth: A Model For Behavioral Health Clinicians And Providers, Ritchie Rubio

Psychology Division Scholarship

Telehealth's uptake in behavioral health services has been accelerated by the COVID-19 pandemic. However, many clinicians continue to lack focused training in providing trauma-informed and culturally-responsive telehealth care. This article outlines a model curriculum that was created to instruct and coach behavioral health providers in California on how to integrate anti-racist and trauma-responsive techniques into telehealth. Topics like evidence-based trauma therapies, racial/ ethnic trauma, marginalized communities, digital divide, and provider selfcare were all covered in the nine-part curriculum. Every three-hour session included evidence-informed didactic content, telehealth skills practice, and concrete planning for implementation. Trauma-responsive frameworks such as the tri-phasic model …


06.24.2024 Orsp Connect, Liz Williamson Jun 2024

06.24.2024 Orsp Connect, Liz Williamson

ORED Newsletter

Research Networking Lunch (LINC), NIH podcast, CREW (Community First Research Center for Wellbeing and Creative Achievement) Premier Physics Experiment


In Their Own Words: Lgbtqia Plus Stigma In Secondary School, Erin Stevenson, Greg Sandman Jun 2024

In Their Own Words: Lgbtqia Plus Stigma In Secondary School, Erin Stevenson, Greg Sandman

EKU Faculty and Staff Scholarship

LGBTQIA+ youth often face stigma from society as they develop their personal identities. In the United States, legislation has recently been focusing on reducing protections in schools for queer youth and limiting access to resources like gender affirming healthcare. Youth have increasingly been targeted for identifying as queer and have experienced verbal and physical violence for expressing their gender identities. Research links stigmatization with increased mental health and substance use problems. However, there is limited information on how stigma experienced during adolescence may continue to impact young adults over time. Using a qualitative retrospective framework, LGBTQIA+-identified undergraduates (N = 8) …


Incorporating Design Based Implementation Research With A Randomized Controlled Trial To Develop And Evaluate The Efficacy Of Playful Rational Number Learning, Kreshnik N. Begolli, Vanessa N. Bermudez, Luettamae Lawrence, Lourdes M. Acevedo-Farag, Sabrina V. Valdez, Evelyn Santana, Daniela Alvarez-Vargas, June Ahn, Drew Bailey, Katherine Rhodes, Lindsey E. Richland, Andres S. Bustamante Jun 2024

Incorporating Design Based Implementation Research With A Randomized Controlled Trial To Develop And Evaluate The Efficacy Of Playful Rational Number Learning, Kreshnik N. Begolli, Vanessa N. Bermudez, Luettamae Lawrence, Lourdes M. Acevedo-Farag, Sabrina V. Valdez, Evelyn Santana, Daniela Alvarez-Vargas, June Ahn, Drew Bailey, Katherine Rhodes, Lindsey E. Richland, Andres S. Bustamante

Instructional Technology and Learning Sciences Faculty Publications

We combine design-based implementation research with a pre-registered RCT to address a long-standing challenge in psychological science: How to use psychological principles to address real-world problems while designing and implementing interventions in the field. We posit this as a design methodology for optimizing the translation between psychological science and real-world applications. We tested the efficacy of an extensively co-designed version of a game-based rational number intervention, Fraction Ball, versus "business-as-usual" math instruction and physical education in a sample of 4th/5th grade Latine students (N=360). Insights from nine co-design sessions with 20 teachers informed revisions and additions to a …


A Humanistic Approach To Politics: Ahp's Call For An "Authentic" Politics Of Truth And Accountability, Carroy U. Ferguson Jun 2024

A Humanistic Approach To Politics: Ahp's Call For An "Authentic" Politics Of Truth And Accountability, Carroy U. Ferguson

Psychology Faculty Publication Series

As human beings on this tiny planet in the cosmos we call Earth, we live as ‘citizens’ in a variety of people-determined land demarcations that we call countries, each with its own unique version of politics. Citizens in the United States and people in the world, therefore, are engaged in a variety of political dramas. It is fair to say that in the United States and globally, the current political climate is very divisive. In the United States and globally, humanity is at an inflection point in the evolution of its consciousness at individual and collective levels. Out of fear, …


Rethinking Medical Quality Training During Residency, Salih Selek Jun 2024

Rethinking Medical Quality Training During Residency, Salih Selek

Teaching in Clinics

A brief editorial on medical quality training


2024 Uthealth & Memorial Hermann Quality Symposium Abstracts, Salih Selek Jun 2024

2024 Uthealth & Memorial Hermann Quality Symposium Abstracts, Salih Selek

Teaching in Clinics

Every year, the UTHealth McGovern Medical School and Memorial Hermann-Texas Medical Center jointly organize a Quality Symposium, where oral and poster presentations spotlight the outstanding efforts in quality improvement initiatives ongoing at both institutions. Sixty-three teams dedicated to Quality Improvement were chosen to present their projects during the afternoon Poster Session. The abstracts included in this compilation offer a glimpse into the remarkable Quality Improvement endeavors showcased at the 2024 Quality Symposium.


The Use Of Proactive Progressive Muscle Relaxation To Increase Academic Engagement For Elementary School Students, Lillian G. Mccook Jun 2024

The Use Of Proactive Progressive Muscle Relaxation To Increase Academic Engagement For Elementary School Students, Lillian G. Mccook

USF Tampa Graduate Theses and Dissertations

Progressive muscle relaxation (PMR) has been shown to produce desired outcomes by decreasing disruptive behavior in the classroom and increasing academic engagement. The integration of technology into the educational setting alleviates some of the burden on educators and enhances the learning experience for students. This study evaluated the effectiveness of brief video-based PMR to increase academic engagement in the classroom with three elementary school students diagnosed with autism spectrum disorder (ASD). Additionally, this study assessed the feasibility and acceptability of video based PMR within a classroom setting. Results from this study show that PMR was a feasible, acceptable and effective …


Meta-Theoretic Competence For Computational Agent-Based Modeling, Hillary Swanson, Uri Wilensky Jun 2024

Meta-Theoretic Competence For Computational Agent-Based Modeling, Hillary Swanson, Uri Wilensky

Instructional Technology and Learning Sciences Faculty Publications

In the U.S. context, science standards encourage educators to engage students in modeling practices, including computational modeling. While much work has investigated the productivity of computational modeling with respect to students' development of scientific content knowledge, less work has focused on students' development of knowledge and skills for participation in computational modeling practices. A first step in understanding how these practices develop is examining students' activity in the context of computational modeling environments with attention to the productive moves they make. These moves can provide insight into the knowledge they bring to their learning, which may be foundational to the …


Design Forms And Games, Hillary Swanson, Ha Nguyen, Caroline Lavoie, Trilby Nelson Jun 2024

Design Forms And Games, Hillary Swanson, Ha Nguyen, Caroline Lavoie, Trilby Nelson

Instructional Technology and Learning Sciences Faculty Publications

This paper introduces a theoretical framework for characterizing design processes as design games. Based on Collins and Ferguson's epistemic forms and games, the framework characterizes design processes as games played by designers to fill out design forms, which are general templates underlying specific design artifacts. We introduce our framework through games involved in human-centered design, describing for each the entry conditions, target form, constraints, and moves. We demonstrate how the framework can be used to characterize design games played by experts in museum exhibit design and urban design. Through similar analyses, the framework …


The Role Of Generative Ai In Qualitative Research: Gpt-4'S Contributions To A Grounded Theory Analysis, Ravi Sinha, Idris Solola, Ha Nguyen, Hillary Swanson, Luettamae Lawrence Jun 2024

The Role Of Generative Ai In Qualitative Research: Gpt-4'S Contributions To A Grounded Theory Analysis, Ravi Sinha, Idris Solola, Ha Nguyen, Hillary Swanson, Luettamae Lawrence

Instructional Technology and Learning Sciences Faculty Publications

We present reflections on our experience using a generative AI model in qualitative research, to illuminate the AI's contributions to our analytic process. Our analytic focus was a segment of classroom transcript, which captured a teacher introducing scientific theory-building practices to middle school students. We used a grounded theory approach to produce a fine-grained characterization of the teacher's talk moves during the lesson implementation. Our eventual goal is to build a more nuanced conceptualization of responsive teaching in the context of theory-building activities. We involved GPT-4 during the initial exploratory and later focused coding stages. For our analysis of GPT-4's …


What Happened To The Geometry? Examining Spatial And Mathematical Concepts In Computational Toys And Kits For Young Children, Jody Clarke-Midura, Jessica F. Shumway, Anahita Ashineh, Alireza Zandi, Whitney Clawson Jun 2024

What Happened To The Geometry? Examining Spatial And Mathematical Concepts In Computational Toys And Kits For Young Children, Jody Clarke-Midura, Jessica F. Shumway, Anahita Ashineh, Alireza Zandi, Whitney Clawson

Instructional Technology and Learning Sciences Faculty Publications

This paper explores the design of computational toys and kits for young children (ages 4-7) as tools for learning integrated mathematical, spatial, and computational thinking concepts. Specifically, we examine how the design features of the toys and kits represent the concepts of rotation on a point and spatial orientation of the agent. We examine toys and kits sold commercially, developed through research, and used in early childhood classrooms. Our findings indicate that the mathematical and spatial concepts are overlooked in some designs. Prior research examined toys for their affordances related to computational thinking, the present study contributes to understanding of …


Embracing Change With Power And Love: Shifting Organizational Paradigms Leveraging Systems Thinking, Brandi R. Muñoz Jun 2024

Embracing Change With Power And Love: Shifting Organizational Paradigms Leveraging Systems Thinking, Brandi R. Muñoz

Tapestry: Journal of Research in Education

This article delves into the complexities of organizational change, emphasizing the critical roles of power and love in facilitating successful transitions. It distinguishes between the generative and degenerative effects of power and love within organizational contexts and underscores the importance of balancing these elements to foster collaboration, innovation, and sustainable change. Furthermore, the principles of systems thinking are highlighted, advocating for a holistic approach to understanding and analyzing organizational systems. The interconnectedness of system components and the necessity of feedback loops for informed decision-making and strategic planning are examined. Additionally, the article discusses the detrimental impact of overconfidence bias on …


Vocational Formation, Belonging And Christian Higher Education, Christopher W. Cobbler Sr. Jun 2024

Vocational Formation, Belonging And Christian Higher Education, Christopher W. Cobbler Sr.

Tapestry: Journal of Research in Education

Vocational formation and belonging are complimentary concepts. Vocational formation seeks human flourishing by attending to the healing of our social environments. Vocational formation is responding to God’s invitation to participate in the healing of creation from a particular social context, with others, for the sake of the world. Belonging, then, is the natural consequence of such an endeavor. This paper assumes the notion of institutional belonging in Christian higher education to be a kingdom characteristic that is best realized through the various postures of vocational formation. Radical hospitality, missional eschatology and communion with God are among the distinctive qualities of …


Oppressive Pushout: Examining Differences In Discipline And “Dropout” By Race, Gender, And Sexual Orientation, Danielle N. Aguilar, Taylor Lewis, Jude Paul Matias Dizon, Pearl Lo, Ángel González, Jason C. Garvey, Mario I. Suárez Jun 2024

Oppressive Pushout: Examining Differences In Discipline And “Dropout” By Race, Gender, And Sexual Orientation, Danielle N. Aguilar, Taylor Lewis, Jude Paul Matias Dizon, Pearl Lo, Ángel González, Jason C. Garvey, Mario I. Suárez

Journal of Queer and Trans Studies in Education

Drawing on well-established insights, our study adds nuance to the discussion regarding school pushout practices by centering race, sexual orientation and gender beyond the binary. By way of descriptive and inferential statistics using the High School Longitudinal Study (HSLS:09), our article seeks to disrupt the cisheteronormative discussion regarding exclusionary school discipline and institutionally inflicted pushout that impacts the educational trajectories and opportunities of queer and trans Black, Indigenous, students of color (QT BIPOC). Results from our chi-square analyses revealed significant differences in rates of cutting/skipping class, in-school suspension, suspension or expulsion, and dropping out across our four groups: QT BIPOC …


Evaluating The Prevent-Teach-Reinforce Secondary (Ptr-Sec) Model For Middle School Students With Disabilities Requiring Individualized Behavior Supports, Paris N. Thie Jun 2024

Evaluating The Prevent-Teach-Reinforce Secondary (Ptr-Sec) Model For Middle School Students With Disabilities Requiring Individualized Behavior Supports, Paris N. Thie

USF Tampa Graduate Theses and Dissertations

Prevent-Teach-Reinforce (PTR) is a manualized, team-based, function-based intervention model designed to prevent problem behavior from occurring (prevent), teach functional replacement behaviors or skills (teach), and promote the replacement and other desired behaviors (reinforce). The current study extends the literature on the PTR intervention model by further evaluating the PTR model for middle school students in a public middle school setting. In particular, the PTR Secondary (PTR-SEC) model was evaluated with three students with emotional and behavioral disorders (EBD) and other disabilities, involving their classroom teachers. A multiple baseline design across participants was used to evaluate the behavioral outcomes of the …


Redefining Science Education Paradigm—By Course Habitable Earth, Nianzhi Jiao, Sanzhong Li, Chen Hu, Zhonghe Zhou, Degan Shu, Shucheng Xie, Jianping Huang, Fahu Chen, Lin Ding, Tong Zhu, Yigang Xu, Yonglong Lyu, Zhimin Jian, Pinxian Wang Jun 2024

Redefining Science Education Paradigm—By Course Habitable Earth, Nianzhi Jiao, Sanzhong Li, Chen Hu, Zhonghe Zhou, Degan Shu, Shucheng Xie, Jianping Huang, Fahu Chen, Lin Ding, Tong Zhu, Yigang Xu, Yonglong Lyu, Zhimin Jian, Pinxian Wang

Bulletin of Chinese Academy of Sciences (Chinese Version)

In a rapidly evolving world defined by unprecedented challenges, the integration of education, technology, and talent development has emerged as a national strategic imperative. Cultivating interdisciplinary and innovative scientific talents is not only a demand of the era but also a cornerstone for transforming “population dividends” into “talent dividends”. Against this backdrop, the rapid advancement of artificial intelligence (AI) offers both challenges and opportunities for redefining traditional education models. This study explores the pedagogical practices of the Habitable Earth general science education course, positioning it as a case study to demonstrate how science education can synergize technological empowerment with talent …


Examining The Effectiveness And Acceptability Of A Single-Session Problem-Solving Teleconsultation Package With Caregivers, Tiara J. Rowell Jun 2024

Examining The Effectiveness And Acceptability Of A Single-Session Problem-Solving Teleconsultation Package With Caregivers, Tiara J. Rowell

USF Tampa Graduate Theses and Dissertations

This study implemented a single case concurrent multiple baseline design to examine the effects of a single-session problem-solving teleconsultation package for behavioral caregiver training. This study sought to address a gap in the Problem-Solving Consultation (PSC) literature regarding the treatment of children’s challenging behaviors. Participants included three caregivers who received a single-session PSC through teleconsultation. The session focused on creating a Behavior Intervention Plan (BIP) in order to address their child’s challenging behaviors. The BIP was developed based on baseline data, questionnaires, and emails exchanged between the consultant and the three caregivers. Results indicated that two of the three caregivers …


Reform In School Discipline: A Social Constructivist Approach That Leverages School Counselor Involvement, Kerbie Marc Jun 2024

Reform In School Discipline: A Social Constructivist Approach That Leverages School Counselor Involvement, Kerbie Marc

Doctoral Dissertations and Projects

The following quantitative descriptive research delves into the dynamics of school discipline at a middle school in the metro Atlanta area with a focus on understanding the interaction between student gender, race, school support received (504, SST, SPED), and the gender, race, and age of staff members in discipline referrals. By examining archival discipline data from a nine-year period (2014-2023), the study takes a social constructivist approach to address whether there is a statistical difference in the frequency of discipline referrals based on student race, gender, and school support while also examining whether there is a difference in the frequency …


Exploring Chaplains’ Lived Experience Concerning Mental Health Stigma And Suicidal Thoughts In The Military Context, Eric T. Victorino Jun 2024

Exploring Chaplains’ Lived Experience Concerning Mental Health Stigma And Suicidal Thoughts In The Military Context, Eric T. Victorino

Doctoral Dissertations and Projects

The empirical inquiry at the heart of this qualitative phenomenological research revolves around the identification of mental health stigma and suicidal ideation within the military context. This study delves into the lived experiences of military chaplains as they interact with service members grappling with thoughts of suicide and dealing with the associated mental health stigma. By examining the viewpoints of United States Army chaplains, we aim to gain a deeper insight into the perceived mental health stigma and its consequences for service members who are contending with suicidal thoughts. Chaplains’ unique viewpoints will contribute to an enriched comprehension of mental …


Development Of A Serious Game As A Natural Hazard Planning Decision Support Tool, Jody A. Thompson Jun 2024

Development Of A Serious Game As A Natural Hazard Planning Decision Support Tool, Jody A. Thompson

Journal of Extension

As coastal populations grow, so does the exposure to natural hazards such as hurricanes and flooding, creating the potential for increased social and economic disasters. The literature indicates coastal residents remain complacent when planning before, during, and after an event. There is a growing successful use of serious games in natural resources planning, and a growth in the use of digital and electronic games. We developed the serious digital game Plan for It! in response to identified needs and to capitalize on the public’s familiarity with gamification and digital gaming.


Evidence-Based Practices For Military-Connected Students With Disruptive Behaviors Receiving Response To Intervention/Section 504 Services: School Counselors' Attitudes And Theoretical Orientation, Eddie Benitez Jun 2024

Evidence-Based Practices For Military-Connected Students With Disruptive Behaviors Receiving Response To Intervention/Section 504 Services: School Counselors' Attitudes And Theoretical Orientation, Eddie Benitez

Doctoral Dissertations and Projects

This cross-sectional quantitative study compares primary and secondary counselors’ attitudes and theoretical orientation for evidence-based practices for military-connected students with disruptive behaviors receiving Response to Intervention and Section 504 services in Texas. This study is paramount for military-connected students with disruptive behaviors in closing gaps in academic performance, social-emotional skills, social justice, and multiculturalism in education. Military-connected students with disruptive behaviors confront the risk of not receiving evidence-based interventions through school services due to school counselors’ practices and theoretical approach. The researcher used a quantitative cross-sectional method and three analyses: Pearson r correlation, Multivariate analysis of variance (MANOVA), ANOVA, and …


Relational Dynamics Following Divorce: Evaluation Of An Online Co-Parent Education Program, J. Kale Monk Jun 2024

Relational Dynamics Following Divorce: Evaluation Of An Online Co-Parent Education Program, J. Kale Monk

Journal of Extension

I sought to investigate the potential efficacy of an online divorce and co-parent education program. Across 9-years of evaluation data for the Focus on Kids online program, participants (N = 6,679) reported a high degree of program satisfaction. According to pre-post test reports, average knowledge of how to support children across the divorce transition increased. Participants also increased in their intention to avoid engaging in behaviors that are distressing for children. Overall, this study provides evidence for the efficacy of online divorce education and provides support for the advancement of online programming as a promising avenue for Extension more …


Collaborations Across Our Land Grant System: 1862 Extension Educators’ Experiences Working With 1994 Tribal Colleges And Universities, Katherine Hartmann Jun 2024

Collaborations Across Our Land Grant System: 1862 Extension Educators’ Experiences Working With 1994 Tribal Colleges And Universities, Katherine Hartmann

Journal of Extension

The goal of equitable access to education was at the forefront of the Morrill Acts’ mission from the beginning, yet Extension programs in Indigenous communities are underfunded and unable to provide equitable support. Educators from 1862 Land Grant Institutions can collaborate with educators from 1994 Tribal Colleges and Universities to better serve them in culturally revitalizing and mutually beneficial ways. In order to support and encourage these collaborations, I investigated the Western Region of Extension to learn about the characteristics that make them successful, the barriers that they face, and recommendations for decolonizing the Land Grant System.


Assessing Extension Educators' Motivation For Program Evaluation Using Self Determination Theory, Adeola C. Ogunade, Megan Kruger, Oluwafunke Abeleje Jun 2024

Assessing Extension Educators' Motivation For Program Evaluation Using Self Determination Theory, Adeola C. Ogunade, Megan Kruger, Oluwafunke Abeleje

Journal of Extension

Studies have shown the importance of program evaluation in Extension and its value in communicating Extension program successes. This current study was conducted to assess Extension educators’ motivation toward program evaluation using the self-determination theory. Respondents perceived that they were not competent enough to engage in program evaluation but greatly valued program evaluation. Further analysis of our theory-informed survey data revealed that perceived competence and value positively predicted interest in program evaluation. Our findings contribute to Extension professional development discourse.


Improving Academic Engagement And Task Completion Using Antecedent Physical Exercise In An Elementary School Classroom, Grace N. Maxwell Jun 2024

Improving Academic Engagement And Task Completion Using Antecedent Physical Exercise In An Elementary School Classroom, Grace N. Maxwell

USF Tampa Graduate Theses and Dissertations

This study investigated the effectiveness of antecedent physical activity interventions in enhancing academic engagement and task completion among first-grade students displaying off-task behaviors. The research involved three student participants from a first grade general education classroom. An ABAB reversal design was used to assess the impact of the intervention. The intervention, implemented by the classroom teacher, consisted of short, structured physical activities conducted before targeted academic periods. Results revealed significant improvements in both academic engagement and task completion following the implementation of the physical activity interventions. The findings suggest that incorporating brief physical activities into daily classroom routines can lead …


Peritraumatic Distress And Dissociation In People With And Without Disabilities Utilizing Emergency Departments, Sydney C. Hart Jun 2024

Peritraumatic Distress And Dissociation In People With And Without Disabilities Utilizing Emergency Departments, Sydney C. Hart

USF Tampa Graduate Theses and Dissertations

To date the literature on peritraumatic distress and peritraumatic dissociation in individuals receiving emergency medical treatment has not examined people with disabilities or chronic health conditions as a specified population, despite these populations’ disproportional utilization of medical facilities and additional stressors faced in those environments. Thus, this study assessed and compared the prevalence and averages on the Peritraumatic Distress Inventory (PDI) and Peritraumatic Dissociative Experiences Questionnaire (PDEQ) in people with and without disabilities and/or chronic health conditions after Emergency Department (ED) visits. A sample of 138 participants 18 years of age or older, of which 109 reported disabilities and/or chronic …