Social and Behavioral Sciences Commons^™

Evaluation Of Telehealth Training To Teach The Stimulus Identification Questionnaire And Multiple Stimulus Without Replacement, Andrea Perez

Dissertations

The field of behavioral gerontology has seen a paucity in literature within the past 15 years focused on updating training technology and teaching best practice skills to staff. Specifically, there is a need to expand the breadth of training research focus areas could more broadly the elderly population (e.g., increasing engagement), to ensure that trainings are designed to equip caregivers with the skills to be independent, and finally, given the frequent staffing challenges experienced by aging settings (Harrington et al., 2020), to explore effective and efficient training techniques that are alternatives to lengthy, in-person training modalities. Given the personnel challenges, …

Assessing A Punching Bag Feedback Performance Device, Neil Deochand

Dissertations

Physical exercise has been integrated into treatment efforts in reversing the number of overweight and obese individuals. Furthermore, exercise extends mortality, enhances general quality of life, and it is a protective health factor for preventing the progression some mental health disorders. Electronic athletic training equipment easily allows monitoring of real-time physical activity, and enables tracking of progress made toward individualized performance goals. There are limitations to only using visual feedback (e.g., visual depictions of heart rate, speed, distance traveled, or calories burned etc.) to track and improve exercise and athletic performance, especially for some sports, such as boxing. This issue …

Increasing Caregiver Supervision Of Young Children: Teaching Scanning, Predicting Behavior, And Modifying For Safety, Natalie Truba

Dissertations

Unintentional injuries account for a significant number of child deaths and visits to the emergency department. Although increased supervision is routinely shown to be an effective method of preventing unintentional childhood injuries, few interventions systemically teach caregivers behavioral skills to supervise their children appropriately. The present study utilized a multiple baseline design to pilot test an intervention designed to increase caregiver supervision and decrease unintentional childhood injuries by training caregivers how to provide appropriate levels of supervision for their young children (ages 6 to 36 months). Specifically, caregivers were taught in the present study include: (1) scanning the environment (for …

Understanding Factors Related To Negative Mental Health Outcomes Following Childhood Unintentional Injuries, Jennifer T. Kuhn

Dissertations

Unintentional injuries are the leading cause of death for children ages 0-19 and account for 9.2 million emergency room visits in the United States each year (Borse et al., 2008). Research shows that approximately 20% of children meet criteria for PTSD following an unintentional injury (Ostrowski et al., 2011). There are several factors that may contribute to the development of PTSD including caregivers’ posttraumatic stress symptoms after the injury event. Research has not explained the association between caregivers’ PTSD and children’s risk for PTSD symptoms, but it is possible that caregivers with PTSD may be modeling anxious behaviors to their …

The Lived Experience Of Individuals With Chronic Back And Neck Pain, Depression, And/Or Anxiety, Tara L. Palmeri

Dissertations

More than 1.5 billion people worldwide suffer from chronic pain (CP). People who experience chronic pain are 20 to 40% more likely to meet criteria for an anxiety disorder, and three to four times more likely to be clinically depressed than their pain-free counterparts. The relationship between CP and mental health has been studied quantitatively; however, few researchers have investigated co-morbid CP and mental health through a phenomenological lens. The subjective nature of the relationship is not comprehensively addressed within the literature.

This qualitative phenomenological study explored (a) how individuals with chronic back and/or neck pain (CBNP) experience, understand, and …

Piloting A Screening Tool For Eating And Eating-Related Behavior, Michael N. Reynolds

Dissertations

Obesity is a common medical condition associated with negative health and social outcomes. Obesity has a primary malleable behavioral cause, eating more calories than are metabolized. While metabolic rate is malleable with exercise, eating can more quickly add calories than exercising can subtract them. In the past, behavioral weight-loss treatment studies relied on multi-component package interventions that have shown reliable patterns of participant weight-loss during treatment and weight-regain in follow-up. Those findings could be conceptualized as an ABA withdrawal design, eating behavior returns to baseline after the prosthetic contingencies of the treatment study are withdrawn. We must develop ways to …

Evaluating Sexual Assault Prevention Training Programs For College Women, Eliza S. Mcmanus

Dissertations

Sexual victimization is a frequent and concerning problem for college women. It is estimated that college women are three times more likely to experience sexual assault than women in the general population. Additionally, women with a history of unwanted sexual experiences are at greater risk for future sexual victimization than women without such histories. For these reasons, the examination of college-based sexual assault prevention programs is important given the high rates of unwanted sexual experiences and subsequent negative mental health consequences. Furthermore, the lack of effective skills-based sexual assault prevention programs on college campuses is an important issue to address. …

Exploring The Experiences Of Living With A Controversial Illness In Patients With Fibromyalgia, Samantha L. Wheeler

Dissertations

Fibromyalgia is an illness of great controversy estimated to affect approximately 4% of the US population. There are no widely accepted etiological causes or clear physiological explanations of fibromyalgia. Only a few research studies have addressed the concept of illness uncertainty in patients with fibromyalgia. There are no current studies that examine how fibromyalgia patients experience, perceive, and understand their illness in terms of having a syndrome with an unknown etiology.

This qualitative study, using phenomenological methods, explored the concept of unknown etiology as one factor in illness uncertainty. Ten participants, diagnosed with fibromyalgia from 2-15 years were interviewed. The …

The Influence Of A Personal Practice Of Meditation On One’S Therapeutic Practice, William W. Fitzgerald

Dissertations

The focus of this study was to examine counseling professionals’ personal experience with meditation and how it influences their clinical work, including the formation of a therapeutic relationship. Using phenomenological methods, data were gathered from 10 psychotherapists and then analyzed.

There has been a great deal of effort devoted to investigating what contributes to positive counseling outcome for clients. One constant in the therapeutic process is the person of the therapist. While the person of the therapist is frequently mentioned in the literature, much less attention has been given to the examination of personal development paths of the therapist. Little …

Short-Term Nicotine Abstinence And Decision Making, Gabriel D. Searcy

Dissertations

Research has shown that acute drug administration may affect impulsivity (i.e., choice for small, immediate rewards over large, delayed rewards) on laboratory delay-discounting tasks. Few studies have investigated how drug abstinence affects impulsivity. Investigating how drug abstinence affects impulsivity may be relevant to preventing relapse. Two previous studies have investigated the effects of short-term nicotine abstinence on impulsivity using delay-discounting tasks. The results were mixed, one study suggested that choices became more impulsive (i.e., delayed money was devalued) under nicotine deprivation. One goal of the present research was to further investigate how nicotine deprivation affects delay-discounting for money rewards. In …

Examination Of Anxiety And Substance Use Symptoms In Trauma Exposed Versus Environmentally Stressed College Students, Theresa M. Souza

Dissertations

Anxiety is a common problem among the college population, which rarely occurs in isolation. Oftentimes, an individual abuses substances in an attempt to eliminate the short term affect of these conditions. Post Traumatic Stress Disorder (PTSD), is the most persistent and severe type of anxiety disorder. It has been a long-standing belief within the psychological community that in order for PTSD to develop, the individual must first experience a traumatic event which meets certain criteria and must evidence a definable emotional response during the event. A recent study found PTSD in individuals who had not experienced the type of trauma …

Effects Of Yellow Rectangular Rapid-Flashing Beacons And Novel Lane Markings On Motorists’ Yielding, Speed, And Headway At Multilane Uncontrolled Crosswalks, Jimmy Wayne Shurbutt

Dissertations

Several methods have been examined to increase motorists’ yielding to pedestrians and the distance at which they yield on multilane crosswalks at uncontrolled locations with relatively high average daily traffic (ADT). A series of 5 experiments were conducted to evaluate the efficacy of rectangular rapid-flashing beacons (RRFBs) as effective pedestrian crossing aides. The first experiment found that the RRFBs produced a significant increase in yielding behavior at all 26 sites located in 3 cities in the United States. Data collected over a 2-year follow-up period at 22 of these sites plus 14-month follow-up at an additional 4 sites documented the …

An Evaluation Of A Sexual Assault Education Program, Angela P. Hatcher

Dissertations

Sexually aggressive behavior, especially on college campuses, is an issue of major concern. Previous research has found that 54% of college women report being sexually victimized (Koss, Gidycz, & Wisniewski, 1987). Given the scope of this problem, effective prevention strategies are necessary. Sexual assault prevention programs have included those targeting a mixed gender audience as well as gender specific programs. Research examining the effectiveness of these programs, at both post-intervention and follow-up, have provided mixed results.

The goal of the current study was to examine the effectiveness of a video-based sexual assault education program in decreasing rape myths, increasing victim …

The Comparative Efficacy Of Dosed, Enhanced Dosed, Prolonged Exposure, And Mindfulness In The Reduction Of Anxiety, Sophie Rubin

Dissertations

Exposure-based treatments have proven effective in treating a range of fears and phobias and can be accounted for by mechanisms described in behavioral theory. Enhanced dosed and dosed-only exposure are promising new behavioral approaches for treating fears and phobias. Fifty participants with speech anxiety were randomly assigned to a prolonged exposure condition (PE), a dosed-only exposure condition (DE), a positively enhanced dosed exposure condition (PDE), a negatively-supplemented dosed exposure condition (NDE), or a mindfulness enhanced dosed exposure condition (MDE). End of session results for all of the enhanced groups resulted in significantly lower subjective ratings of discomfort than the non-enhanced …

Acceptability Of Interventions To Staff In Long-Term Care Settings For Older Adults: Comparing Ratings And Hierarchical Selection, Jonathan C. Baker

Dissertations

Older adults and their caregivers generally prefer behavioral interventions over medications in treatment acceptability studies (Osterkamp, Mathews, Burgio, & Hardin, 1997). However, previous acceptability studies have primarily examined ratings, which did not force the responder to select between treatment options. Additionally, recent advances in behavioral treatment technologies (Carr & LeBlanc, 2003) and pharmacotherapy (Schneider, 1999) warrant revisiting treatment acceptability for older adults. The present investigation examined treatment acceptability of behavioral, pharmacological, and sensory interventions using a treatment acceptability rating scale, treatment selections, and direct report of treatments used in a six-month window. Fifty-six staff from nursing homes in the Mid-West …

Unwanted Sexual Experiences: Preliminary Development And Validation Of A Behavioral Analog Measure For Risk Perception, Response Appraisal, And Response, Robin M. Carter-Visscher

Dissertations

Based on research findings indicating that sexual victimization is a prevalent problem on college campuses and has significant consequences for victims, researchers have examined the effectiveness of sexual assault education programs on reducing incidents of sexual victimization and have found programs to be unsuccessful. Other researchers have begun to investigate behavioral factors associated with risk for sexual victimization in order to better understand mechanisms of sexual victimization and revictimization before developing and implementing interventions. One hypothesis that has received increased attention in recent years is that women with a sexual victimization history may have deficient risk perception and effective responding …

Mindfulness In Childbirth: An Investigation Of The Effects Of Mindfulness Training On Maternal Satisfaction With Childbirth And Obstetric Outcomes, Brenda L. Bratton

Dissertations

This study investigated the effects of mindfulness training on obstetric outcomes and maternal satisfaction with childbirth. We were interested in whether mindfulness training was more effective than a control group receiving psychoeducation on stress reduction. The goal of the intervention group was to increase participants' moment-to-moment awareness of thoughts, feelings, and body sensations during childbirth so that they would respond to these experiences rather than react to them in an automatic manner. These strategies were hypothesized to help a laboring woman minimize fear or anxiety associated with pain and complications and be more adaptive to whatever circumstances arose. Repeated measures …

The Effects Of Acute Nicotine Abstinence On Vigilance And Verbal Memory In Non-Diagnosed Smokers, David W. Ayer

Dissertations

Research has shown a differential prevalence of smoking in the schizophrenic population compared to other psychiatric and non-diagnosed populations. The three most commonly investigated reasons for this differential prevalence in schizophrenics are: the self-medication hypothesis, side effects hypothesis, and sociological hypothesis. The self-medication hypothesis which proposes that schizophrenics smoke at a higher rate to ameliorate cognitive deficits is the most substantiated by the research. Of current interest is the possible role of nicotine in improving performance on vigilance and verbal memory, the two areas shown to be most related to impaired social functioning in schizophrenics. It is difficult to make …

An Investigation Of Relationship Characteristics, Exercise And Physical Activity, Couple And Life Satisfaction, Mark W. St. Martin

Dissertations

Exercise has been shown to be positively related to many different variables including sexual satisfaction, mental health, and physical health. These variables, in turn, have been linked to increased life satisfaction and couple satisfaction. The primary purpose of this study was to examine the relationships between exercise and couple satisfaction as well as exercise and life satisfaction. A secondary purpose was to replicate previous findings on the relationships between communication, love, sexual satisfaction, self-esteem, and physical health and couple satisfaction.

A total of 229 undergraduate and graduate students from a large Midwestern university in the United States participated in this …

Examination Of The Impact Of Age, Family Conflict, And Perceived Parental Involvement On Treatment Adherence For Children And Adolescents With Cystic Fibrosis And Diabetes, Blake M. Lancaster

Dissertations

The success of medical interventions for patients with diseases that require consistent adherence to a medical regimen is largely contingent upon the patient’s ability to consistently follow medical recommendations. Medical regimen adherence significantly influences the patient’s health and impacts the health care providers’ ability to treat any disease or medical problem. Adherence levels are particularly low in the pediatric population among young patients with diabetes and cystic fibrosis. Researchers and clinicians hypothesize that levels of adherence are particularly low during adolescence (ages 11-15) because this may be the period in which primary responsibility for daily adherence is transferred from the …

Patient Handling Safety For Nursing Staff, Don Nielsen

Dissertations

The effectiveness of video scoring and feedback about the scoring of the components of safe patient transfers was observed among eight nursing staff members in a skilled nursing department within an acute care hospital.

An ABCA (and sometimes ABCDA), multiple baseline across individuals design was utilized in the study. The dependent variable under investigation was the percentage of safe lifting components. Following baseline measures, nursing staff participated in an information phase during which they reviewed and discussed components of safe patient transfers. A video scoring phase was introduced, during which, participants viewed and scored a model video of a patienttransfer. …

Investigating The Effects Of Real-Time Visual Feedback On Computer Workstation Posture, Sigurdur Oli Sigurdsson

Dissertations

The purpose of this study was to examine the effects of a package intervention that included discrimination training, real-time visual feedback, and self-monitoring on postural behavior at a computer workstation in a simulated office environment. A total of 21 participants were screened for participation, and eight of those participated throughout the study. A non-concurrent multiple baseline design across participants was used to assess the effects of the interventions across three postural variables. Following an information-only phase, participants were exposed to the intervention for the lowest stable postural variable. For most targeted postural variables, the intervention implemented in this study led …

A Behavioral Model For The Assessment And Management Of Dehydration In Older Adults, Leilani Feliciano

Dissertations

Dehydration is a serious health concern in the elderly, constituting 1 of the 10 most common causes for hospitalization in this population (Sanservo, 1997). Previous research on dehydration has typically been conducted within nursing home settings (Chidester & Spangler, 1997; Holbren, Hassell, Williams, & Helle, 1999; Spangler, Risley, & Bilyew, 1984) without specific attention to the variables maintaining dehydration for any given individual. A functional behavioral approach to assessment and prevention or intervention for dehydration would involve identifying maintaining variables in the environment that can be altered to produce effective, non-intrusive interventions to increase healthy fluid consumption. The current project …

Effects Of Nicotine And Anatoxin-A Exposures On The Operant Performance Of Rats, Kimberly Ann Jarema

Dissertations

Tolerance has previously been shown to develop to nicotine's effects on operant behavior. This experiment explored whether tolerance would still develop when nicotine administrations were separated by three weeks. Anatoxin-a, a nicotinic-receptor agonist, was also tested and the results were compared to nicotine. Male Long Evans rats performed under a multiple VR30 VI30-sec food-reinforcement schedule. Phase I rats were divided into 6 groups of 8 that received four weekly subcutaneous injections of nicotine (0.0-1.8 mg/kg) and anatoxin-a (0-250 mcg/kg) prior to testing sessions. An ED50 was derived, for each compound, from the VR dose-response curve. Phase II rats were divided …

Documenting Lines Of Communication Between School Personnel And Physicians For Medication Evaluation Purposes For Students With Adhd, Pamela M. Radford

Dissertations

The purpose of this study was to document current and desired lines of communication between school personnel and physicians for the purpose of making medication decisions for students with ADHD. School-physician communication practices-were assessed utilizing a national survey of primary care physicians who are members o f the American Medical Association (AMA) and school psychologists who are members of the National Association of School Psychologists (NASP). Specific information exchange practices that were assessed included: (a) on what student characteristics is information collected (e.g., academic performance, disruptive behavior, social interactions), (b) how school-based information is collected (e.g., direct observations, rating scales), …

Promoting Healthy Behavior Change In Skin Cancer Risk Reduction Using The Transtheoretical Stages Of Change Model, Sherry L. Pagoto

Dissertations

Skin cancer is the most commonly diagnosed cancer in the United States with 20% of people developing some form of skin cancer in their lifetime (American Cancer Society, 1999). In spite of the high incidence of skin cancer, it is highly preventable. Approximately 90% of the cases are caused by exposure to ultraviolet radiation from the sun (Skin Cancer Foundation, 1992). The effect of an intervention aimed at reducing skin cancer risk was compared to a survey only control group in 99 Chicago beach-goers. The intervention was based on the Transtheoretical Stages of Change Model (TTM) and included sun sensitivity …

Coping Strategy And Social Support Differences Among Copd Patients: Effects On Psychological Well Being, Functional Status, And Health Care Utilization, Terri Belville-Robertson

Dissertations

This descriptive study examined coping strategies and social support among thirty-three patients with moderate to severe Chronic Obstructive Pulmonary Disease (COPD) to assess relationships to psychological and functional status, and health care utilization. More specifically, the qualitative and quantitative differences in coping strategies and social support were examined in relation to anxiety, depression, activity level, and use of emergency and inpatient medical services. Subjects participated in a one-session screening that included a brief clinical interview, battery of questionnaires and exercise tolerance test. Health care utilization data were obtained from subjects’ medical records. Subjects' primary support persons also provided collateral data …

Nonmigrainous Pediatric Headache Management: Thermal Biofeedback And Parent Guidelines, Richard E. Amdorfer

Dissertations

This study explored the utility of the combination of thermal biofeedback and parent-mediated pain behavior management guidelines as a treatment for children experiencing nonmigrainous headache. Five children, ages 8 to 14, were assigned to baselines of varying lengths prior to receiving treatment. Four of the five children demonstrated significant reductions in one or more headache parameters (frequency, duration, average peak intensity) following treatment. The utility of thermal biofeedback and parent-mediated guidelines are supported as a treatment for children suffering from nonmigrainous headache.

Differences In Perceptual And Subjective Body Image Between Weight Cycling And Noncycling Graduate Students, Karen Casebeer

Dissertations

This research began as an exploratory investigation into body image differences between individuals who were weight cyclers and those who were noncyclers. Participants were fem ale and m ale graduate students (n= 444) who completed the Multidimensional Body-Self Relations Questionnaire (Cash, 1990a), the Contour Drawing Rating Scale (M.A. Thompson & Gray, 1995), and the Weight History Questionnaire (W H Q ), a researcher developed self-report survey of weight, dieting, and demographic information. Data gathered from the WHQ were used to identify pairs of individuals who were matched on cycling status, gender, age, and body mass index. Fifteen such pairs were …

The Effects Of An Information/Counseling Session And Partner Participation In Treadmill Testing On Sexual Functioning Following Myocardial Infarction, Betty J. Fisher

Dissertations

The purpose of this research was to assess the effects of an intervention designed to reduce patient and partner anxiety regarding the resumption of sexual activities following myocardial infarction (MI). A multiple baseline across subjects design was employed.

Participants completed self-report measures o f sexual functioning, knowledge of psychological and physical sequelae to MI, depression and anxiety on a weekly basis for at least 3 weeks (to a maximum of 12 weeks) prior to participating in treadmill testing, and attending the information/counseling session. Couples also completed these assessments for a 4-week period following the intervention.

Six heterosexual couples in which …