Social and Behavioral Sciences Commons^™

Interns Matter: Maximizing Integration Of Interns Into Community Agencies, Valerie Garcia

Capstone Projects and Master's Theses

Hope Services is a non-profit agency serving individuals with developmental disabilities in six counties. Over the years, there have been many agencies that have formed connections with Hope Services. One of these collaborative partnerships has been with CSU Monterey Bay’s (CSUMB) integration of interns through their field placement program. However, recently former Hope Services South District Manager, Greg Dinsmore, witnessed a lack of utilization and integration of interns across all Hope Services agencies. Through firsthand experience as a mentor, he witnessed the benefits of utilizing interns and saw the need for further advocacy and support for the integration of interns …

Consult Management At The Va Palo Alto Health Care System: Has The Implementation Of Business Rules Improved Consult Management, And Did It Help Measure Performance For Select Services?, Christine Poblete

Master's Projects

This research project was developed to determine whether the new business rules implemented at the VA Palo Alto Health Care System have resulted in an improvement in the delivery of critical health care services through consults; and whether this process can be used as a Key Performance Indicator (KPI) for measuring performance of clinical services by health care administrators.

Moving Mountains : A Study Examining Long-Term Impacts Of Mountaintop Removal Coal Mining On Mortality In The Appalachian Region Using Geographic Information Sciences Techniques., James Howard Kent Pugh

Electronic Theses and Dissertations

Over the last hundred years, the Appalachian region has been dominated by the coal industry. It has also been and currently is one of the unhealthiest regions in the United States. Recent scholarship has examined the relationship between coal mining and health and mortality rates in the Appalachian region. The first study incorporates air quality and pollution data to examine if coal mining counties have higher levels of pollution and if this pollution contributes to mortality disadvantage. In the second study, I construct a population-based coal-exposure measure to better evaluate the relationship between coal mining and health I find that …

Latino Lgbq Young Adults' Coming-Out Experiences, Monica Munoz

UNLV Theses, Dissertations, Professional Papers, and Capstones

There is limited research on Latino LGBQ individuals and their coming-out experiences. To understand the coming out process of Latino LGBQ individuals, interviews were conducted with 10 Latino LGBQ young adults between the ages of 18 and 30 years old. Using Moustakas (1994) phenomenological approach, six themes derived from the study: (a) The disclosure process impacts family closeness and distance, (b) Latino LGBQ individuals’ family members enter a state of disbelief about their sexual orientation, (c) control of disclosure influences Latino LGBQ young adults’ perception of their coming-out experience, (d) the experience of coming-out for Latino LGBQ individuals is influenced …

Dietary Intake And Energy Expenditure Of Pararescuemen During Routine Training, Andrea Woita

UNLV Theses, Dissertations, Professional Papers, and Capstones

Pararescuemen are one group of Air Force Special Operations Forces (SOF) who engage in vigorous physical training to achieve mission readiness. This type of training requires high energy expenditures and matching dietary intake to support basic physiological needs and to meet performance demands. However, few studies have investigated the energy expenditure and dietary intake of SOF and none have specifically examined these behaviors in Pararescuemen. The goal of this investigation was to determine the energy expenditure and dietary intake of Pararescuemen during routine training - a period when these operators receive supervision and guidance for performance improvements, recovery, and career …

The Substance Abuse Treatment Experience Of Men Who Have Sex With Men, Scott Sanford Johnson

Loma Linda University Electronic Theses, Dissertations & Projects

The following qualitative research study focuses on the substance abuse treatment experiences of men who have sex with men. Current research in this area indicates that while these men sometimes seek treatment for substance abuse issues, their treatment experience can be compromised due to personal fears or ignorance on the part of treatment staff members or others in treatment (Cabaj, 2008; Cheng, 2003; Hellman, Stanton, lee, Tytun, & Vachon, 1989). Specific goals of this study include: (1) gaining insight into the treatment experience(s) of these men and (2) learning about how their individual and collective treatment experience(s) contribute to their …

Evaluation Instruction In Council On Education For Public Health Accredited Master Of Public Health Schools And Programs, Kristin Ann Hobson

Dissertations

Despite the increasing role of evaluation in public health practice and research (Association of Schools and Programs of Public Health [ASPH], 2006; Institute of Medicine [IOM], 1998; Public Health Functions Steering Committee, 2008; United States Government Accountability Office [GAO], 2012), as well as Henry and Mark’s (2003) assertion of a need for systematic evidence on evaluation training and education, the literature continues to lack studies on evaluation instruction in Council on Education for Public Health (CEPH)-accredited Master of Public Health (MPH) schools and programs. As such, this study explored evaluation instruction in CEPH-accredited MPH schools and programs in the following …

Healthy Teeth: Building Dental Health Awareness Among Head Start Parents, Marisol Cruz

Capstone Projects and Master's Theses

In the U.S and state of California, tooth decay is the most common chronic disease and concerning health issue among children. The Head Start program in Monterey County serves about 1, 245 children annually from birth to five years of age. One requirement is that children obtain dental health checkups every six months, and receive dental treatment, if needed, as part of adhering to California's dental periodicity schedule. Over the past years, an increase of failed dental health assessments was observed among many children enrolled in the program. Obtaining and following through with treatment was an obstacle. The purpose of …

Utilizing Consumer Health Posts For Pharmacovigilance: Identifying Underlying Factors Associated With Patients’ Attitudes Towards Antidepressants, Maryam Zolnoori

Theses and Dissertations

Non-adherence to antidepressants is a major obstacle to antidepressants therapeutic benefits, resulting in increased risk of relapse, emergency visits, and significant burden on individuals and the healthcare system. Several studies showed that non-adherence is weakly associated with personal and clinical variables, but strongly associated with patients’ beliefs and attitudes towards medications. The traditional methods for identifying the key dimensions of patients’ attitudes towards antidepressants are associated with some methodological limitations, such as concern about confidentiality of personal information. In this study, attempts have been made to address the limitations by utilizing patients’ self report experiences in online healthcare forums to …

Sex Worker And Proud: A Phenomenological Study Of Consensual Sex Workers' Lives, Michael Gerald Curtis Jr.

UNLV Theses, Dissertations, Professional Papers, and Capstones

Ten consensual sex workers who were currently working in Nevada were qualitatively interviewed in an effort to explore their perceptions of the adult industry. Interviews specifically focused on their experience disclosing their profession to others and the potential effects that it has on their personal relationships, and access to effective treatment. The Moustakas method of phenomenological inquiry was used to analyze data from ten participants who self-identified as direct sex workers. Seven essential themes emerged from this analysis: (1) the adult industry provides professional and personal agency, (2) the industry is often transient, (3) disclosure is an impactful and ongoing …

Attitudes, Attachment Styles, And Gender: Implications On Perceptions Of Infidelity, Christian M. Stewart

UNLV Theses, Dissertations, Professional Papers, and Capstones

Understanding the impact infidelity has on individuals, couples, families, and societies has increasingly become a topic of interest over the last few decades. In recent years, scholars have sought to increase understanding of infidelity through investigating the relationship between infidelity and attachment theory. This research study examines the impact attitudes about infidelity, attachment styles, and gender have on the way in which individuals perceive infidelity. Data was gathered from 310 participants recruited from the University of Nevada, Las Vegas and social media. Participants were 18 years of age and older and were, at the time of the study, either in …

Differences In Mental Health Education Across Baby Boomers, Generation X, And Millennials, Ashlyn M. Avera

Honors College Theses

There is no denying that mental illness has gained a strong prevalence in the United States. According to the National Alliance on Mental Illness, approximately one in five adults in the United States experiences a mental illness in any given year. Although mental health stigmas have played a role in the past, it does not mean they must continue to play the same role in the future. Research is now looking toward ways to decrease mental health stigma through increasing mental health knowledge. This study examines the starting point for which a society becomes literate in mental health. Using a …

Predictors Of Cognitive Function Among Cognitively Impaired Older African Americans Living In Congregate Residential Settings, Zyra Daffodil Apugan

Dissertations

The purpose of this secondary data analysis was to identify potential psychosocial predictors of cognition, including social support, depression, and functional activity, among older African Americans, ≥ 65 years, with a diagnosis of Alzheimer’s disease and living in congregate residential settings. Guided by the main effect model of social support, this study used existing data from the National Alzheimer’s Coordinating Center Uniform Data Set, an NIH-funded multicenter study. Results showed that on average, the participants (n=56) were 81.7 years of age with 13.8 years of education. All, but six, were married. Bivariate Pearson correlations indicate a moderately strong negative relationship …

Contributions Of Appetitive And Aversive Motivational Systems To Decision-Making, Heather E. Soder

USF Tampa Graduate Theses and Dissertations

Optimal decision-making entails outcome evaluation, comparing received costs and benefits with predicted costs and benefits. The anterior cingulate cortex (ACC), a brain area with major connections to the appetitive and aversive motivation systems, may provide the neural substrate of this evaluation process. One way to measure the relative contribution of these systems on decision-making is to measure individual differences in risk-taking behaviors. For individuals who make risky choices, this evaluation step may be biased: some show a preference for immediate, short-term rewards (increased appetitive system), while devaluing the long-term consequences of their choices (decreased aversive system). However, most studies supporting …

Neural And Behavioral Mechanisms Of Clear Speech, Jenna Silver Luque

USF Tampa Graduate Theses and Dissertations

Clear speech is a speaking style that has been shown to improve intelligibility in adverse listening conditions, for various listener and talker populations. Clear-speech phonetic enhancements include a slowed speech rate, expanded vowel space, and expanded pitch range. Although clear-speech phonetic enhancements have been demonstrated across a variety of talkers, only a subset of these changes may be required for listeners to benefit perceptually from clear speech. Furthermore, while current literature has provided some understanding of the phonetic enhancements that are typical of clear speech and the improvements in intelligibility resulting from its use, less is understood regarding how listeners …

Determinants Of Behavioral Intent To Adopt The Closed-Loop Artificial Pancreas Among Diabetes Healthcare Providers, Carolyn M. Serrano

Seton Hall University Dissertations and Theses (ETDs)

Background and Purpose of the Study: Diabetes mellitus for both children and adults are broadly defined as a group of complex diseases characterized by high blood glucose, resulting from a defect in either the production of or action of insulin, or both (National Institutes of Health, 2014). There are 29.1 million people in the US that are estimated to have diagnosed or undiagnosed diabetes (Centers for Disease Control and Prevention (CDC), 2014). Type 1 diabetes accounts for approximately 5-10% of all diabetes cases however, it has serious short term and long-term implications (Daneman, 2006).

Technology for diabetes management is rapidly …

Testing A Skills Training Course For Use In A Peer-Delivered Mental Health Intervention, Samantha L. Bernecker

Doctoral Dissertations

Millions of people who could benefit from mental health services do not receive treatment. If non-professional peers could learn to administer basic psychotherapeutic interventions to each other, taking turns as care provider and care recipient, this unmet need for mental health care could be partially filled. This study sought to test whether non-professionals could learn supportive psychotherapy skills from a massively scalable, free online course. Thirty pairs of individuals who were experiencing psychological distress or who wished to increase their mental well-being were enrolled in the study, and 19 pairs completed the prototype online course. Objective raters assessed participants’ skills …

Exploratory Study Of Retention And Efficacy In Female Domestic Minor Sex Trafficking Residential Programs, Sarah Beth Lister

Selected Honors Theses

If the problem of sex trafficking was not difficult enough to manage, the restoration process of survivors certainly is; specifically in treating survivors who do not want to be rescued and have no intention of changing once they are. Due to a myriad of reasons, primarily including trauma, many female victims of Domestic Minor Sex Trafficking (DMST) are refusing treatment and running away from facilities that attempt restoration. This study seeks to ascertain the various reasons that girls run, as well as the strengths and challenges that care providers have found in their healing process. Qualitative results assessed from three …

A Simulated Walk In Nature: Testing Predictions From The Attention Restoration Theory, Corey Crossan

Electronic Thesis and Dissertation Repository

Attention Restoration Theory (ART) predicts that top-down processing during everyday activities can cause attentional fatigue and that bottom-up processing that occurs when people experience nature will be restorative (Kaplan, 1995). The present study examined this prediction by exposing participants to three different conditions using a repeated measures design: a control condition during which participants walked on a typical treadmill, a nature/restorative condition during which participants walked on the same treadmill, experiencing a simulated nature walk, and a perturbation condition that included the same simulated nature scene but also required top-down processing during the walk. The findings supported ART predictions. As …

Is Allocation Of Attention Impaired In Fallers Compared To Non-Fallers? An Event-Related Potential Study, Phil Parrot-Migas

Electronic Thesis and Dissertation Repository

Approximately 30% of older adults experience one or more falls annually. The ability to properly allocate attention may be a risk factor falls. Our study examined whether older adults (aged 58-79) with a history of falls, allocated attention differently to auditory distractor stimuli compared to those without a history of falls, and whether such differences subsequently altered cognitive processing of visual target stimuli. We examined allocation of attention using event-related potentials (ERPs) as participants responded to visual targets while ignoring task-irrelevant auditory distractors. A posterior to anterior shift in electrical brain activity was exaggerated in the faller group compared to …

Communicating Consent: An Investigation Of Predictors Of College Student Sexual Consent Communication, Erin L. Link

Theses and Dissertations

Often, sexual consent is only discussed and explored in the context of sexual assault. While consent is often the deciding factor to determine if a crime occurred, consent is also a vital part of an equally enjoyable sexual encounter. The present study examines a variety of variables effects on consent attitudes, norms, and communication behaviors to attempt to identify predictors of college student consent communication. Findings and recommendations are discussed that highlight the necessity of viewing consent as a communicative act.

The Mediating Effects Of Positive Thinking And Social Support On Suicide Resilience Among Undergraduate Students, Denise Marie Matel-Anderson

Dissertations (1934 -)

Suicide has been the 2nd leading cause of death for 18-24-year-olds in the US since 2011. The stress experienced by undergraduate college students has the potential to increase ones’ risk for suicide. Resilience theory was used as a theoretical framework to examine the interplay between risk and protective factors. A cross-sectional and correlational design was used to assess the mediating effects of positive thinking and/or social support on suicide resilience in 131 college students 18-24 years old who completed an online survey. An indirect effect of self-esteem on suicide resilience was found through positive thinking and social support indicating that …

A Longitudinal Study Of The Effects Of Cognitive Awareness Training On Transaction Processing Accuracy: An Introduction To The Ace Theoretical Construct, John Townsend

USF Tampa Graduate Theses and Dissertations

This study examines the impact of Cognitive Awareness training on transaction processing accuracy rates within the US Financial Services Industry. Grounded in the theories of Inattentional Blindness and Error Management Culture, this paper supports and extends both theories through the development of a new theoretical construct. The ACE Construct is a novel approach that combines cognitive science, organizational development, and operational efficiency practices into a single approach designed to improve transaction processing accuracy. The study involved the design and implementation of a novel training program, with performance data observations sampled over seven months, to evaluate the impact of Cognitive Awareness …

A Conceptualization Of The Body In Psychodynamic And Body-Based Psychotherapies: Areas Of Overlap And Possibilities For Integration, Aleksandra Rayska

Dissertations, Theses, and Capstone Projects

The distinction between verbal and nonverbal psychotherapies is clearly visible in theory and clinical practice. Moreover, this duality of approaches promotes a split between the body and the mind, defining them as separate from each other. This dissertation helps bridge the divide between the literature in body-based therapies and verbally-based psychotherapy by (i) exploring the conceptual frame used to understand the body in psychodynamic therapy (ii) identifying the areas of overlap between psychodynamic theory and theories that underlie body-based psychotherapies, and (iii) proposing ways in which psychodynamic and body-based theories can inform one another. A clinical case was used to …

Women’S Sexual Fantasies In Context: The Emotional Content Of Sexual Fantasies, Psychological And Interpersonal Distress, And Satisfaction In Romantic Relationships, Sarah Constantine

Dissertations, Theses, and Capstone Projects

Background: Psychoanalytic thinkers propose that aspects of an individual’s sexual fantasies are related to her psychological and interpersonal functioning. The present study aims to elucidate the significance of sexual fantasies with respect to women’s emotional and interpersonal lives. The study evaluated a model, which hypothesized that internal representations of self and others (e.g. attachment security, maturity of object relations) along with psychological and interpersonal factors would predict both the emotional content (guilt, fear, affection) of written sexual fantasy narratives, and overall romantic satisfaction in heterosexual women. Methods: Five hundred and thirty four women completed self-report questionnaires online. Subsequently, the sexual …

Cortical Thickness Abnormalities Within The Salience And Reward Networks In Older Depressed Adults With Apathy, Monique A. Pimontel

Dissertations, Theses, and Capstone Projects

Background and Significance: Apathy is a common comorbidity in late-life depression. Among older depressed adults, apathy is associated with a number of adverse outcomes, including increased disability, comorbid illness, and mortality. The etiological substrates of apathy in late-life depression nonetheless remain poorly understood, and little is known about its optimal treatment. To this end, the aim of the current study was to examine cortical abnormalities within the salience (SN) and reward networks (RN), two brain systems involved in the processing of incentive salience that may underlie the syndrome of apathy in older depressed adults.

Methods: We examined the association between …

Investigating The Health Meanings Of Young Saudi Women, Tagreed Alnajjar

Electronic Thesis and Dissertation Repository

Women’s structural position within society and their family roles significantly influence their health. Previous studies have shown women hold lower health and socioeconomic status because of their gender within the Saudi culture. This study aimed to provide an understanding of how Saudi women value health and define being healthy within their social contexts. Adopting an ethnographic perspective, three focus groups (31 participants in total) were conducted with volunteer undergraduate Saudi female students on campus during a nine-week field trip to the participants’ university, King Abdulaziz University in Jeddah, Saudi Arabia. Three themes were generated from this study that characterize the …

The Effect Of The Dopamine Agonist Pramipexole On Measures Of Impulsivity In Young, Healthy Participants, Daniel Glizer

Electronic Thesis and Dissertation Repository

Patients with Parkinson disease are prescribed dopamine agonists such as pramipexole to improve motor symptoms. Several studies have found that patients taking dopaminergic medication develop impulse control disorders. In contrast, other studies suggest that some behaviors become less impulsive with pramipexole. We evaluated the performance of 20 young, healthy participants who received pramipexole (0.5 mg) and 20 participants who received placebo, on the Go/No-Go, the Stop Signal Task, and the Balloon Analogue Risk Task. We found that the pramipexole group had more timed out Go trials on the Go/No-Go task than the placebo group, suggesting reduced motor impulsivity. There were …

Nonprofit Hospital Community Benefit Requirements: An Exploration Of National Health Policy Models, Justin P. Swearingen

Dissertations and Theses

Introduction: Nonprofit hospital organizations are public charities with complete tax immunity. Such exemptions are worth $24.6 billion and impact the health of hundreds of millions of people, yet what these charities must do to meet the current “community benefit standard” to maintain their tax-exempt status remains a policy debate. To help inform policymaking, an evaluation of four national requirement models was performed: Tax Value Requirement (at least the value of the tax exemptions must be spent on community benefit), Grassley Requirement (at least 5% of revenue must be spent on community benefit), Expense Requirement (at least 3% of expenses must …

Cognitive And Neurobiological Degeneration Of The Mental Lexicon In Primary Progressive Aphasia, Jet M. J. Vonk

Dissertations, Theses, and Capstone Projects

The ease with which we use the thousands of words in our vocabulary stands in stark contrast to our difficulty establishing how they are organized in our mind and brain. The breakdown of language due to cortical atrophy in primary progressive aphasia (PPA) creates conditions to study this organization at a cognitive and neurobiological level in that the three variants of this disease, namely non-fluent, logopenic, and semantic PPA, each bear their own signature of language-specific decline and cortical atrophy. As the impaired regions in each variant are linked to different lexical and semantic attributes of words, lexical decision performance …