Social and Behavioral Sciences Commons^™

Diabetes Related Distress And Co-Occurrence With Depressive Symptoms In Urban Low-Income African American And Hispanic/Latinx Adults With Type 2 Diabetes, Laurie Ruggiero, Sarah Williams Leng, Mary De Groot, Ben S. Gerber, Rosalba Hernandez, Lauretta Quinn

Journal of Health Disparities Research and Practice

Introduction. Burden of diabetes in the U.S. is greater in racial-ethnic minority populations than non-Hispanic Whites. Depression and diabetes-related distress (DRD) are recognized as relatively common and important psychosocial areas to address in people living with diabetes. Limited research in the U.S. has focused on DRD in racial-ethnic minority populations. The purpose of this study is to describe patterns of DRD and co-occurrence with depressive symptoms in urban low-income African American and Hispanic/Latinx adults with type 2 Diabetes Mellitus (T2DM).

Method. We examined the baseline data collected for a randomized clinical trial (RCT) studying the impact of a culturally tailored …

Recruitment Of Young Black Men Into Trauma And Mental Health Services Research: Recommendations And Lessons Learned, Alexandria G. Bauer, Jannette Y. Berkley-Patton

Journal of Health Disparities Research and Practice

Young Black/African American men are more likely to experience repeated trauma that escalates throughout young adulthood, compared to young White men. Exposure to trauma has impacts on mental health outcomes, but young Black men face substantial barriers to mental health care. In order to begin to address these disparities, it is imperative to increase understanding of the needs, preferences, and priorities of young Black men for mental health care services following trauma. Yet, young Black men are often underrepresented in mental health services research. The purpose of the current study was to describe strategies for recruitment of young Black men …

Beliefs About Race Differences In Pain Vs. Actual Race Differences In Pain: An Experimental Investigation., Lauren E. Mehok, Samantha M. Meints, Megan M. Miller, Leslie Ashburn-Nardo, Adam Hirsh

Journal of Health Disparities Research and Practice

Objective: Race differences in pain are consistently reported, but the underlying mechanisms are not well understood. This study examined how beliefs about race differences in pain are related to actual differences in experimentally induced pain between Black and White individuals.

Methods: Black and White participants completed questionnaires (demographics, pain-related beliefs, pain coping, and mood) and a cold pressor task (CPT) in the laboratory. Beliefs about race differences in pain were tested as potential moderators of the relationship between race and pain tolerance on a CPT.

Results: Participants reported beliefs that White people are more pain sensitive (i.e., less pain tolerant) …

Using Motor Imagery As An Alternative To Exercise For Improvement Of Mental Health: A Qualitative Investigation, Madelyn Colbert

Spectra Undergraduate Research Journal

Exercise is a commonly used non-pharmacological treatment to improve the mental and physical health of patients with varying conditions. However, not all patients have the means to participate in exercise and/or physical exertion. Motor imagery training (MIT) is visualizing a task without motor output. Evidence has demonstrated MIT to enhance physical function with and without adjacent physical practice. A qualitative research study was conducted to examine the effectiveness of utilizing MIT as a depression and anxiety reducing alternative to exercise. Seven participants meeting the selection criteria were randomized into (a) the exercise group, or (b) the MIT group. The three …

Emotional Resilience Emerges As Novel Aspect Of Meta-Mood Experience: A Confirmatory Factor Analysis Accounting For Data Censoring, Fitsum A. Ayele, Orei Z. Odents, Kimberly A. Barchard

Spectra Undergraduate Research Journal

Meta-mood experience refers to the thoughts and feelings that serve to monitor, evaluate, and at times change mood. The Trait Meta-Mood Scale (TMMS) was designed to gauge meta-mood experience along three factors: Attention, Clarity, and Repair. Previous factor analyses have verified this three-factor structure. However, one study by Palmer and colleagues found strong support for a four-factor structure. In light of this discrepancy, the present study aimed to replicate Palmer and colleagues’ study in a new sample, comparing the models they used to determine which is best-fitting. We also aimed to correct the effect of data point censoring when estimating …

‘Mapping’ Moral Engagement In The Solution-Focused Approach Through Macintyre’S Model Of Practice, Brian K. Jennings

Journal of Solution Focused Practices

I attempt to answer Trish Walsh’s two questions about the ‘maps’ that might exist for moral engagement in the ‘helping’ professions and how these might relate to the Solution-Focused Approach (Walsh, 2010). I seek to do this by exploring the narrative of the emergence of the Solution Focused Approach from the perspective of Alasdair MacIntyre’s concept of a ‘practice’ (MacIntyre, 1985) with the aim of providing the basis for ‘map’ for moral engagement by Solution-Focused Practitioners. To this end I attempt to interpret the Solution Focused Approach as a MacIntyreian ‘practice’ in which virtues (as ‘human qualities’) emerge out of …

A Pilot Study Of A Cohort-Based Solution-Focused Wellness Group For Graduate Students Using Solution-Focused Coaching, James Beauchemin, Danya Krueger, Jennifer Newman, Paul Beitelspacher

Journal of Solution Focused Practices

Graduate students experience heightened levels of stress, compromising their well-being and predisposing them to mental health disorders. Graduate students are over six times more likely to experience depression and anxiety than the general population. Despite the presence of counseling services on college and university campuses, graduate students are less likely to access these services and more prone to utilize alternative institutional supports (i.e., faculty advisors or peer counselors). This pilot study assessed the effectiveness of a six-week solution focused wellness (SFW) group intervention with a graduate program cohort using a pre-post, mixed-methods design. A total of twenty-seven (N = 27) …

Solution Focused Brief Therapy And Vicarious Resilience In Bolivian Protective Family Services Workers, Marcos Pérez Lamadrid, Adam S. Froerer

Journal of Solution Focused Practices

Vicarious resilience (VR) is defined as the positive effects caregivers experience within their personal lives, their work lives, and within their worldview as a whole, that come from witnessing the resilience that clients demonstrate in facing their traumatic experiences. This research study is a quasi-experimental pilot study about how solution focused brief therapy (SFBT) influences the vicarious resilience of family protective system (SLIM) workers in Bolivia. The Vicarious Resilience Inventory (VRI) was administered in a pretest/posttest design for an experimental group (applying SFBT) and a control group (training as usual). Both groups experienced an increase in vicarious resilience, but the …

A Systematic Literature Review On The Resilience Reported By Bipoc In The Face Of Discrimination, Lianelys Cabrera Martinez, Aldo Barrita, Gloria Wong-Padoongpatt

Spectra Undergraduate Research Journal

The present study is a systematic literature review on the psychology of resilience, or the ability to bounce back after a difficult situation (Smith, 2008). Although resilience is a timely and relevant variable in social psychology, little is known about its connection to the racism-related experiences of Black, Indigenous, and People of Color (BIPOC). This review explores how resilience manifests in the BIPOC community and its influence on the identity of minority groups. Previous research has shown that BIPOC reports higher resilience (Carter, 2012); however, there is still uncertainty around its connection to discrimination. Through the analysis of nine final …

Language Analysis In Solution-Focused Therapy Training: Comparing Trainees With Their Trainer, Alberto Zamanillo, Alberto Rodríguez-Morejón

Journal of Solution Focused Practices

No abstract provided.

Social Injustice And Pediatric Health: Pediatric Covid-19 Guidelines Are Exacerbating Health Disparities, Sneha Thamotharan

Journal of Health Disparities Research and Practice

Fewer cases of COVID-19 and hospitalizations have been reported in children. This has impacted the prioritization of pediatrics in understanding the infection, transmission, and treatment of SARS-CoV-2 in children. Unfortunately, COVID-19 rates are higher among racial and ethnic minoritized children. Simultaneously unfolding during this pandemic is a national outcry to address systemic injustice, including institutional racism in healthcare which are driving these disparities. Aligned with social justice, this paper reflects on how Pediatric COVID-19 guidelines may be exacerbating existing health disparities among racial and ethnic minoritized youth, as well as urges for and provides possible ways to culturally tailor current …

Solution-Focused Zone Of Proximal Development: A Vygotskyan Contribution To Solution-Focused Therapy, Stephanie Freeman

Journal of Solution Focused Practices

This theoretical paper explores the possibility of combining principles of solution-focused therapy with theories of learning and development by the psychologist Lev Vygotsky, whose thinking led to the development of Cultural-Historical Activity Theory. The similarities and complementaries between these traditions merit attention. Further, SFT has been characterized as an eclectic and constantly evolving approach, the theoretical and philosophical foundations of which are somewhat scattered. Hence, the article attempts to redefine the philosophical and theoretical location of SFT through a “Vygotskyan and CHAT-informed” lens. Since the emphasis in SFT seems to be on the identification and detailed description of the client’s …

Economic Insecurity As A Risk Factor During The Covid-19 Pandemic, Klaus E. Cavalhieri

Journal of Health Disparities Research and Practice

The novel coronavirus disease 2019 (COVID-19) is currently spreading at a rapid rate worldwide. The current pandemic may have several adverse effects on overall psychological functioning and health behaviors. Economic insecurity, operationalized as financial strain and employment uncertainty, can be a significant risk factor for both psychological outcomes and compliance with shelter-in-place recommendations (i.e., health behaviors). One hundred and twenty four participants answered survey data on economic security, fear of COVID-19, health care system distrust, anxiety, well-being, and compliance with CDC recommendations to curb the spread of COVID-19 (i.e., health behaviors; CDC, 2020). Economic security was significantly associated with well-being, …

Motivational Interviewing Use By Personal Trainers To Promote Behavioral Change, Marzell Gray, Jade Hipp

Topics in Exercise Science and Kinesiology

Topics in Exercise Science and Kinesiology Volume 2: Issue 1, Article 5, 2021. This study evaluated one method of behavioral change to promote a healthier way of life. Designed to provide basic motivational interviewing (MI) knowledge and skills to certified personal fitness trainers, the study looked to improve coaching skills to aid in client’s ability to adapt to healthier behaviors. As outlined in a study by Kelley et al., (2016), MI is used as a client-centered approach that includes several core principles to express empathy, support the client’s self-efficacy, roll with resistance, and develop discrepancy.

Asian Americans Experience Microassaults During The Covid-19 Pandemic, Aaron Cheng, Brooklyn King, Aldo Barrita, Anthony King, Gloria Wong-Padoongpatt

Spectra Undergraduate Research Journal

Microaggressions are typically brief and common behavioral/verbal indignities that communicate a sense of hostility, derogatory, or negative perception towards a targeted group. During the COVID-19 pandemic, we observed an increase in the amount of microassaults, a more intentional type of microaggression, towards the Asian American population. In our study, we used a two-way 2x2 (Race: Asian Americans vs. White Americans; Time: before vs. during COVID-19) analysis of covariance (ANCOVA) with repeated measures on one factor (Time) to determine whether there was a statistical significance between race in the experiences of microassaults before and during COVID-19. We used a self-report survey …

Differences In Ethnic And Sport Culture Salience Among College Students Participating In Ncaa And Recreational Sports, Mirella S. Jasso, Paul Nelson, Bradley Donohue, Michelle Strong, Joanna Kepka, Daniel N. Allen

Spectra Undergraduate Research Journal

This study aims to (1) examine differences between Ethnic Majority (European American) and Ethnic Minority (African American, Latina/o, Asian/Asian American, Pacific Islander, and Other) student athletes’ ratings of importance of their Ethnic Culture, (2) examine differences in the importance of Sport Culture among NCAA and Recreational (i.e., Club and Intramural) student athletes, and (3) determine if Ethnic Identification and Athlete Type interact to predict the importance of Ethnic Culture and Sport Culture. Student athletes were asked to fill out a demographic questionnaire, and then rate the importance of several cultural domains (i.e. Ethnic Culture and Sport Culture) using a novel …

Risk Factors Associated With Opioid Use Among African American Faith-Based Populations, Kelsey Christensen Ma, Jannette Berkley-Patton Phd, Alexandria Bauer Phd, Carole Bowe Thompson, Tacia Burgin

Journal of Health Disparities Research and Practice

African Americans (AAs) in the Midwest are more likely to die from an opioid overdose compared to Whites, despite lower rates of use. Little is known about factors related to opioid use among AAs residing in the Midwest, particularly church-affiliated AAs. AAs have the highest rate of church attendance among all racial/ethnic groups, and the Black Church may be an appropriate setting for prevention efforts. The present study sought to better understand factors related to opioid use among Midwestern church-affiliated AAs to inform future faith-based interventions. This study examined predictors of opioid use (ever) using survey data from Taking It …

Elevator Or Stairs? A Dive Into Patron Decision Making, Lucas D. Elliott, Oliver W.A. Wilson, Melissa Bopp

Topics in Exercise Science and Kinesiology

• When put in a situation to get to higher/lower floors of a building, there are many factors that go into play for whether an individual chooses to take the stairs (active) or ride the elevator (sedentary).
• Students were approached at waiting area for the four elevators in a University Library and were asked series of questions regarding their reasoning for taking the stair or elevator to ascend, as well as their thoughts on the stairwell appearance.
• Point of application #1: Stairwell appearance and aesthetics should be considered during the design process in order to increase use and physical activity amongst …

Implementing Autism Screening For Latino Children In Primary Care: Perspectives From Parents And Providers, Mary Troxel, Keri Linas, Diane Jacobstein, Matthew Biel, Sandra H. Soto, Isabella Lorenzo-Hubert, Soraya Dos-Santos, Rocio Mendez, Bruno J. Anthony

Journal of Health Disparities Research and Practice

While Autism Spectrum Disorder (ASD) and other developmental disabilities are being diagnosed at increasing rates, there is strong evidence of disparities in rates of identification and utilization of services by Latino children as compared to non-Latino children. Attempts to reduce these disparities include culturally-informed early screening for ASD risk. In preparation for initiation of a screening program in a primary care setting serving primarily Latino children, focus groups and interviews were conducted with Latino parents (N=31), medical staff (N=15), health care providers (N=4) to better understand the barriers and facilitators to engagement around developmental concerns that contribute to the low …

Predictors And Missed Opportunities For Blood Glucose Screening Among African Americans: Implications For Church-Based Populations, Alexandria G. Bauer, Jannette Berkley-Patton, Carole Bowe Thompson, Kelsey Christensen

Journal of Health Disparities Research and Practice

African Americans (AAs) are disproportionately diagnosed with prediabetes, diabetes, and related complications. Guidelines for prediabetes/diabetes screening emphasize reaching at-risk adults. The AA church has potential to increase reach of BGS with AA church members and community members. The current study identified predictors of blood glucose screening (BGS) and individuals with missed opportunities for BGS among church-affiliated AA adults. Participants were drawn from a previous pilot study (Project Faith Influencing Transformation) conducted in six AA churches over eight months. Eligibility criteria included self-identifying as AA and being aged 18 or older. Participants who had previously been diagnosed with diabetes were excluded, …

Medical Mistrust, Hiv-Related Conspiracy Beliefs, And The Need For Cognitive Closure Among Urban-Residing African American Women: An Exploratory Study, Jennifer Rae Myers Phd, Kelsey Ball Phd, Sharlene L. Jeffers Ma, William B. Lawson Md, Phd, Dlfapa,Pa

Journal of Health Disparities Research and Practice

Despite advances regarding access to care and overall treatment, medical mistrust remains an important factor regarding clinical research participation as well as prevention/treatment-seeking behaviors among African American women. Such attitudes may be a result of psychosocial variables such as HIV-related conspiracy endorsement as well as a need for cognitive closure (NFCC) that reinforces their beliefs of interpersonal and institutional discrimination. To explore how well these psychosocial factors predict medical mistrust, thirty-five urban-residing African American women completed a demographics survey, the Medical Mistrust Index (MMI), a HIV-related conspiracy beliefs survey, and the Need for Closure Scale (NFCS). Results showed that the …

Latino/Hispanic Community Adults’ Healthcare Experience In A New Mexico Borderland Region, Hsiu-Lan Cheng, Anna Lopez, Jamey L. Rislin, Helen Youngju Kim, Joshua Turner, Heather Terhorst-Miller, Jessica Lopez-Harder, Chu Hui Cha

Journal of Health Disparities Research and Practice

This study identifies factors associated with Latino/Hispanic adults’ healthcare experiences in a county along the U.S.-Mexico Border designated by the government as a geographic primary care, mental health, and dental health professional shortage area. An interpretative phenomenological approach was applied to analyze qualitative data collected through focus group interviews with ten Latino/Hispanic healthcare patients. Factors associated with positive healthcare experiences included short wait times, availability of same-day appointments, team-based care, and good interpersonal communication. Factors associated with negative healthcare experiences included long wait times, deficient communication (e.g., lack of provider-patient, provider-provider, and agency-patient communication), providers’ poor interpersonal skills, and perceived …

Calidad De Vida: An Exploratory Investigation Of Latino Breast Cancer Survivors And Intimate Partners, Sejal Barden, Daniel Gutierrez, Jessica Gonzalez, Shainna Ali

Journal of Health Disparities Research and Practice

Advances in addressing psychosocial issues related to cancer treatment and prevention are not reaching all survivors equally. Latina breast cancer survivors and intimate partners are underrepresented in psychosocial interventions, and there is a scarcity of research on the influence of cancer on Latino couples’ quality of life. The purpose of this manuscript is to present findings from a trans-linguistic, dyadic qualitative research study aimed at exploring the influence of cancer on quality of life for Latina breast cancer survivors and their intimate partners. Results highlight several areas that are helpful and hindering to supporting survivorship.

“These Classes Have Been My Happy Place”: Feasibility Study Of A Self-Care Program In Native Hawaiian Custodial Grandparents, Loriena Yancura, Heather Greenwood-Junkermeier, Christine A. Fruhauf

Asian/Pacific Island Nursing Journal

Native Hawaiian custodial grandparents have a distinctive set of strengths and challenges that may lead them to benefit from a structured self-care program. The purpose of this paper is to describe a feasibility study with nine Native Hawaiian custodial grandparents who participated in a 6-week self-care intervention. Based on open-ended questions during the post-questionnaire and at the 6-month follow-up focus group, grandparent participants noted that their grandchildren needed education and clothing. Most grandparents did not endorse statements that their grandchildren had any mental or physical health conditions. Grandparents reflected that the intervention provided them with skills to help cope with …

Beliefs In Advance Care Planning Among Chinese Americans: Similarities And Differences Between The Younger And Older Generations, Mei Ching Lee, Ha Do Byon, Katherine Hinderer, Carla Alexander

Asian/Pacific Island Nursing Journal

The purpose of this research is to explore behavioral, normative, and control beliefs in the discussion of advance care planning (ACP) among older and younger Chinese Americans. Ethnic minority groups have been identified as less engaged in ACP and this represents an ethnic and cultural gap. Older Chinese American adults often have different beliefs and values compared to the younger generation who are more acculturated to American mainstream culture. These differences may hinder the discussion of ACP with Chinese older adults.

A qualitative design was used. The Theory of Planned Behavior guided the development of the interview guide. We recruited …

Pilot And Feasibility Test Of An Implementation Intention Intervention To Improve Fruit And Vegetable Intake Among Women With Low Socioeconomic Status, Michele A. Debiasse Phd, Rdn, Deborah J. Bowen Phd, Sherry L. Pagoto Phd, Joseph M. Massaro Phd, Nawfal Istfan Md, Phd, Lisa M. Quintiliani Phd, Rd

Journal of Health Disparities Research and Practice

Fruit and vegetable intake (FVI), a modifiable risk factor for chronic diseases, is lower in low socioeconomic status (SES) populations. Implementation intentions (a specific type of planning that extends the Theory of Planned Behavior) has been studied to improve FVI, but not exclusively with low SES groups. Using mixed methods, we evaluated the feasibility, acceptability, and preliminary efficacy of an implementation intention intervention (versus a general plan) to increase FVI in women with low SES. For the pilot randomized controlled trial, demographics, body mass index, attitude, perceived behavioral control, goal intention strength, and FVI were measured at baseline and FVI …

Sociocultural Risk Factors For Elevated Perceived Stress Among African American Smokers, Monica Webb Hooper, Noella A. Dietz, Joseph C. Wilson

Journal of Health Disparities Research and Practice

Introduction: African Americans experience unique stressors that may inhibit smoking cessation and enhance relapse rates. Few studies, however, have focused on risk factors for perceived stress among treatment seekers. Because African Americans are less likely to quit compared to the larger community, understanding factors associated with perceived stress among smokers has the potential to improve intervention outcomes. This study examined psychosocial and cultural correlates of stress in a sample of African American participants in a randomized controlled trial.

Methods: At baseline, participants reported demographic factors and completed assessments of smoking history, alcohol use, friend and household smoking, weight concerns, acculturation, …

Depressive Symptoms And Sleep Disturbances In Korean American Women, Eunjung Kim, Sinhye Kim, Kevin Cain

Asian/Pacific Island Nursing Journal

The purpose of this study was to examine the relationship between depressive symptoms and sleep disturbances among Korean American women. Forty-nine women completed the Center for Epidemiologic Studies Depression Scale, the Pittsburgh Sleep Quality Index, and revised Acculturation Rating Scale for Mexican Americans-II. Overall, participants scored 12.56 (SD = 9.93) on the Center for Epidemiologic Studies Depression Scale, 5.31 (SD = 3.01) on the Pittsburgh Sleep Quality Index, and -2.27 (SD = 1.64) on the Acculturation Rating Scale for Mexican Americans-II. Approximately 29% of the women (n = 14) scored 16 or higher on the Center …

Healthcare Providers’ Perceptions Of Socioeconomically Disadvantaged Patients With Chronic Pain: A Qualitative Investigation, Nicole A. Hollingshead, Marianne S. Matthias, Matthew Bair, Adam T. Hirsh

Journal of Health Disparities Research and Practice

Socioeconomically disadvantaged individuals are at-risk for chronic pain and disparate care. In this qualitative study, we explored providers’ experiences with socioeconomically disadvantaged patients, with a particular focus on providers’: (1) perceptions of socioeconomically disadvantaged patients’ barriers to pain care, (2) attitudes towards this patient population, and (3) chronic pain decisions for these patients. Individual interviews were conducted with twenty-four healthcare providers. Providers discussed several patient-level access barriers, such as not having health insurance, financial constraints, and scheduling difficulties. Providers believed socioeconomically disadvantaged patients were at-risk to misuse prescription opioids and were less comfortable prescribing opioids to these patients. This investigation …

The Construct And Predictive Validity Of Psychosocial Correlates Of Television Viewing, Raheem Paxton, Pascal Jean-Pierre, Saehwan Park, Yong Gao Dr., Stephen Herrmann, G J. Norman

Journal of Health Disparities Research and Practice

Background: Many studies have examined the consequences of prolonged television viewing, but few studies have examined the psychological states that contribute to this behavior. In this study, we evaluated the construct and predictive validity of psychosocial correlates of television viewing in a population of African American (AA) breast cancer survivors (BCS).

Methods: AA BCS (N = 342, Mean age = 54 years) completed measures of decisional balance, self-efficacy, family support, and time spent watching television online. Exploratory structural equation modeling (ESEM) was used to examine the construct and predictive validity as well as the differential item functioning of the instruments …