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Full-Text Articles in Social and Behavioral Sciences

Regression Discontinuity Designs Within A Latent Variable Framework: Measurement Considerations For The Accuracy Of The Treatment Effect, Sarah Hammami May 2024

Regression Discontinuity Designs Within A Latent Variable Framework: Measurement Considerations For The Accuracy Of The Treatment Effect, Sarah Hammami

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Regression discontinuity designs are valuable quasi-experimental designs, especially when randomized control/clinical trials are ethically or practically challenging. Latent variables are prevalent in the social, behavioral, and educational (SBE) sciences—measurement assumptions have to be tested and met when using such variables. Not meeting those assumptions leads to biased results and (likely) erroneous inferential making. One way to minimize the impact of measurement assumption violation is to use latent variable modeling such as structural equation modeling (SEM). Soland, Johnson and Talbert (2022) conducted two simulation studies testing the effect of using a sum score (when the assumptions for using such a score …


Parental Child Rearing Beliefs And Children's Behavioral Problems: The Mediating Role Of Parental Involvement In Elementary School, Catalina Correa Ramirez May 2024

Parental Child Rearing Beliefs And Children's Behavioral Problems: The Mediating Role Of Parental Involvement In Elementary School, Catalina Correa Ramirez

College of Education and Human Sciences: Dissertations, Theses, and Student Research

The contributions that parents make to child development have been heavily investigated but the potential links between parents’ child rearing beliefs and school involvement levels have been overlooked. In this study, a model was proposed where parental involvement was examined as a potential mediator in the relationship between parents’ child-rearing beliefs and internalizing and externalizing outcomes in children. Using data from the NICHD SECCYD study, these constructs were examined in first, third, and fifth grade (N = 1128). SEM analyses supported our hypothesis regarding the mediating effect of parental involvement and it appeared to act as a potential mediator …


Lessons In Persistence, Syble Heffernan May 2024

Lessons In Persistence, Syble Heffernan

Department of English: Dissertations, Theses, and Student Research

LESSONS IN PERSISTENCE is a thesis that operates within the tradition of writing about trauma and resilience, taking up themes of mental illness, class, colonialism, loss of a parent, navigating queerness in a conservative Christian context, and reckoning with gender-based violence and expectations directed toward people socialized as women. The use of ecopoetics highlights the relationship between traumas to the earth brought about by climate change, war, and worldwide suffering, and those brought upon the human body (specifically marginalized bodies) by grief, illness, abuse, and the loss of self. The collection ultimately aims to establish explicit connections between internal and …


The Relationship Between Sex Education And Women’S Sexual Liberation And Exploration: A Phenomenological Study, Jessica Ann Boyles May 2024

The Relationship Between Sex Education And Women’S Sexual Liberation And Exploration: A Phenomenological Study, Jessica Ann Boyles

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Sex education in schools is a pivotal yet contentious aspect of adolescent development, with enduring impacts on individuals' sexual exploration and liberation. However, the types of sex education offered have varied over time, often disseminating misinformation, and reinforcing traditional gender norms. Particularly for women, sex education can perpetuate harmful stereotypes, limit sexual agency, and contribute to disparities in sexual and reproductive health. This qualitative study aims to address the gap of intersecting sex education and sexual identity by examining the relationship between women's sexual liberation and exploration in adulthood and the sex education they received. Drawing from a phenomenological approach, …


The Experiences Of Multiracial Intimate Partner Violence Survivors: A Phenomenological Study, Hali J. Santiago May 2024

The Experiences Of Multiracial Intimate Partner Violence Survivors: A Phenomenological Study, Hali J. Santiago

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Intimate partner violence (IPV) is a major public and social issue in the United States and is highly prevalent among multiracial individuals. This phenomenological study explored the experiences of multiracial IPV survivors. More specifically, utilizing an intersectional theoretical framework, this study explored the experiences during and after an abusive relationship, including the impact from trauma multiracial IPV survivors experienced and their healing processes. Semi-structured interviews were conducted with 6 multiracial individuals that experienced IPV more than two years prior. Participants were asked questions around their experiences of abuse, leaving the relationship, how their multiracial identity or other social identities impacted …


Victim Or Villain: Female Resilience And Agency In The Face Of Trauma In Chimamanda Adichie’S, Purple Hibiscus (2003) And Tsitsi Dangarembga’S, Nervous Conditions (1988), Adaobi Juliet Chukwuma May 2024

Victim Or Villain: Female Resilience And Agency In The Face Of Trauma In Chimamanda Adichie’S, Purple Hibiscus (2003) And Tsitsi Dangarembga’S, Nervous Conditions (1988), Adaobi Juliet Chukwuma

Electronic Theses and Dissertations

As long as disparities persist in the way women are treated as compared to their male counterparts, the issue of gender will continue to call forth literary productions. For this reason, female writers are on a mission to dismantle the stereotypes that keep women confined to societal roles. Grounded in a feminist framework, this study focuses on the gender disparity theme in Chimamanda Adichie’s Purple Hibiscus and Tsitsi Dangarembga’s Nervous Conditions. The aim is to examine how these writers represent the trauma of women living in an African patriarchal system. The traumatic experiences of the female characters in both texts …


Length Of Time Differences Between Genders In Factors Of Movement From Suicidal Ideation To Suicidal Action, Carina Anderson May 2024

Length Of Time Differences Between Genders In Factors Of Movement From Suicidal Ideation To Suicidal Action, Carina Anderson

Doctor of Psychology (PsyD)

While women are more likely to take suicidal action, men are more likely to die of it. This difference has been partially, but not completely explained by the methods of suicide generally chosen by men and women. While this and other factors have been explored, there is no conclusive answer for the difference in death rates. Research suggests that men and women make decisions differently, and if these differences contribute to variations in their movement from suicidal ideation to suicidal action, we might expect to see these differences reflected in the amount of time it takes men and women to …


Mate Guarding Against Strong Men Displaying Affiliative And Aggressive Humor, Jacob Pauley May 2024

Mate Guarding Against Strong Men Displaying Affiliative And Aggressive Humor, Jacob Pauley

Biological Sciences Undergraduate Honors Theses

Mate retention behaviors serve to discourage partner defection from a current pairbond. Such behaviors are oftentimes more prevalent toward intrasexual rivals exhibiting physical and behavioral cues implicating that rival as an optimal mate. Among these features in men are their upper body strength, a feature diagnostic of heritable fitness, and men's ability to produce humor, a cue to their social competence. This study considered the intersection of these desirable features in shaping men's mate retention behavior toward an intrasexual rival. After learning of a hypothetical interloper exhibiting high or low upper body strength while similarly using humor in an affiliative …


The Effect Of Hormonal Contraceptive Use On Dominance And Prestige Tactics, Carson Chappell May 2024

The Effect Of Hormonal Contraceptive Use On Dominance And Prestige Tactics, Carson Chappell

Biological Sciences Undergraduate Honors Theses

This study was designed to investigate the relationship between hormonal contraceptives and prestige and dominance status-seeking tactics. Existing literature has examined how the hormones estrogen and progesterone, especially in relation to the fertile window of the menstrual cycle, are associated with prestige and dominance but has yet to look in depth at how hormonal contraceptives might alter this impact. The current study asked participants to complete a 22- item questionnaire assessing dominance and prestige. I hypothesized that women on hormonal contraceptives would have lower scores for prestige and dominance compared to women who are naturally cycling. The results did not …


Investigating The Relation Between Family Income And Barriers For Black Caregivers Of Autistic Children, Leah Gelfand May 2024

Investigating The Relation Between Family Income And Barriers For Black Caregivers Of Autistic Children, Leah Gelfand

Psychological Science Undergraduate Honors Theses

Black caregivers and families of autistic youth experience racial barriers (e.g., racial microaggressions, stigma;) and practical barriers (e.g., cost of treatment, long waitlists), when seeking treatment and diagnostic services (Lovelace et al., 2018). The current study aimed to ascertain whether family income influenced the racial and practical barriers experienced by a sample of Black caregivers of autistic youth (N = 101). Overall and item-level analyses were conducted to explore the relationship between racial and practical barriers experienced across Lower (below 39,693; n=32), Lower-Middle ($39,693-$59,540; n=28), Middle-Upper ($59,540 to $119,080; n=21), and Upper income groups ($119,080 and …


Witnessing Bullying And Defending Behavior Among Elementary And Middle School Students, Matt Peck May 2024

Witnessing Bullying And Defending Behavior Among Elementary And Middle School Students, Matt Peck

Boise State University Theses and Dissertations

This dissertation includes three individual articles that explore the relationship between witnessing bullying and defending behavior among students who are bystanders of bullying. Chapter One provides the rationale and purpose of this dissertation and an overview of the three articles that comprise it. Chapter Two employed a cross-sectional analysis to examine the moderating effect of gender on witnessing bullying, defending behavior, and internalizing symptoms while controlling for previous experiences with bullying perpetration and victimization. Results indicated that students who witness bullying and utilize defending behavior exhibit different internal symptoms based on gender. In a longitudinal study, Chapter Three expands this …


Exploring Auditory Thalamocortical Pathways In Autism Spectrum Disorder, Caitlin Dyer May 2024

Exploring Auditory Thalamocortical Pathways In Autism Spectrum Disorder, Caitlin Dyer

LSU New Orleans Theses and Dissertations

Thalamocortical tracts related to language have rarely been examined in autism spectrum disorder (ASD). We examined the medial geniculate nucleus (MGN), Heschl’s gyrus (HG), and planum temporale (PT) volumes, and the connections from MGN to HG and MGN to PT, using MRIs from 39 children with ASD (20 with receptive language impairment, 19 without) and 20 typically developing controls, aged 5-17 years. In children with ASD without language impairment, MGN volume was positively correlated with receptive language scores. Additionally, the thalamus was smaller in children with ASD with language impairment, correlating negatively with receptive language scores in this group. Left …


Homelessness, Trauma, And Drug Use As Contributing Factors To Increased Sentencing, Elise N. Whitlock May 2024

Homelessness, Trauma, And Drug Use As Contributing Factors To Increased Sentencing, Elise N. Whitlock

LSU New Orleans Theses and Dissertations

Mass incarceration has been a pervasive issue in American society with longstanding effects on individuals and their communities. Several factors have been shown to intensify these effects and contribute to the cycle of recidivism, such as homelessness, trauma, and drug use. The current study investigated the association between these and several other factors and the number of sentences an individual had received in their lifetime. A cross-sectional sample (N= 24,808, 25% female) of adult inmates from the periodic Survey of Prison Inmates was used to test these hypotheses. Exploratory factor analysis and subsequent regressions indicated a significant association between higher …


Racial Microaggressions Research: Intersectionality, Coping Strategies, And Groups Impacted, Aldo M. Barrita May 2024

Racial Microaggressions Research: Intersectionality, Coping Strategies, And Groups Impacted, Aldo M. Barrita

UNLV Theses, Dissertations, Professional Papers, and Capstones

Microaggressions, a term first coined to name everyday experiences with oppression five decades ago (Pierce et al., 1977), has evolved in the literature naming specific aggressions taking place in microsystems targeting minoritized groups (Sue et al., 2007). However, as this research area expands, a need for specificity about who is being impacted by racial microaggressions and how this impact takes place remains a gap in the literature that the research program of this dissertation aimed to address. Expanding from traditional racial microaggression approaches (Sue et al., 2019; Williams et al., 2021), this dissertation incorporates aspects of intersectionality, coping strategies, and …


“But…. They Don’T Look Like Me.” An Examination Of Mentoring Relationships With Hispanic And Latinx Students, Diana Ruby Beltran May 2024

“But…. They Don’T Look Like Me.” An Examination Of Mentoring Relationships With Hispanic And Latinx Students, Diana Ruby Beltran

UNLV Theses, Dissertations, Professional Papers, and Capstones

The guiding objectives of this research were to more deeply understand Hispanic and Latinx students’ attitudes about research mentoring relationships and clarify conflicting findings within the existing literature. Study 1 focused on 32 Hispanic and Latinx undergraduate students who had experience with STEM research mentoring. A major goal was to examine whether racial-ethnic “match” between students and their mentors was associated with the types of behaviors that students encounter from their mentors (e.g., instrumental mentoring) as well as students’ academic attitudes (e.g., STEM self-efficacy). Findings revealed that students have a stronger preference for mentors who share their personality traits over …


Reframing Addiction As A Coping Response: A Needed Shift In Modern Public Health Paradigms, Anthony King May 2024

Reframing Addiction As A Coping Response: A Needed Shift In Modern Public Health Paradigms, Anthony King

UNLV Theses, Dissertations, Professional Papers, and Capstones

What are the primary risk factors that compel one person towards addiction and not another? After decades of research, there is still no clear consensus. Some experts say addiction is a brain disease; others say it is a willful act, or even an outright crime. Nevertheless, the three research studies contained within this dissertation suggest an alternative, more parsimonious public-health-centered framework for viewing addictive behavioral patterns: as a biopsychosocial coping strategy for past and present stressors. In Study 1, this idea was examined by evaluating how symptoms of posttraumatic stress disorder (PTSD) were associated with problem gambling severity, different gambling …


Effect Of Asynchronous Virtual Interviews On Ethnic Minority Matriculation Into A Doctor Of Physical Therapy Program, Conner Clark, Nanea Lagasca, Gladys Miller, Jasmine Puspos May 2024

Effect Of Asynchronous Virtual Interviews On Ethnic Minority Matriculation Into A Doctor Of Physical Therapy Program, Conner Clark, Nanea Lagasca, Gladys Miller, Jasmine Puspos

UNLV Theses, Dissertations, Professional Papers, and Capstones

Purpose/Methods: This study examines the impact of the use of asynchronous virtual interviews (AVIs) in the admissions process of the Doctor of Physical Therapy (DPT) program at the University of Nevada, Las Vegas (UNLV). This research aims to examine racial and ethnic subgroup differences in AVI scores, evaluate the influence of AVIs on applicant scores in the admissions process, and assess the AVI inter-rater reliability among faculty evaluators using data from the 2019-2022 admissions cycles.

Results: Significant differences were found in AVI scores among racial and ethnic groups, with Black applicants scoring highest and Asian applicants scoring lowest. Additionally, inclusion …


The Extreme Rise Of The Fast Fashion Industry From Country To Country: Does Consumer Behavior Differ Cross Culturally Regarding Fast Fashion Between The United States And European Countries?, Madison R. Feuerbacher May 2024

The Extreme Rise Of The Fast Fashion Industry From Country To Country: Does Consumer Behavior Differ Cross Culturally Regarding Fast Fashion Between The United States And European Countries?, Madison R. Feuerbacher

Apparel Merchandising and Product Development Undergraduate Honors Theses

Abstract

The apparel industry has various categories of fashion. One of these categories known more readily today as fast fashion. Fast fashion has gained immense global popularity over the past decade. The concept of fast fashion apparel involves producing vast amounts of product as quick as possible to sell to the consumer at an aggressively low price. It is important to understand this current phenomenon of the global rise of fast fashion as well as understand the devastating effects our environment is facing because of it. As the vocalization of the harmful effects of fast fashion have become more prevalent …


Psychology Of Athletes: Impact Of Injuries On Mental Health, Caitlin Rainey May 2024

Psychology Of Athletes: Impact Of Injuries On Mental Health, Caitlin Rainey

Whittier Scholars Program

This article aims to contextualize the importance of understanding injuries in athletics and how those injuries impact mental health. With such a high prevalence of injuries in athletics, most studies analyze the physical implications on the athlete. It is vital that mental well being is studied as much as physical health throughout the injury and rehabilitation process. This study reviewed previous literature on the social impacts of team sports, psychological and social implications of injury, the impact of residual pain, and finally the process of retirement. A survey was also conducted at a small liberal arts college in Southern California …


The Age Of Adolescence: Examining The Relationship Between Body Image And Mood In Early Adolescence, Destiny R. Klanecky May 2024

The Age Of Adolescence: Examining The Relationship Between Body Image And Mood In Early Adolescence, Destiny R. Klanecky

Theses/Capstones/Creative Projects

The current study sought to examine the relationship between body dissatisfaction and early adolescent mood with the intent of raising awareness and prevention, as well as intervention, when it comes to negative mental health and depressive mood in early adolescence. General self-worth acted as the outcome variable, examining body dissatisfaction, gender, and affect as potential predictor variables of lower general self-worth at the end of the school year. All measures were done through self-report questionnaires. Correlations were run to determine gender differences among the variables of interest and a hierarchical regression was done to account for change in general self-worth …


Ethics In Law And The Effects On Mental Health: An Interview Study, Kaitlyn Nyffeler May 2024

Ethics In Law And The Effects On Mental Health: An Interview Study, Kaitlyn Nyffeler

Theses/Capstones/Creative Projects

On August 2, 1983, The American Bar Association Model Rules of Professional Conduct were adopted by the House of Delegates. This set of rules provides legal professionals with the guidance needed to uphold the rule of law and to preserve justice. In this set of rules, lawyers learn the duties of confidentiality, client relations, diligence, and the overall conduct owed to the courts. Furthermore, these duties can be demanding and oftentimes challenging. Therefore, this study examined the different ethical rules as they apply to lawyers and how these demands can impact their mental health. Interviews were conducted with six lawyers …


Renewal Of Retroactive Interference In Pavlovian Conditioning: The Effect Of Outcome Valence On Expectancy Learning And Evaluative Conditioning, Jérémie Jozefowiez, James E. Witnauer, Kristina A. Stenstrom, Audrey Huff, Ralph R. Miller May 2024

Renewal Of Retroactive Interference In Pavlovian Conditioning: The Effect Of Outcome Valence On Expectancy Learning And Evaluative Conditioning, Jérémie Jozefowiez, James E. Witnauer, Kristina A. Stenstrom, Audrey Huff, Ralph R. Miller

Psychology Faculty Scholarship

This site includes the README for Neutral CC Appendix study, the Neutral CC Appendix data, the Neutral CC data, the Neutral CC pilot experiment and 't332849-v19-assets' which = visual stimuli including cues, outcomes, and contexts.


Tripartite Influence Model Of Body Image And Disordered Eating Among Female Athletes: Testing An Expanded Model, Emma Nyrup Tonsberg May 2024

Tripartite Influence Model Of Body Image And Disordered Eating Among Female Athletes: Testing An Expanded Model, Emma Nyrup Tonsberg

Poster Presentations

The aim of the study was to investigate how different sources of sociocultural pressure (family, media, peers) described in the Tripartite Influence Model, and additions of teammate- and coach pressures, were associated with thinness-and muscularity internalization and appearance comparisons among athletes. Subsequently, these potential mechanisms were explored as predictors of disordered eating among athletes. Analyses included 71 female athletes. Athletes were recruited through a student subject pool recruitment portal, as well as with local and regional flyers and emails. Participants completed a series of self-report measures in Qualtrics. Hierarchical linear regression analysis was utilized to test the hypotheses. Partial support …


Impostor Phenomenon, Perfectionism, Psychological Distress, And Burnout In Pre-Health Undergraduate Students, Victoria Lee May 2024

Impostor Phenomenon, Perfectionism, Psychological Distress, And Burnout In Pre-Health Undergraduate Students, Victoria Lee

Honors Theses

Preparing for a career in the healthcare field is incredibly strenuous and demanding, and previous research endeavors have demonstrated that students in professional healthcare programs show an increased susceptibility to impostor phenomenon, perfectionism, psychological distress, and burnout. Previous studies have indicated a possible link between impostor phenomenon, perfectionism, psychological distress, and burnout; however, these studies only considered two or three constructs at a time in graduate students (Rosenthal, et al., 2021; Seong, et al., 2020; Garratt-Reed, et al., 2018). The current study’s purpose was to investigate the whether or not impostor phenomenon, perfectionism, and psychological distress could be potential predictors …


Medial Prefrontal Cortex Fnirs Activity While Viewing Nature And Urban Scenes: The Search For Neurological Evidence Of Nature's Transcendent Self-Diminishment Effect, Haylee V. Snyder May 2024

Medial Prefrontal Cortex Fnirs Activity While Viewing Nature And Urban Scenes: The Search For Neurological Evidence Of Nature's Transcendent Self-Diminishment Effect, Haylee V. Snyder

All NMU Master's Theses

Prior research suggests that exposure to nature increases prosociality. One of the theories as to why this happens is that nature can elicit self-diminishment which leads to the positive experience of paying less attention to oneself. To better understand the neural processes behind this, this study used functional near-infrared spectroscopy (fNIRS) to measure activity in the medial prefrontal cortex (mPFC) which is related to the self-concept. Participants were shown 12 images divided into four blocks separated by image types. Six were entirely natural scenes (three pleasant and three unpleasant), and six were entirely urban scenes (three pleasant and three unpleasant). …


A Review Of Training For First Responders When Interacting With Individuals With Diagnoses, Mackenzie Drost, Robbie Hanson May 2024

A Review Of Training For First Responders When Interacting With Individuals With Diagnoses, Mackenzie Drost, Robbie Hanson

Theses

Safety is a priority for first responders when responding to calls, but there have been numerous cases in which unintentional harm was caused when interacting with individuals with diagnoses or disabilities. Thus, it seems as though effective training procedures for these professionals is critical. However, training for first responders varies from state to state and can depend on the county in which the services are provided. Although behavioral skills training (BST) has a well-established history of training non behavior-analytic professionals and although there have been some encouraging recommendations for the effective dissemination of applied behavior analysis (ABA) to those outside …


Engineering Team Success: Evaluating Perceptions Of Teamwork Processes And Emergent States Effects On Team Outcomes, Lauren Kistler May 2024

Engineering Team Success: Evaluating Perceptions Of Teamwork Processes And Emergent States Effects On Team Outcomes, Lauren Kistler

All Dissertations

The increasing reliance on teams in modern organizations demonstrates the value and relevance of teamwork in the professional world (Porter et al., 2003). Despite the substantial amount of team research focused on team effectiveness (Mathieu et al., 2008), further investigation is warranted to provide more nuanced insight into team dynamics. The present study examined perceptions of team processes and emergent states to assess how they impact perceptions of team satisfaction and potency. Perceptions of strategy formulation, role clarity, team monitoring and backup, monitoring goal progression, coordination, trust, psychological safety, team potency, and team satisfaction were measured with a sample of …


Family Conflict & Children's Problem Behaviors: A Bidirectional Analysis Across Emerging Adolescence, Lauren Aaron May 2024

Family Conflict & Children's Problem Behaviors: A Bidirectional Analysis Across Emerging Adolescence, Lauren Aaron

LSU New Orleans Theses and Dissertations

Research has shown that living in a family high in negative and hostile conflict is detrimental to children’s adjustment. As youth transition into adolescence, their desire for more autonomy can lead to changes in the family dynamic, such as increased family conflict. What is lesser known are the ways in which families may differ in how conflict changes during this time, how these differences may influence adjustment, and whether having a child with problem behaviors may lead to increases in family conflict.

The present studies used four waves of data from the Adolescent Brain & Cognitive Development study, an ongoing …


Risk And Resilience Factors For Primary School Dropout In Côte D'Ivoire, B. Wortsman, H. Brice, A. Capani, M.-C. Ball, Benjamin Zinszer, F. Tanoh, H. Akpé, A. Ogan, S. Wolf, K. Jasińska May 2024

Risk And Resilience Factors For Primary School Dropout In Côte D'Ivoire, B. Wortsman, H. Brice, A. Capani, M.-C. Ball, Benjamin Zinszer, F. Tanoh, H. Akpé, A. Ogan, S. Wolf, K. Jasińska

Psychology Faculty Works

We examined child-, family-, and school-level risk and resilience factors associated with school dropout using longitudinal data of fifth-grade students in rural Côte d'Ivoire (N = 1195, Mage = 10.75, SDage = 1.42). Children who dropped out of school were older, involved in more child labour, had poorer literacy skills, owned fewer books, and attended schools with poorer learning environments. Cumulative risk (CR) indices revealed that child-level CR was most strongly associated with dropout (b = 0.86, OR = 0.42) compared to family- and school-level CR; further, children with low child-level CR were more likely to …


Trauma-Informed Servant Leadership Training, Kathleen Raddatz May 2024

Trauma-Informed Servant Leadership Training, Kathleen Raddatz

Instructional Design Capstones Collection

Due to the high rate of employee burnout and toxic workplace environments, organizations and managers are looking toward better leadership approaches to retain employees and promote engagement in the workplace. This training course was developed through surveys and scholarly research to train managers in a Trauma-Informed Servant Leadership approach to create psychologically safe work environments. Psychologically safe work environments have lower turnover rates, greater creativity and engagement, and higher employee satisfaction. The Trauma-Informed Servant Leadership approach reduces institutional betrayal and promotes psychological safety by adopting a transparent, results-driven framework. The training gives leaders a basic understanding of trauma, its impact …