Social and Behavioral Sciences Commons^™

Examining Effective And Realized Healthcare Access In The West South Central Division., Katherine Cameron

Electronic Theses and Dissertations

This study explores realized and effective access domains outlined by Andersen’s Behavioral Model of Health Services Use. Exploring other domains of access is critical to understanding how the healthcare system functions (Kirby & Yabroff, 2020). This study evaluates rural-urban and racial/ethnic differences in access to care using two underresearched domains of healthcare access. It also allows for exploring access disparities within rural communities amongst minority populations. This dissertation is divided into five chapters. Chapter One provides an overview of health disparities and inequities and a brief overview of the study. Chapter Two details a high-level history of racism and its …

“I Hear You”: Exploring The Lived Experience Of Counselors’ Empathic Response To Clients When Conducting Telephonic Counseling During Covid-19, Michael Sickels

Electronic Theses and Dissertations

Dissertation supervised by Dr. Debra Hyatt-Burkhart

This study sought to unearth the lived experience of counselors empathically responding to clients via telephonic counseling during COVID-19. The term empathic response refers to as attending to the emotional and mental state of another person in a way that is attuned with the feelings and meanings of the individual’s experience. There are few studies that have assessed the merits of telephonic counseling, and even fewer that have examined counselors’ empathic response to clients through this medium.

To uncover the lived experience of the target population, the participants of the study were purposefully selected …

Treating Active-Duty Military Members: Best Practices For Common Mental Health Diagnoses Across The Dod, Leah Lawson

Electronic Theses and Dissertations

Due to varying service experiences, active-duty service members endure military related stressors in addition to everyday life stressors. As a result, their risk of mental illness onset increases. Considering that many of the stressors and events are unique to military personnel, it is important to identify best-practice interventions for working with this population opposed to employing civilian best practices. The purpose of this study was to determine what treatment interventions are best-practice when working with active-duty military members diagnosed with the three most common mental disorders (e.g., adjustment disorder, depressive disorders, anxiety disorders) across the Department of Defense (DoD). This …

Pediatric Oncology Social Work Job Analysis., Alyssa Ashlyn Middleton

Electronic Theses and Dissertations

This dissertation is an examination of the tasks most important to the pediatric oncology social work role. It begins with an argument that pediatric oncology social work is a blend of four social work specialties: generalist medical social work, oncology social work, pediatric social work, and hospice and palliative care social work. Studies report pediatric oncology social workers feel unprepared for numerous tasks related to their role. Despite calls for increased education and training opportunities, few are available. Until now, there has been no study evaluating the tasks that pediatric oncology social workers deem most important to their role, nor …

A Life Lived With Schizophrenia: When Mother’S Love Is Kept In The Dark Exploring Maternal Communication And Attachment Organization In Families With Schizophrenia, Myrsini Stefanidou Marini

Electronic Theses and Dissertations

In recent years, research into the transgenerational transmission of attachment styles has shown that a mother’sattachment style often predicts the attachment style of her infant. Fearsome parental behavior has been found to predict disorganized attachment in infants, which is further associated with a range of mental health disturbances in adolescence. Furthermore, regular patterns of disturbed communication between mother and child have also been found to lead to ‘schizophrenic’ thinking and behavior in the child’s life. While acknowledging that genetic and other biological factors contribute to the emergence of schizophrenia, this study focused on disorganized attachment and disturbed communication between mother …

The Happiest Place On Earth: A Grounded Theory Of Fulfillment In Mixed-Orientation Marriages, Isadora Ferreira De Melo

Electronic Theses and Dissertations

Mixed-orientation marriages (MOMs) are often misunderstood. There is a general cynicism in research literature and in the broader culture regarding the relational viability of same-sex attracted (SSA) individuals who marry someone of the opposite sex. However, there exist couples in MOMs that are resilient and attain satisfaction. The purpose of this study is to better understand how MOMs might become successful. By interviewing maritally satisfied mixed-orientation couples, the Model of Relational Self- Determination in Mixed-Orientation Marriages was developed. This model is separated into five stages that are organized around the experience of disclosure of the SSA spouse’s sexuality. Depending on …

Caregiver-Child Conversations About Sex In African American Women, Hannah King

Electronic Theses and Dissertations

Using grounded theory methods, this study examines the experience of African American women during their caregiver-child conversations about sex and the impacts of the conversations on their sexual attitudes. The process of these conversations begins with an unplanned topic and progresses further to identify six essential themes of these conversations: gender differences, race and religion, protective/emphasis on protection, lack of knowledge, withholding knowledge, and sex negativity/shame. African American women’s description of the process included feelings of shame and negativity towards their sexuality. Caregivers promoted positive messages about sex by having open conversations that advocated for equality between the genders, empower …

A Systematic Review Of Studies Evaluating The Effectiveness Of Horticultural Therapy For Increasing Well-Being And Decreasing Anxiety And Depression, Claudia Andrea Lasater

Electronic Theses and Dissertations

This study is a systematic review of published research on the effectiveness of horticultural therapy and related interventions in reducing stress. Since the beginning of time, the great outdoors has been humanity’s source of thriving on earth. However, as industrialization, urbanization, technological, and digital advances continue to expand, human life has changed, resulting in many negative outcomes, such as mental health concerns related to stress and lack of outside engagement. The mental health and related health concerns in previous studies show to be depression, rumination, anxiety, mood and salivary cortisol, anger, general health, existential issues, and many more all show …

Determinants Of Caregiver Burden Among Informal Caregivers Looking After Older Adults With Alzheimer's Disease In Saudi Arabia., Sultan Ali Shubair

Electronic Theses and Dissertations

Caregiver burden in Alzheimer’s Disease (AD) is a significant factor in the deterioration of caregivers’ physical and mental health. Moreover, increased caregiver burden has been associated with the decline in quality of life and the reduced quality of care for the care recipient. However, the level of caregiver burden perceived by informal caregivers of care recipients with AD can be varied with the impact of different factors related to the caregiver, care recipient, and caregiving process. Identifying factors associated with caregiver burden and exploring factors that account for variation in caregiver burden are vital to prevent adverse outcomes of caregiver …

Retention Of First-Generation College Students: Exploring The Effect Of Mental Health, Yana Sue Hendricks

Electronic Theses and Dissertations

The retention of First-Generation College Students is an issue faced across different universities in the United States. FGCS are faced with various challenges that impact their enrollment in post-secondary institutions and these challenges are presented as the factors that affect retention in this study. This study attempts to analyze the three factors that affect the retention of FGCS which are mental health, financial well-being, and social support. Drawing participants, from a post-secondary program run by the Workforce Solutions of West Central Texas who attend colleges in West Central Texas. This study used a cross-sectional survey design to collect and analyze …

The Correlations Of Financial Exploitation On Senior Adults Over 65, Carmen Price

Electronic Theses and Dissertations

With the increase in people over the age of 65, the need for education about elder abuse and intervention in confirmed cases has become a priority for service providers, including social workers. The purpose of this study is to bring awareness to the different circumstances attributing to a senior adult over the age of 65 becoming a victim of elder abuse or financial exploitation. This exploratory descriptive study gathered data from the Texas Department of Family and Protective Services Open Data Portal and the 2020 U.S. Census Bureau. Various analyses were conducted to determine what may cause someone to be …

Adults With Disabilities: What Factors Create A Successful Transition From Higher Education To The Workforce?, Tiffany Elaine Brown

Electronic Theses and Dissertations

Individuals with disabilities face difficulties in both higher education and the workforce. While it would seem that they would be equipped to deal with these difficulties, high levels of college dropouts as well as pay gaps and high levels of underemployment suggest otherwise. Although there are many studies on disabilities and its relationship to singular factors, there is a lack of empirical study on the holistic relationship between disabilities and multiple factors. The purpose of this study is to explore how environmental factors, individual-external factors, and individual-internal factors are related to a successful transition from higher education to the workforce …

Child Exit Types And Permanency Outcomes In Foster Care As Correlated To Casa Involvement, Grace Elizabeth Hill

Electronic Theses and Dissertations

This study sought to identify correlations between Court Appointed Special Advocate (CASA) activities and exit outcomes for children in foster care. Previous research on the impact of CASA has been inconclusive and offered mixed findings, so this study sought to build off of previous research while also exploring new areas of research that have not yet been investigated. Big Country CASA’s database, Optima, was utilized to retrieve data on cases that closed during the 2021 fiscal year (September 1, 2020, to August 31, 2021). This yielded a sample size of 75 cases. Through an analysis of these cases to test …

The Impact Of Intensive Advising Within Trio Student Support Services On Good Academic Standing And Student Perception: An Explorative Study, Mariesha Shaw

Electronic Theses and Dissertations

Challenges in bachelor’s degree attainment for disadvantaged students (e.g., low income, first generation and disabled) within higher education is a social problem. TRiO SSS, a federal program, has been implemented at a private university in Texas to meet the needs of disadvantaged students and positively influence good academic standing, which would lead to higher bachelor’s degree attainment. Intensive advising, which is holistic meetings conducted with participants to meet academic and personal needs, is one intervention utilized in the TRiO SSS program. The purpose of this study is to assess the role and influence of intensive advising by examining whether it …

Perceived Benefits Of Upskilling And Reskilling By Persons Who Are Among The Employed, Underemployed, And Unemployed, Rosalind Marie Evans

Electronic Theses and Dissertations

ABSTRACT The purpose of this research study is to explore the perceived influence, potential impact, and benefits that upskilling, and reskilling have on the employed, underemployed, and unemployed worker. In addition, this study seeks to explore whether the perceived benefits of upskilling and reskilling include moving above the poverty line and therefore, out of poverty in real and sustainable ways. This resulting new position and potential increase in pay could have the positive impact of moving them and their families above the poverty line. The results of this study indicate that participants perceive upskilling and reskilling to be an option …

An Intersectional Perspective On The Role Of Workplace Policy Among Employed Female Caregivers During The Coronavirus Pandemic, Jessica King Mclaughlin

Electronic Theses and Dissertations

Providing care for an older adult while working can be challenging, often leading to caregiver burden. The socioenvironmental context of the coronavirus pandemic creates additional complications for working caregivers. Women, who are the majority of informal caregivers, face unique stressors in the workplace (McKinsey & Company, 2019; Carnevale et al., 2018). Prior to and during the coronavirus pandemic, workplace policies have offered the potential of support, yet more information is needed on how working female informal caregivers of older adults of diverse identities receive, interpret, and experience these policies amidst the context of the pandemic. This study uses a phenomenological …

The Intersection Of Traumatic Brain Injury And Homelessness, Stephanie A. Chassman

Electronic Theses and Dissertations

The rates of TBI are significantly higher among individuals experiencing homelessness compared to the general population. Up to half of individuals experiencing homelessness may have a TBI. Accurate prevalence rates of TBI among individuals experiencing homelessness are difficult to obtain due to different methods of sampling participants and differing definitions of TBI; therefore, estimates may be underrepresented. Despite past research that has examined the relationship between TBI and homelessness, there are specific gaps in knowledge such as correlates and risk factors of TBI among individuals experiencing homelessness. This three-manuscript dissertation attempts to address these gaps in knowledge.

The first manuscript …

Understanding And Supporting Asian American Youth’S Mental Health Within Cultural And Family Contexts, In Young Park

Electronic Theses and Dissertations

Mental health problems are a major health issue among East Asian American (EAA) youth. Although previous research has explored the risk and protective factors associated with mental health problems of EAA youth, many studies have employed Eurocentric perspectives, thereby excluding their unique cultural backgrounds, beliefs, and values. To better understand mental health needs and support these youth, further research that identifies different factors associated with mental health problems in their cultural context and assesses evidence-supported and culturally responsive interventions is needed.

This three-manuscript dissertation is presented in three papers. The first manuscript presents an integrative conceptual framework that uses two …

Exploring The Relationship Between Historical Redlining And Place-Based Reproductive Health Inequities: A Qualitative Gis Approach, Kristi L. Roybal

Electronic Theses and Dissertations

Individual-level risk factors and characteristics do not fully explain racial, ethnic, and socioeconomic inequities in preterm birth in the United States, and evidence suggests that medical advancements, increased access to prenatal care, and high per-capita spending on health care have done little to reduce these inequities. Health inequities research has shifted its attention from individual-level factors that influence health outcomes to the social determinants of health. Neighborhoods, considered an important upstream social determinant of health, can influence health outcomes through their social, service, and physical environments, and have been consistently linked to birth outcomes. Despite increased attention to neighborhood influences …

Exploring Gaps In Understanding And Responding To Ageism: A Conceptual Model, Psychosocial Health, And Racialized Ageism, Andrew T. Steward

Electronic Theses and Dissertations

Ageism is an insidious, prevalent social justice issue which has harmful effects on the health of older adults. This dissertation includes three manuscripts which explore gaps in understanding and responding to ageism through three distinct methodological approaches. Two primary gaps are addressed in the three manuscripts: 1) conceptualizing and testing activities or interventions to reduce internalized ageism and enhance psychosocial health for older adults, and 2) exploring the intersectionality of ageism with racism.

The first manuscript draws from stereotype embodiment theory and theories of successful and productive aging to detail a conceptual model of interventions which may reduce internalized ageism …

Making The Most Of Program Evaluation Data: Understanding Human Services Professionals’ Well-Being Through Qualitative Secondary Analysis, Elizabeth Ann Deaton Wacker

Electronic Theses and Dissertations

Qualitative secondary analysis (QSA) allows researchers to explore new research questions and ensure that participants’ voices are heard to the greatest extent possible, without the burdens of additional data collection. However, this approach is rarely used outside of the health sciences, and little guidance exists in the literature about how to conduct QSA. This study is a secondary analysis of qualitative program evaluation data related to the well-being of human services professionals from two fields: child welfare and early care and education (ECE). It explores these professionals’ well-being, as well as the methodological issues of how well-being has been addressed …

Preserving My Arab Self While Finding My Home In Canada: First Generation Recent Arab Immigrant Emerging Adults’ Perspectives On Acculturation Experiences And Canadian Society’S Role In Fostering Equitable Participation, Riham Al-Saadi

Electronic Theses and Dissertations

Understanding the essence of Arab immigrant emerging adults’ acculturation is a developing area of research and cultural studies in Social Work amongst other fields. Critical Race Theory (CRT) allows for contextualizing this phenomenon within the temporal and environmental structures in which it is experienced. The current study used qualitative inquiry; particularly psychological phenomenology was applied to arrive at the essence of acculturation. A total of 27 Arab immigrant emerging adults living in Windsor-Essex participated in this study and five themes emerged to inform how they understand the acculturation process. Arab immigrant emerging adults understand acculturation as a mutual dedication of …