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Full-Text Articles in Social and Behavioral Sciences

Rhetoric Of Soft Power And Public Diplomacy A Case Study Of Saudi Arabia, Sihmy Algamedi May 2025

Rhetoric Of Soft Power And Public Diplomacy A Case Study Of Saudi Arabia, Sihmy Algamedi

Electronic Theses and Dissertations

Soft power is the capacity to exert influence over the actions of others in order to accomplish one's goals. It refers to the ability to influence others without seeking any tangible benefits. Soft power emanates from a country's cultural, political beliefs, and foreign policies. Soft power refers to the capacity to achieve desired outcomes using methods that involve shaping the agenda, employing persuasion, and generating positive appeal (Alkatheeri, and Khan 26). In order for this endeavor to achieve success, the concept of legitimacy plays a pivotal role in the effectiveness of soft power. Public diplomacy is a component of foreign …


A Counselor’S Experience: Trauma-Informed Care When Working With Children Diagnosed With Autism Spectrum Disorder, Abbigail Rinard May 2025

A Counselor’S Experience: Trauma-Informed Care When Working With Children Diagnosed With Autism Spectrum Disorder, Abbigail Rinard

Electronic Theses and Dissertations

This study sought to understand the lived experience of professional counselors when implementing trauma informed care to children diagnosed with autism spectrum disorder. There are few studies that have assessed the counselors lived experience of implementing TIC, and even fewer that have examined professional counselors experience doing so in a specialized population.

To understand the lived experience of professional counselors, the participants of the study were purposefully selected to include those who have an active professional counseling license, implement TIC, and work with children diagnosed with ASD. The study was conducted with a total of eight participants who have implemented …


An Autoethnography Of My Experience Navigating The United States Educational System As An Immigrant: Intercultural Communication Challenges And Cultural Asynchronization, Anuti Ngangana May 2025

An Autoethnography Of My Experience Navigating The United States Educational System As An Immigrant: Intercultural Communication Challenges And Cultural Asynchronization, Anuti Ngangana

Electronic Theses and Dissertations

The purpose of this study was to share experiences as an immigrant student and answer the following question: What does my personal life history reveal about the importance of intercultural communication in the U.S. educational system? Immigrants leave their countries of origin and migrate to the United States for various reasons. Many are traumatized when they enter the country due to civil unrest in their native countries. Immigrants arrive with their children, who join a school system that is generally unprepared to meet their needs. In order to document immigrant experiences, the researcher utilized an autoethnographic approach using counter-storytelling from …


Changing The Face Of Power: Understanding Black Female Clinical Supervisors Through The Superwoman Schema, Shanelle V. Clay May 2025

Changing The Face Of Power: Understanding Black Female Clinical Supervisors Through The Superwoman Schema, Shanelle V. Clay

Electronic Theses and Dissertations

According to the American Counseling Association Code of Ethics (2014), the counseling profession’s core values include honoring diversity and embracing a multicultural approach to both direct services and supervision. Despite the acknowledgement of multiculturalism in clinical supervision, there is minimal research on the impact of supervisors’ intersectionality on supervision dynamics. This qualitative research study will examine the experience of Black female clinical supervisors and the impact the Superwoman Schema has on their role in supervision. This phenomenological research is grounded in the Superwoman Schema Conceptual Framework and Black Feminist Thought. A total of five superordinate themes and 14 subordinate themes …


A Raced Theology Of The Human Person: An Expanded Theological Anthropology, Cary W. Dabney May 2025

A Raced Theology Of The Human Person: An Expanded Theological Anthropology, Cary W. Dabney

Electronic Theses and Dissertations

This dissertation focuses on race as a critical, yet largely unaddressed, topic in Catholic theological anthropology. In Catholic colleges and universities that are recognized as members of the Cardinal Newman Society, theological concerns about race are deemed irrelevant for theological education in the faith and are altogether absent from the theology of the human person. As a result, this collection of institutions treats race as a specialty within pastoral theology, one that is significant to groups, but not a part of the fundamental theology of the human person. This ‘un-raced’ theological anthropology results in the institution’s inability to respond effectively …


Hospital Organizations’ Obligation To Promote Spiritual Well-Being Among Nurses: Development Of A Normative Ethical Argument, Michael Jordan May 2025

Hospital Organizations’ Obligation To Promote Spiritual Well-Being Among Nurses: Development Of A Normative Ethical Argument, Michael Jordan

Electronic Theses and Dissertations

This dissertation presents an innovative strategy to promote the support of nurses' spirituality within hospital organizations. By focusing on the spiritual well-being of nurses by hospital organizations, with a natural extension into nursing schools, the approach aims to enhance nurse’s ability to protect their own spirituality, provide comprehensive spiritual care to patients, and increase nurse moral resilience. By investing in nurses' spirituality and spiritual growth, hospitals can potentially increase job satisfaction among nursing staff, improve patient care outcomes, and create a more holistic healing environment for both nurses and patients. As the nursing shortage continues and the number of nurses …


Analyzing Decolonial Subjectivities In Reggaeton And Latin-Trap Music In Puerto Rico: A Critical Discourse Analyisis, Andres I. Rivera Amador May 2025

Analyzing Decolonial Subjectivities In Reggaeton And Latin-Trap Music In Puerto Rico: A Critical Discourse Analyisis, Andres I. Rivera Amador

Electronic Theses and Dissertations

This project studies decolonial possibilities for subjectivities in the urban music genres of reggaeton and Latin-trap in Puerto Rico. Using Ian Parker’s critical discourse analysis to analyze the lyrics and videos of three key songs, it systematically examines subjects constructed in songs, objects, discourses, and their relationships to each other. In addition to studying reggaeton and Latin-trap lyrics, the project highlights the emergence of social themes that guide the critical discursive analysis. Psychological literature and decolonial theory supplement the analysis, bringing in important theoretical insights regarding the songs’ salient social themes, such as black pride and resistance, gender fluidity and …


Use Of Mindfulness To Promote The Spiritual And Religious Competencies Of Master’S Level Counseling Students., Luisa Nayhouse May 2025

Use Of Mindfulness To Promote The Spiritual And Religious Competencies Of Master’S Level Counseling Students., Luisa Nayhouse

Electronic Theses and Dissertations

This research aimed to evaluate the effectiveness of a two-and-a-half hour training session for master's students in counselor education. The training focused on using mindfulness to enhance spiritual and religious counseling competencies. Utilizing a pre-and post-test design, the quantitative study employed mindfulness to train master's students with the aim of building and fostering spiritual and religious competencies in counseling. Historically, there has been a lack of research on the benefits of such specific mindfulness training related to this subject matter.

The study targeted master's level counselor students, with potential applicability to related fields such as psychology and social work. This …


The Mujahedeen E-Khalq Of Iran (Mek): Agents Of Democratic Revolution Or Cultic Oppression?, Molly Jones May 2025

The Mujahedeen E-Khalq Of Iran (Mek): Agents Of Democratic Revolution Or Cultic Oppression?, Molly Jones

Electronic Theses and Dissertations

This thesis focuses on the People’s Mujahideen of Iran (MEK), an Iranian oppositional group that has engaged in a decades-long effort to depose the Iranian government. The goal of this thesis has three parts. First, it examines if the MEK should be classified as a new religious movement/cult. It also addresses the implications of such status given the MEK’s claims that it functions as a democratic entity and that it can be trusted to govern Iran in democratic fashion. Secondly, it examines if Iranian disinformation has influenced the MEK’s reputation. Thirdly, it analyses how the MEK has been able to …


Temperament And Screen Time Into Adulthood, Kareem Barbis May 2025

Temperament And Screen Time Into Adulthood, Kareem Barbis

Electronic Theses and Dissertations

The possible correlation between language skills, temperament, and screen time in adulthood is understudied. It was hypothesized that high effortful control scores and low childhood screentime would corelate with higher cognitive reflection scores and higher language skills. Using a correlational design, 162 participants were studied (M age = 19.17 years old, 80% female, 86% White, 6% Hispanic). Participants completed an adapted version of the Adult Temperament Questionnaire (Evans & Rothbart, 2007), Cognitive Reflection Test (CRT; Fredrick, 2005), the Cognitive Reflection Test 2 (CRT-2; Thompson & Oppenheimer, 2016), Thompson & Oppenheimer, 2016), a childhood screen time questionnaire, a bilingualism questionnaire, and …


Emotion Regulation, Reasoning, And Procedural Safeguards In Politically-Polarized Moral Dilemmas., Alanea Graci May 2025

Emotion Regulation, Reasoning, And Procedural Safeguards In Politically-Polarized Moral Dilemmas., Alanea Graci

Electronic Theses and Dissertations

Societal disputes often stem from polarized moral dilemmas. Procedural justice and self-determination (PJSD) afforded by societal decision-making processes may influence cooperation and acceptance in these dilemmas. However, moral conviction can sometimes overshadow PJSD, causing morally-opposed individuals to avoid deliberation, become uncooperative, or reject decision outcomes. I conducted two experiments to explore the role emotions (emotion regulation) and procedural safeguards for democratic deliberation (e.g., equal discussion time, rules for civility) play in these situations. I examined the topic of abortion in the U.S. after the Supreme Court’s June 2022 reversal of Roe v. Wade. Undergraduates at a large, urban Midwestern university …


Healthcare Access And Agency In Material Culture: A Specialized Analysis Of Pharmaceutical Artifacts From Louisville’S West End., Sara Marian (Deurell) Ignacio May 2025

Healthcare Access And Agency In Material Culture: A Specialized Analysis Of Pharmaceutical Artifacts From Louisville’S West End., Sara Marian (Deurell) Ignacio

Electronic Theses and Dissertations

The American Victorian Period of the 1870s to 1920s was a time of significant transitions in medicine. In Louisville, Kentucky, this period saw an influx of Black healthcare professionals and the founding of Louisville National Medical College, the state’s first medical school open to people of color. A number of these professionals lived and/or practiced in the Beecher Terrace study area, which was excavated between 2017 and 2020. Patent medicine brands and archival records were examined qualitatively in order to understand neighborhood and case study household health concerns and consumer choice. Statistical analyses of the medicine bottles recovered during the …


Sex-Based Differences In Osteoarthritis In Early Medieval Spain: A Case Study From Visigoth And Carolingian Period Terrassa., Jordan Chatellier May 2025

Sex-Based Differences In Osteoarthritis In Early Medieval Spain: A Case Study From Visigoth And Carolingian Period Terrassa., Jordan Chatellier

Electronic Theses and Dissertations

Beginning in 1995, individuals from the Sant Pere church complex in Terrassa, Spain were exhumed. Using 21 biological females and 32 biological males collectively between the Visigoth (5th – 8th centuries) and Carolingian (9th – 11th centuries) periods from this collection, this research examined the difference in osteoarthritis between estimated phenotypic sexes. For osteoarthritis to be present, an individual needed to meet one of two criteria: 1. two or more of the following was present: macroporosity, sclerotic bone, joint deformation, and marginal osteophytes, or 2. eburnation had occurred. Through employing embodiment theory, along with gender and …


Contesting The City Through Sustainability Discourse: A Joint Archival And Interview Analysis Of City Planning In Louisville, Kentucky., Calvin Grant May 2025

Contesting The City Through Sustainability Discourse: A Joint Archival And Interview Analysis Of City Planning In Louisville, Kentucky., Calvin Grant

Electronic Theses and Dissertations

Sustainability is a part of a global discourse cast as a universal, technocratic solution to the climate crisis in need of a receptive public and active local adaptation. In many cases, language espousing sustainable development ideals and policy implementation promotes a perspective of scientific neutrality that overlooks socio-politically grounded discourses. This joint archival and interview-centered discourse analysis demonstrates that official sustainability discourse in Louisville’s Comprehensive Plan 2040 was produced through a carefully moderated consensus among planners and select stakeholders. Such consensus prioritizes the perspectives and agency of policy experts, business leaders, and others who have “recognized speech” of authority, while …


Predicting Resilience Among Treatment-Referred Youth With A History Of Trauma Exposure: An Exploration Of Risk And Protective Factors., Prabathi Mandara Gunathilake May 2025

Predicting Resilience Among Treatment-Referred Youth With A History Of Trauma Exposure: An Exploration Of Risk And Protective Factors., Prabathi Mandara Gunathilake

Electronic Theses and Dissertations

While many children and adolescents experience negative outcomes following exposure to traumatic events, some demonstrate remarkable resilience. Understanding the factors that contribute to this positive adaptation is essential for developing effective interventions. Using secondary data from 199 treatment-referred youth (ages 5 to 18) with histories of maltreatment, refugee experiences, or military-related trauma, collected between 2016 and 2021 by the Metro Louisville’s Center for Promotion of Recovery and Resilience (CPRR) program, this study examined predictors of resilience in trauma-exposed youth and how resilience is conceptualized across different informant perspectives. Hierarchical multiple regression analyses revealed distinct predictive patterns: for youth, personal strengths …


The Voices Behind The Screen: Navigating The Politics Of Work-Time, Identity, Visibility, And Tokenism In The Workplace., John Douglas Broadus Jr. May 2025

The Voices Behind The Screen: Navigating The Politics Of Work-Time, Identity, Visibility, And Tokenism In The Workplace., John Douglas Broadus Jr.

Electronic Theses and Dissertations

The COVID-19 pandemic has and continues to impact labor and work in numerous ways. As organizations began to adjust to the changes the COVID-19 pandemic brought on to how they operated, there arose a considerable amount of conflict regarding what work is and what work should be. Conflicts arose around issues of work/life balance, work-hour mismatch, health and wellbeing, self-autonomy, and individual vs. collective work, influencing how employee sees themselves, their work, and their role within the organization. This research study will focus on the culture of “work time” that is present within a public-sector organization and the various ways …


It Is Well: A Narrative Study Examining The Impact Of Community Cultural Wealth For Black Students Experiencing Grief During The Covid-19 Era., Daquarius Mahone May 2025

It Is Well: A Narrative Study Examining The Impact Of Community Cultural Wealth For Black Students Experiencing Grief During The Covid-19 Era., Daquarius Mahone

Electronic Theses and Dissertations

This dissertation examines the intersection of grief, race, and resilience among Black college students navigating grief during the COVID-19 pandemic at Predominantly White Institutions (PWIs). Through the lens of Community Cultural Wealth (CCW) and employing Narrative Inquiry methodology, this study amplifies the voices of Black students who experienced profound loss during an era marked by both personal grief and societal upheaval. By analyzing their lived experiences, the research reveals how students draw upon cultural assets—such as familial, social, and aspirational capital—to endure and thrive in the face of grief. The study identifies five pivotal themes: personal connection to lost loved …


Can Exploring Before Instruction Improve Underrepresented Stem Students’ Learning Compared To Traditional Methods? Investigating Psychosocial Factors., Katherine G. Golway May 2025

Can Exploring Before Instruction Improve Underrepresented Stem Students’ Learning Compared To Traditional Methods? Investigating Psychosocial Factors., Katherine G. Golway

Electronic Theses and Dissertations

Increasing evidence suggests that active learning benefits students’ learning outcomes, while also helping to reduce or eliminate grade differences between historically underrepresented (UR) and non-underrepresented (non-UR) students in STEM courses. This dissertation investigates if, and when, a specific active learning strategy – exploratory learning before instruction – can have these learning benefits and impact students’ fundamental needs (i.e., security, belonging, competence, and self-efficacy) and curiosity/interest. In five experimentally-controlled studies conducted within undergraduate STEM courses (physics, engineering, and chemistry), students were randomly assigned to exploratory learning conditions (explore-first) or traditional instruct-then-practice conditions (instruct-first). After completing both the learning activity and lecture-based …


Non-Suicidal Self-Injurious Behavior In Higher Education: Examining Its Prevalence And Correlates, Kacie N. Lancaster May 2025

Non-Suicidal Self-Injurious Behavior In Higher Education: Examining Its Prevalence And Correlates, Kacie N. Lancaster

Electronic Theses and Dissertations

The prevalence of non-suicidal self-injurious behavior (NSSIB) among college students has notably escalated despite advancements in mental health treatment. NSSIB is defined as intentional destruction of body tissue without suicidal intent. There is a growing need to understand NSSIB in the context of college students who experience unique stressors that influence their mental health. This study (1) determined the prevalence of non-suicidal self-injurious behavior among an undergraduate college student sample, (2) examined the relationship between NSSIB and sociodemographic variables (age, gender, ethnicity, socioeconomic status), (3) examined the relationship between NSSIB and the variables of psychiatric comorbidity, history of trauma, and …


Investigating Exoneration Patterns Among Juveniles, Kristin Mahan May 2025

Investigating Exoneration Patterns Among Juveniles, Kristin Mahan

Electronic Theses and Dissertations

Exoneration from crime has been studied among adults, but exoneration of juveniles (i.e., persons under age 18) has not been analyzed as a separate entity, despite distinct legal systems and developmental considerations. Wrongful conviction, while not always indicative of innocence, devastates lives of convicted individuals and their families, while increasing public mistrust and sometimes failing to convict truly guilty individuals. This devastation, as well as vulnerability to wrongful conviction, is significantly increased for youth who miss out on crucial developmental years, milestones, and opportunities.

In the current study, I examined differing and intersecting contributors (i.e., individual characteristics, crime characteristics, legal …


An Assessment Of The Effects Of Indirect Consultation In Improving Quality Of Life For Adults With Intellectual And Developmental Disabilities, Sarah Michele Russell May 2025

An Assessment Of The Effects Of Indirect Consultation In Improving Quality Of Life For Adults With Intellectual And Developmental Disabilities, Sarah Michele Russell

Electronic Theses and Dissertations

Seventeen percent of the total population of children are living with an intellectual / developmental disability (IDD), and while resources and therapeutic interventions are accessible during early childhood years, they often cease after turning 21 years old. As a result, many adults with IDD do not acquire the skills necessary to live independently and sustain employment or meaningful relationships, impacting their independence and quality of life. The purpose of this study is to understand how self-management training (in the form of indirect consultation) for adults with IDD influence independence and socially significant behavior in relation to quality of life. The …


Parenting Among Mothers With High Psychosocial Stress In South-Central Appalachia: Aspirations, Actions, And Intervention, Kelly Daniel May 2025

Parenting Among Mothers With High Psychosocial Stress In South-Central Appalachia: Aspirations, Actions, And Intervention, Kelly Daniel

Electronic Theses and Dissertations

Conceptualizations of adaptive parenting within Appalachia have been historically limited by the scarcity of research with the region as well as stereotyped depictions of Appalachian parents. As such, this project aimed to examine Appalachian parenting through a culturally sensitive lens by centering lived experiences through the ecological systems theory. The sample included mothers (n = 41) who attended Mom Power, an attachment-based, trauma-informed parenting skills intervention in the Appalachian Highlands. Reflective Thematic Analysis was used to analyze qualitative interview data by exploring and conceptualizing current parenting challenges and associated maternal feelings and reactions. Results include the development of a metaphor …


Revealing Hidden Histories: A Multi-Sensor Aerial Survey For Detecting Unmarked Burials At Sinking Spring Cemetery, Abingdon, Va, Noah Hall May 2025

Revealing Hidden Histories: A Multi-Sensor Aerial Survey For Detecting Unmarked Burials At Sinking Spring Cemetery, Abingdon, Va, Noah Hall

Electronic Theses and Dissertations

The Sinking Spring Cemetery, established in 1773 in Abingdon, Virginia, spans 11 acres and is divided by a road. The 9-acre southern section was reserved for white church members. Enslaved individuals and free people of color were buried in the smaller northern section, where few headstones remain today. This study aimed to map the unmarked graves using thermal, multispectral, and Light Detection and Ranging (LiDAR) sensors deployed on unmanned aerial systems. Graves were characterized by subtle topographic depressions mapped by LiDAR and cooler radiant temperature anomalies in thermal imagery. Thermal data collected at different times of the day and year …


Pilot Implementation Of Mom Power In The Appalachian Highlands: Acceptability And Effectiveness Of A Parenting Group For Mothers With High Psychosocial Need, Megan Wolff May 2025

Pilot Implementation Of Mom Power In The Appalachian Highlands: Acceptability And Effectiveness Of A Parenting Group For Mothers With High Psychosocial Need, Megan Wolff

Electronic Theses and Dissertations

Children need safe, stable, and nurturing relationships with a caregiver for optimal development. Maternal childhood adversity, traumatic life experiences, and mental health challenges can adversely impact parenting beliefs and behaviors in ways that compromise a caregiver’s ability to create and sustain a healthy caregiving environment for their child(ren). In the professional world of infant and early childhood mental health (IECMH), policies, providers, and programs work together to promote optimal child and family wellbeing to reduce the intergenerational transmission of risk and to empower resilience in families and communities. The present study investigated the feasibility, acceptability, and effectiveness of the pilot …


Does Gender Spell Success? Exploring Female Student Perspectives Of Faculty At A Higher Educational Institution, Chitora Jackson May 2025

Does Gender Spell Success? Exploring Female Student Perspectives Of Faculty At A Higher Educational Institution, Chitora Jackson

Electronic Theses and Dissertations

The purpose of this qualitative interpretative phenomenological study was to explore the lived experiences of female students at a higher educational institution and to understand how those experiences shape their perspectives of female and male faculty. Additionally, this study sought to discover how faculty gender influences their interactions with students and the similarities and differences between interactions and the potential for student success as they define it.

The overall goal was to better understand how female students experience faculty interactions and help to promote more positive outcomes for students through the supportive efforts of those who teach them. Data were …


Finding An Effective Measure Of Religiosity And Substance Use Levels For The Deaf: An Attempted Pilot Study, Angela Masiello May 2025

Finding An Effective Measure Of Religiosity And Substance Use Levels For The Deaf: An Attempted Pilot Study, Angela Masiello

Electronic Theses and Dissertations

The Deaf often lack access to health-promoting services (Meador & Zazove, 2005), though they have an increased risk of developing substance use disorders (Hommes et al., 2018). Communication has been a prominent barrier to the accessibility of healthcare services and participation in research for the Deaf (McKee et al., 2012). Literature has shown multiple methodological challenges when conducting research with the Deaf (Napier et al., 2018). This pilot study used Jones et al.’s (2001) cross-cultural translation model to translate two measures into American Sign Language (ASL). Six bilingual experts in ASL and English translated the RSAS-5 and the TAPS into …


The Moderating Effects Of Duration On The Relationships Among Adverse Childhood Experiences, Perceived Social Support, And Adult Mental Health, Jessica M. Templeton May 2025

The Moderating Effects Of Duration On The Relationships Among Adverse Childhood Experiences, Perceived Social Support, And Adult Mental Health, Jessica M. Templeton

Electronic Theses and Dissertations

Childhood adversity is a significant predictor of negative mental health outcomes, with prior research primarily focusing on cumulative risk models of adverse childhood experiences (ACEs). This study examines whether the duration of ACE exposure moderates the mediating effect of perceived social support on the relationship between ACEs and adult mental health outcomes, specifically anxiety and depression symptomatology. Using archival data from the Correlates of Adversity and Temperament in Childhood (CATCH) dataset, responses from 230 participants were analyzed. Mediation analyses revealed that perceived social support mediates the relationship between ACEs and both anxiety and depression. Moderated mediation analyses further indicated that …


Exploring Young Adults’ Implicit Theories Of Emotion And Emotion Dysregulation On Parental Emotion Socialization And Internalizing Symptomology, Daryl Parungao May 2025

Exploring Young Adults’ Implicit Theories Of Emotion And Emotion Dysregulation On Parental Emotion Socialization And Internalizing Symptomology, Daryl Parungao

Electronic Theses and Dissertations

Research regarding emotion socialization suggests parents’ responses towards their children’s negative emotions, which may be characterized as either emotion dismissive or emotion coaching behaviors, are associated with children’s well-being into adulthood. A heuristic model of emotion socialization suggests that child-level factors related to emotion processing may moderate this association (Eisenberg, 1998), which warrants further examination when considering relevant risk factors for mental health disorders such as anxiety and depression. This dissertation explored how parent emotion socialization responses interact with young adults’ beliefs about the controllability of emotions and their difficulties with emotion regulation with regard to their impact on young …


The Moderating Role Of Social Support For Lgbtq People In South Central Appalachia: Present Yet Unimpactful?, Paige Henry May 2025

The Moderating Role Of Social Support For Lgbtq People In South Central Appalachia: Present Yet Unimpactful?, Paige Henry

Electronic Theses and Dissertations

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) minority stress theory states that LGBTQ people experience stressors specific to their identity that result in negative mental health outcomes. Social support has been shown to protect against these negative outcomes, but South Central Appalachia is known to be high stigma and low resource for this population. The present study examined the potential moderating impact of four sources of social support (family, friends, partners, and pets) on the relationship between minority stress experiences and psychological distress for LGBTQ people living in South Central Appalachia. Participants included 116 LGBTQ adults living in South Central …


Exploring Predictors Of Treatment Dropout In Primary Care Behavioral Health Using Andersen’S Behavioral Model Of Health Services, Mara W. Sindoni May 2025

Exploring Predictors Of Treatment Dropout In Primary Care Behavioral Health Using Andersen’S Behavioral Model Of Health Services, Mara W. Sindoni

Electronic Theses and Dissertations

A recent meta-analysis indicated a 19.7% dropout rate from outpatient mental health care. Andersen’s Behavioral Model of Health Services identifies predisposing, enabling, and need factors as potential predictors of treatment dropout. The Primary Care Behavioral Health (PCBH) model aims to improve accessibility of mental health care but research on dropout in this setting is lacking. This study examined bivariate relationships between Andersen's factors and dropout in PCBH, and interviewed participants about their intentions to attend subsequent PCBH visits. No statistically significant bivariate relationships were found, likely due to small sample size (n = 15). Reflexive Thematic Analysis identified two themes …