Social and Behavioral Sciences Commons^™

Feasibility Of A Parent-Focused, Stress Management Intervention To Decrease Adolescent Bmi, Reduce Stress, And Increase Well-Being Among African American Families, Colby J. Kipp

Theses and Dissertations

African American adolescents in the United States experience a higher prevalence of obesity as compared to their White counterparts. This health inequity presents a public health concern as consequences of weight-related chronic diseases often persist into adulthood and are increasingly problematic. As chronic stress has been found to be higher among African American youth compared to White adolescents, it presents as a potential barrier to participation for African American families in health promotion interventions. Additionally, it may be beneficial to target stress in health promotion programs as a modifiable factor in conjunction with health behaviors that may improve outcomes related …

Factors That Influence Screening, Brief Intervention, And Referral To Treatment (Sbirt) Implementation In Non-Medical Settings, Andrew Joseph Flaherty

Theses and Dissertations

Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidenced-based intervention model designed to reduce substance use. While initially used in a variety of medical settings, SBIRT is increasingly implemented in non-medical settings. Unfortunately, very little is known about SBIRT implementation in non-medical settings. Therefore, the purpose of this exploratory qualitative study is to understand if professionals recently trained in SBIRT are using it and factors that influence implementation of SBIRT from their perspective.

In-depth qualitative interviews were conducted using a purposive sampling frame, comprised of practitioners recently trained in SBIRT. Interviews were recorded, and then transcribed verbatim, transcripts …

School Psychologists' Beliefs, Perceived Competence, Knowledge, Social/Norms Expectations, And Implementation Of School-Based Trauma-Focused Interventions, Amanda Rian Hanrahan

Theses and Dissertations

Two out of every three children will experience a traumatic event before the age of 16 (APA, 2008). Due to a variety of barriers, many of these children will not receive the mental health treatment and support they need (GAO, 2009). Researchers have identified School Psychologists as the primary school-based mental health professionals to provide services in schools (Jaycox et al., 2007). The present study aimed to better understand the prevalence of childhood trauma, analyze the factors that lead to increased intervention implementation for School Psychologists, and identify factors that decrease the negative association between barriers and implementation frequency of …

Measurement Implementation In Youth Psychotherapy: An Examination Of Barriers And Facilitators Of Y-Oq And Tsm Implementation, Tess Janeen Collett

Theses and Dissertations

Studies have shown a concerning and disproportionate amount of treatment failure and premature termination in youth populations. Routine measurement feedback has been proposed as a means to prevent treatment failure and premature termination for adults and may also improve youth mental health services. However, studies examining helpfulness of measurement feedback systems in youth populations have demonstrated a lack of effects more likely due to poor measurement implementation than to the measurement feedback system itself. Because contexts within the service settings are such crucial factors in whether an innovation is successfully implemented, examining barriers and facilitators in said contexts is a …

Treatment Integrity Of Behavior Intervention Plans (Bips) In Public School Settings, Danielle Marie Rigby

Theses and Dissertations

Behavior Intervention Plans (BIPs) are intended to guide educators’ efforts to help struggling students succeed in school by reducing the frequency of problem behavior and teaching appropriate, pro-social responses. The impact of a BIP, however, depends on the degree to which the plan is implemented with fidelity. In practice, there are many factors that prevent teachers and other practitioners from strictly adhering to the BIP including having multiple plans to follow, inexperience with the specified intervention(s), or particularly challenging behaviors in the classroom. The purpose of the study was to identify the factors that contribute to the treatment integrity of …

The Anatomy Of Cbpr: A Case Study Of Cbpr Implementation For Health Promotion With The Peer Community, Cory R. Cummings

Theses and Dissertations

This case study is a qualitative examination of a health promotion project conducted in collaboration with members of the mental health peer community. More specifically, it explores the community based participatory research (CBPR) implementation process used to conduct this health promotion project to gain a deeper understanding of the mechanisms at work in the implementation process. While there has been considerable attention to the principles that guide CBPR (Braun et al., 2012; Israel et al., 2008; LaVeaux & Christopher, 2009), there remains important work to be done in bridging these principles to implementation; what processes or mechanisms translate these principles …

Characterizing The Implementation Of Cbt For Youth Anxiety, Meghan Smith

Theses and Dissertations

Although evidence-based treatments (EBTs) often perform well in research settings, when EBTs are delivered in practice settings they sometimes fail to outperform usual care (UC). One reason for this could be that therapists in practice settings may not follow the EBT protocol as closely or may deliver more therapeutic interventions that align with other treatment domains. I tested this possibility in the context of cognitive-behavioral treatment (CBT) for youth anxiety by comparing how CBT was delivered in practice (i.e., community-based clinics) and research (i.e., lab) settings. A diverse sample of youth (aged 7-15) received one of two treatments to address …

Stakeholder Views On Children’S Mental Health Services, Adriana Rodriguez

Theses and Dissertations

Identification of evidence-based treatments (EBTs) has been an important development; however recently, some shortcomings of the approach have been highlighted. These complexities have led to a surge in transportability research in mental health services science with goals of identifying needed strategies to encourage the adoption of innovations. The mental health system ecological (MHSE) model is an approach necessary to assist with closing this gap effectively as it integrates mental health contexts: client-level, provider-level, intervention-specific, service delivery, organizational, and service system characteristics. The aim of this study is to use the MHSE model to examine perspectives of mental health stakeholders on …

Adapting Evidence-Based Treatments For Youth In A Community Mental Health Setting: Single Case Design, Alexis Quinoy

Theses and Dissertations

This single-case design study examined the effectiveness of adapting evidence-based treatments (EBTs) for children in a community clinic through a university-community partnership. Community clinic therapists treated eight youths (five males), ages 10 to 14, of whom four were Caucasian, two were Latino, one was African-American, and one was Caucasian/African-American. Youths presented with a primary diagnosis of a DSM-IV (American Psychiatric Association, 1994) internalizing disorder (plus multiple comorbidities). An adapted treatment combining multiple elements based on two primary treatment manuals: Coping Cat (Kendall et al., 1990) and PASCET (Weisz et al., 1999) was used. Youths with comorbid externalizing symptoms were also …