Social and Behavioral Sciences Commons^™

Promoting Progress To Assist Youth With Disordered Eating In School Mental Health, Bryn Elizabeth Schiele

Theses and Dissertations

Disordered eating has become a significant issue among children and adolescents; nearly 14% of all youth displaying disordered eating patterns. Despite the prevalence of these disorders amongst school-age students, there is a deficit of empirical literature on the integration of eating disorder support services in schools, as well as a lack of knowledge and training of school mental health (SMH) professionals regarding the appropriate interventions for this population. While eating disorders have previously been considered as outside of the school mental health domain of practice (e.g., Judge, 2001), this view has changed and there exists a significant need to provide …

A Spectacle Of The Odd: Constructing Otherness In The Odditoriums Of Ripley’S Believe It Or Not!, Sarah Haughenbury

Theses and Dissertations

Since Robert Ripley’s inception of the concept behind Ripley’s Believe It or Not! in 1918, Ripley Entertainment Inc. has continued to capture the attention of the public with their display of purportedly strange and unbelievable people, animals, and artifacts from across the globe. Using theories of categorization, Othering, materiality, the grotesque, the carnivalesque, and the gaze, this ethnographic study examines how persons and things in the company’s odditoriums are constructed as odd through the arrangement and decoration of exhibits and odditorium space and through the language used in advertisements and information panels.

I argue that Ripley’s uses similar techniques as …

Demand And Supply Factors Affecting Maternal Healthcare Utilization Pattern In Nigeria, Dumbiri Joy Powell

Theses and Dissertations

Given poor maternal services utilization and associated high maternal mortality risk in Nigeria, we document policy-amenable supply and demand factors impacting women’ use of skilled ANC and institutional delivery services. Using a cross-sectional design, we analyzed data from the Nigeria State Health Investment Project health facility and household surveys on 418 health facilities and 3,726 women with a pregnancy within 24 months prior to survey living in 241 geographic wards of two states. Logistic regression was used to study associations of women’s use of each maternal service with ward facilities’ ANC outpatient satisfaction, healthcare staff job satisfaction, surveyorverified facility infrastructure, …

Urban Stressors And Child Asthma: An Examination Of Child And Caregiver Models, Gillian G. Leibach

Theses and Dissertations

The purpose of the present study was to examine how low-income, racial and ethnic minority, urban families experience and manage their child’s asthma. The rationale for this study stems from existing literature on asthma disparities and documented predictors of increased asthma morbidity and mortality. In particular, this study considered how specific types of stress may disproportionately impact low-income, racial and ethnic minority, urban families that have a child with asthma. This study aimed to determine associations between urban stressors (stressful life events, perceived discrimination, subjective socioeconomic status) and child asthma outcomes (emergency department visits, school days missed, asthma control), and …

Electronic Cigarette User Plasma Nicotine Concentration And Puff Topography: Influence Of Liquid Nicotine Concentration And User Experience, Marzena M. Hiler

Theses and Dissertations

Electronic cigarettes (ECIGs) aerosolize an often nicotine-containing solution for user inhalation. ECIG nicotine delivery may depend on liquid nicotine concentration and user puffing behavior (topography). This study examined the relationship among liquid nicotine concentration, puff topography, and plasma nicotine concentration. Thirty-three ECIG-experienced and 31 ECIG-naïve individuals completed four laboratory sessions that differed by ECIG liquid nicotine concentration (0, 8, 18, or 36 mg/ml). A 3.3 volt “eGo” ECIG battery attached to a 1.5 Ohm dual coil “cartomizer” filled with 1 ml of 70% propylene glycol/30% vegetable glycerin nicotine liquid was used in two ECIG-bouts (10 puffs; 30 s IPI). Plasma …

Net Energy Metering And Community Shared Solar Deployment In The U.S.: Policy Perspectives, Barriers, And Opportunities, Gilbert L. Michaud

Theses and Dissertations

Solar photovoltaic (PV) energy has become a topic of intense policy debate at the state level in the United States (U.S.). Solar supporters have pointed to the economic development, environmental, and public health benefits this technology can provide. However, electric utilities and other interests have fought to scale back or cut favorable state PV policies as grid-connected solar PV installations have increased, due to decreased profits, grid complications, and customer fairness, among other reasons. This research first uses a hierarchical regression analysis with cross-sectional data from the years 2012–2013 to examine the suite of state-level policies used to encourage state …

Chronic Pain Causal Attributions In An Interdisciplinary Primary Care Clinic: Patient-Provider And Provider-Provider Discrepancies, Bryan Jensen

Theses and Dissertations

The purpose of the present study was to investigate the influence of pain causal attributions on patient pain-related functioning, treatment engagement, and clinical outcomes. Additionally, the impact of discordant pain causal attributions between patients and their providers as well as between interdisciplinary providers was examined. Patients rated their pain functioning and causal pain attributions during a regular clinic visit. Following the patient’s visit both the behavioral medicine provider and internal medicine resident provided ratings of similar pain-related functioning domains and causal attributions. Follow-up data were collected from the electronic medical record three months following that clinic visit. Overall, results revealed …

The Small Area Fair Market Rent System In The Richmond Region: An Evaluation Of Current Voucher Concentration, Move To Opportunity Counseling, And Value Capture Planning, Catherine L. Bray

Theses and Dissertations

In June of 2015, the U.S. Department of Housing and Urban Development released an Advance Notice of Proposed Rulemaking to establish a more effective Fair Market Rent System using Small Area Fair Market Rents (SAFMRs) in the Housing Choice Voucher Program (HCVP) instead of the current 50^th Percentile FMRs. The 50^th Percentile FMR is currently in use in the Richmond, Virginia region, and the region is likely to be among early adopters of the new SAFMR System. This thesis assesses existing conditions that will affect implementation of the Small Area Fair Market Rent (SAFMR) System. First, it evaluates …

Identifying Misconceptions Associated With Inaccurate Survey Reporting In The Combined Use Of Caffeine And Alcohol, Kathryn Polak

Theses and Dissertations

Research on college student use of caffeine combined with alcohol (CAC) and public health concern over such use has been hampered by the absence of psychometrically sound measures of caffeine and CAC use. The present study examined agreement between survey (CAS) and interview (TLFB) methods for collecting data on caffeine, alcohol and CAC use. Participants were N=50 college students randomized to complete CAS followed by TLFB or the reverse. Qualitative follow-up interviews with N=15 participants were used to identify factors contributing to CAS-TLFB discrepancies. Responses varied by method of administration, with largest discrepancy magnitudes found for CAC, followed …

Factors Predicting African American Renal Patients’ Completion Of The Medical Evaluation Process For Kidney Transplantation, Camilla W. Nonterah

Theses and Dissertations

African Americans (AA) are more susceptible to end-stage renal disease (ESRD) for several reasons. Treatment options for patients with ESRD include dialysis therapy and transplantation, with the latter typically producing better outcomes. AA are less likely to complete the medical evaluation process, which requires patients to consult with doctors and undergo a series of tests and examinations. This study sought to determine the factors that predict completion of the medical evaluation for AA ESRD patients using a mixed methods design. Participants consisted of transplant professionals (N=23) recruited from nine transplant centers in the Mid-Atlantic, Mid-Western and Southeastern parts …

Influence Of Public Insurance On Healthcare Access And Cancer Care, Wafa W. Tarazi

Theses and Dissertations

Medicaid expansion under the Affordable Care Act (ACA) facilitates access to care among vulnerable populations, but 21 states have not yet expanded the program. Tennessee’s Medicaid program experienced a dramatic Medicaid contraction when the program disenrolled approximately 170,000 nonelderly adults in 2005. Pre-ACA expansions were associated with better access to and utilization of healthcare services. However, little is known about the effect of these policy changes on improvement in health outcomes for women diagnosed with breast cancer, access to care for cancer survivors, and the effect of generosity and duration of expansion on access to care.

This dissertation has three …

Cancer Health Literacy And Hospitalization In The First Five Years Following A Cancer Diagnosis, Laura A. Cartwright

Theses and Dissertations

BACKGROUND: The field of health literacy research has been focused recently on developing more accurate measurement tools and understanding the relationship between health literacy and health outcomes. Individuals with lower levels of health literacy have worse health outcomes, including hospitalization rates, compared to those with adequate health literacy. This relationship has yet to be examined in the cancer patient population, although significant relationships between health literacy and cancer knowledge, screening behavior and quality of life have been found. This study is the first to examine the relationship between health literacy and hospitalization rates in a cancer patient population, and the …

Investigating The Effects Of A Parent-Mediated Intervention On Latino Parent-Child Verbal Interaction And Children's Receptive Vocabulary, Patricia G. Onorato

Theses and Dissertations

This study aimed to investigate parent-child verbal interactions in Spanish in a group of Latino preschoolers growing up in the United States through a parent-mediated program at home, and the effects of the program on their receptive vocabulary in Spanish. A single subject multiple baseline across participants design was used in the study. The participants were 3 Latino mothers and their sons, with low family income, living in the United States. The intervention taught the mothers strategies to enhance their children’s language through a sharing-book activity. The study lasted for 6 weeks during which baseline and intervention conditions data were …

An Examination Of The Technical And Relational Hypotheses Of Motivational Interviewing In A Sample Of African American Adolescent Girls Seeking Obesity Treatment, Rachel L. Boutte

Theses and Dissertations

Adolescent obesity has increased exponentially over the past three decades in the United States. In response, behavioral interventions have been developed and implemented to address this epidemic; however, treatment adherence is often suboptimal. Motivational interviewing (MI) is a directive, person centered approach to reducing patient ambivalence about change, which has been shown to increase engagement in obesity interventions. The current study investigated the underlying process of MI by exploring two different, but related pathways that explain how change happens (e.g., the technical and relational hypotheses) in the context of a multidisciplinary obesity intervention with African American adolescent girls (N …

Leaders In Search Of The Bomb: Institutional Incentives For Nuclear Decisions, Paige Price Cone

Theses and Dissertations

Nuclear weapons hold a strong allure for many leaders. These weapons are more than tools of national security; rather, they represent international normative symbols of modernity and national identity. This symbolic power presents a strong incentive to proliferate. However, beginning a nuclear weapons program (“proliferating”) is a costly endeavor, one that requires a significant amount of resources and time. A leader who chooses to proliferate must balance the preferences of his or her domestic audience with the significant resources required to proliferate in an international system that opposes nuclear proliferation to new states. In order to understand the paradox of …

Race, Place, And Access To Early Intensive Behavioral Intervention Among Children With Autism Spectrum Disorder In South Carolina, Marissa E. Yingling

Theses and Dissertations

Public funding of early intensive behavioral intervention (EIBI) for the 1 in 68 children who meet criteria for autism spectrum disorder (ASD) is rapidly expanding. Evidence indicates that children with ASD experience racial, socioeconomic, and geographic disparities in access to health care services. However, the Interagency Autism Coordinating Committee and the World Health Organization cite disparities in access to early intervention among the most pressing yet understudied areas of research. Currently, ASD service research is dominated by inquiries into the age of diagnosis and enrollment in EIBI. We know little about disparities in the time-lag between diagnosis and treatment onset …

Motives For Participation In Triathlons Among Midlife To Older Black Women: A Mixed Method Study, Candace Brown

Theses and Dissertations

BACKGROUND: Research has established the positive link between physical activity and its impact on health among adults. Generally, as people get older, they are less likely to be active. Black women comprise 13% of the women in the US but constitute 52% of women who are inactive. Existing articles on exercise motivation among Black women have generally assessed sedentary individuals. Little research has examined the motivations to exercise among physically active Black women. METHODS: Guided by the regulators of the Self Determination Theory, the 56 item Motivations of Marathoners Scales for Triathletes (MOMS-T) was used to assess the motives of …

Gender Nonconforming, Transgender, And Transsexual Patient Navigation Of The American Health Care System: Locating A Primary Care Provider, Justin M. Vinneau

Theses and Dissertations

This study explores the experiences of gender nonconforming (GNC), transgender, and transsexual (trans) people in the search for a primary care provider in the United States. The current body of literature on transgender health often discusses HIV rates, substance use, mental health/suicide, and few studies have studies primary care seeking behaviors; this study seeks to provide new insight into the primary care (pcp) seeking behaviors of GNC and trans people. The primary theoretical perspectives utilized in this study were West and Zimmerman’s (1987) “Doing Gender” and the Health Beliefs Mode (Ayers et al., 2007; Connor and Norman, 2005; Green and …

The Repeated Name Penalty And The Overt Pronoun Penalty In Japanese, Shinichi Shoji

Theses and Dissertations

This research investigated the Repeated Name Penalty (RNP) and the Overt Pronoun Penalty (OPP) in Japanese. The RNP was first reported by Gordon, Grosz and Gilliom (1993), who observed that English sentences with repeated-name subject anaphors were read slower than sentences with overt-pronoun subjects when the antecedents were either the grammatical subject or the first-mentioned surface-initial noun phrase of the previous sentence. The OPP has been reported in studies of Spanish (Gelormini-Lezama & Almor, 2011) in which sentences with overt-pronoun subject anaphors were read slower than sentences with null-pronoun subject anaphors for subject antecedents.

A concern with the RNP and …

Measuring The Self-Perceived Transformational Leadership Skills Of School Counselors: A Comparison Across Settings, Christina Lowe

Theses and Dissertations

Transformational leadership is a style of leadership that is well suited for the nature of the modern school counselor. Previous research has shown the ways in which a school counselor can incorporate transformational leadership components into his or her school counseling program. However, little research has currently been conducted to assess what factors contribute to counselors’ self-perceived transformational leadership. This study aimed to examine influential factors in the development of transformational leadership skills of school counselors across the United States. This study took into account age, years of experience, school setting (i.e., elementary, middle or high school) and leadership in …

Organizational Strategy Under Institutional Pluralism: A Latent Variable Analysis Of Institutional Effects On Organizational Behavior In The United States Pharmaceutical Industry, Thomas Christopher Robinson

Theses and Dissertations

The United States pharmaceutical industry is a dynamic organizational system populated by organizations pursuing different strategies to reach different goals. The aim of this dissertation is to examine the organizational field of the pharmaceutical industry to determine if categories of pharmaceutical organizations exist based on organizational strategy. This project applies the theoretical constructs of organizational fields and institutional logics developed by institutional theorists to examine the institutional effects on organizational strategies. This is a mixed methods project using historical analysis, latent class analysis, and case studies to evaluate the drug development process. The findings of this study show field level …

The Counselors’ Sexual Identity Development, Heterosexual Privilege Awareness, Faith Identity Development, And Religiosity As Predictors Of Their Sexual Orientation Counseling Competency In Working With Lgb Clients, James H. Brown

Theses and Dissertations

The purpose of this quantitative study was to investigate counselors’ sexual identity development, heterosexual privilege awareness, faith identity development, and intrinsic religiosity as predictors of their sexual orientation counseling competencies in working with LGB clients. The design of the study is a correlational survey design. The data analysis that was used is standard multiple regression.

The participants were 103 self-identified heterosexual licensed counselors. They were asked to fill out a survey consisting of the Measure of Sexual Identity Exploration and Commitment (MoSIEC), the Heterosexual Privilege Awareness (HPA), the Revised Faith Development Scale (RFDS), the Duke University Religion Index (DUREL), and …

Geospatial Modeling And Assessment Of The Environmentally Sensitive Lands In The Midwestern U.S., William M. Soohoo

Theses and Dissertations

Agricultural land-use change, especially corn expansion, has been accelerating since the 2000s to meet the growing bioenergy demand in the United States. This study identifies the environmentally sensitive lands (ESLs) in the U.S. Midwest and explores the environmental implications of land-use changes in this vital agricultural region. A new distance factor is introduced to a soil erodibility model to take wetlands and waterbodies into account. With a GIS-Ranking Model, the ESLs in 2008 and 2011 (two representative years of corn expansion) in the study region are ranked based on their soil erosion severity. Under various scenarios of bioenergy land-use change …

Adhd Symptoms, Social Problems, And Independence In Adolescent And Young Adult Males With Fxs, Marjorie Lee Grefer

Theses and Dissertations

Adolescents and young adults with fragile X syndrome (FXS) typically report a range of comorbid, impairing conditions including cognitive deficits, autism, and attention deficit/hyperactivity disorder (ADHD). Similarly these individuals experience social problems and very low levels of proficiency in independent living, which makes it extremely important to better understand what contributes to these deficits and how to potentially intervene and improve outcomes. Despite this importance, very little attention has been paid to the developmental period of adolescence in the FXS population. In addition, no previous work has utilized specific narrow band measures to probe for ADHD symptoms and instead has …

How The European Union’S Criteria For Membership Move Public Opinion, Douglas Page

Theses and Dissertations

Existing studies suggest that normative commitments to the European Union’s human rights standards remain weak in states applying for EU membership, and that citizens are unresponsive to information the EU provides. This research does not gauge public support for human rights when they are framed as an EU issue. In an original experimental survey of Bosnia and Herzegovina, I examine the effect of EU framing on support for the equal treatment of gay people, equal pay between women and men, and blame assigned to the government for policy outcomes regarding these rights. I find that EU frames affect blame towards …

The Neural Representation Of Duration In Event Concepts, Christopher Todd Hackett

Theses and Dissertations

Little is known about the neural basis of temporal concepts. Some have suggested that temporal concepts are grounded in spatial or temporal processes. Here we aimed to examine the representation of duration of event concepts, and compare them with judgments of object size, which may entail spatial processing. A 2x2 block design used event and object nouns as stimuli that were presented during functional imaging. Participants made judgments about event duration, object size, and event and object valence. In addition to whole-brain analyses, we examined activations in areas known to be involved in temporal processing and spatial processing. Knowledge of …

Spending Someone Else’S Money: The Impact Of Inheritances On Charitable Giving, Jacob Martin

Theses and Dissertations

Experimental literature has documented a ‘house money effect’, in which subjects using unearned endowments are less risk averse and more willing to consume than when they use an endowment they have not earned. I use Panel Study of Income Dynamics (PSID) data to test for this effect outside the laboratory by estimating the impact of inherited money on charitable giving. When I control for differences between individuals, I find that the impact of inheritances is significantly reduced. My results indicate that the correlation observed in previous econometric analyses is largely driven by non-random allocation of inheritances to individuals predisposed to …

Promoting Positive Academic Beliefs And Performance: Exploring The Impact Of An Academic Enrichment Program, Melanie Avery

Theses and Dissertations

First generation and low income college students experience unique achievementrelated barriers not typically experienced by their counterparts whose parents attended college and/or are of higher socioeconomic status (Hahs-Vaugn, 2004; Kahlenberg, 2004; Mortensen, 2003; Prospero & Vohra-Gupta, 2007). Academic enrichment programs that target first generation and low income college youth are one strategy that has helped to address these concerns. To extend literature in this area, the current study sought to identify factors that may be promotive of and/or barriers to first generation and low income youths’ achievement-related outcomes. Furthermore, this investigation sought to explore whether an academic enrichment program, namely …

Healthcare Utilization And Expenditure Patterns Among Older Adults With Functional And Medical Decline, Ashley Shields Robertson

Theses and Dissertations

Purpose. As the aged population of this country grows, the U.S. healthcare system will face increased pressure to provide long-term care services and supports to increasing numbers of elderly Medicare beneficiaries. Studies have indicated that unmet long-term care need can lead to increased, unnecessary utilization of the healthcare system, thus further taxing the Medicare system. Little is known about how type of long-term care, as well as how long-term care policies—specifically payment policies—affect health care utilization. The objective of this original dissertation research was to examine the effects of place of residence (community versus residential long-term care facility) and …

Essays On Retirement, Labor Supply, And Living Arrangements, Anudeep Gill

Theses and Dissertations

Three changes in the U.S. Social Security program affected recent cohorts of older individuals: repeal of the earnings test, increases in the normal retirement age, and increases in the delayed retirement credit. All three policy changes were expected to affect work decisions for those eligible for social security benefits. The first two chapters of my dissertation assess the impact of these policy changes. In the first chapter, using data from the Survey of Income Program and Participation (SIPP) for the years 1996-2013, I study the influence of the three policy changes on the retirement and benefit-claiming decisions of older men …