Social and Behavioral Sciences Commons^™

It's A Conversation, Amy Cooper Cary

Library Faculty Research and Publications

No abstract provided.

Rural-Urban Disparities In Video Telehealth Use During Rapid Mental Health Care Virtualization Among American Indian/Alaska Native Veterans, Isabelle S Kusters, Amber B Amspoker, Kristen Frosio, Stephanie C Day, Giselle Day, Anthony Ecker, Julianna Hogan, Jan A Lindsay, Jay Shore

Center for Medical Ethics and Health Policy Staff Publications

Importance: American Indian/Alaska Native veterans experience a high risk for health inequities, including mental health (MH) care access. Rapid virtualization of MH care in response to the COVID-19 pandemic facilitated care continuity across the Veterans Health Administration (VHA), but the association between virtualization of care and health inequities among American Indian/Alaska Native veterans is unknown.

Objective: To examine differences in video telehealth (VTH) use for MH care between American Indian/Alaska Native and non-American Indian/Alaska Native veterans by rurality and urbanicity.

Design, setting, and participants: In this cohort study, VHA administrative data on VTH use among a veteran cohort that received …

Professional Virtue Of Civility And The Responsibilities Of Medical Educators And Academic Leaders, Laurence B Mccullough, John Coverdale, Frank A Chervenak

Center for Medical Ethics and Health Policy Staff Publications

Incivility among physicians, between physicians and learners, and between physicians and nurses or other healthcare professionals has become commonplace. If allowed to continue unchecked by academic leaders and medical educators, incivility can cause personal psychological injury and seriously damage organisational culture. As such, incivility is a potent threat to professionalism. This paper uniquely draws on the history of professional ethics in medicine to provide a historically based, philosophical account of the professional virtue of civility. We use a two-step method of ethical reasoning, namely ethical analysis informed by pertinent prior work, followed by identifying the implications of clearly articulated ethical …

Spanish-Language Communication Of Covid-19 Information Across Us Local Health Department Websites, Isabelle S Kusters, Amanda M Gutierrez, Julianna M Dean, Mark Sommer, Anna Klyueva

Center for Medical Ethics and Health Policy Staff Publications

The COVID-19 pandemic has brought new urgency to a longstanding problem: the US health system is not well-equipped to accommodate the country's large limited English proficient (LEP) population in times of national emergency. We examined the landscape of Spanish-language COVID-19 website information compared to information in English provided by health departments of the top 10 cities by population in the USA. For each city, coders evaluated three score measures (amount of information, presentation quality, and ease of navigation) for six content types (general information, symptoms, testing, prevention, vaccines, and live statistics) across six delivery modes (print resources, website text, videos, …

Factors Associated With Internalizing And Externalizing Symptoms In A Clinical Sample Of Youth With Misophonia, Gabrielle M Armstrong, Rebecca L Greenberg, Orri Smárason, Renee M Frederick, Andrew G Guzick, Sophie C Schneider, Samuel D Spencer, Matti Cervin, Eric A Storch

Center for Medical Ethics and Health Policy Staff Publications

Misophonia is an often chronic condition characterized by strong, unpleasant emotional reactions when exposed to specific auditory or visual triggers. While not currently defined within existing classification systems, and not clearly fitting within the framework of extant psychiatric conditions, misophonia has historically been studied most frequently within the context of obsessive-compulsive and related disorders. Internalizing and externalizing psychiatric symptoms are common in misophonia, but specific factors that confer risk for these symptoms remain unknown. The present cross-sectional study examined whether sensory sensitivity and cognitive emotion regulation facets are associated with co-occurring internalizing and externalizing symptoms in 102 youth with misophonia …

Measuring Misophonia In Youth: A Psychometric Evaluation Of Child And Parent Measures, Matti Cervin, Andrew G Guzick, Jane Clinger, Eleanor E A Smith, Isabel A Draper, Wayne K Goodman, Marijn Lijffijt, Nicholas Murphy, Catherine E Rast, Sophie C Schneider, Eric A Storch

Faculty, Staff and Students Publications

BACKGROUND: Misophonia is characterized by intense emotional reactions to specific sounds or visual stimuli and typically onsets during childhood. An obstacle for research and clinical practice is that no comprehensively evaluated measures for pediatric misophonia exist.

METHODS: In a sample of 102 youth meeting the proposed diagnostic criteria of misophonia, we evaluated the child and parent-proxy versions of the self-reported Misophonia Assessment Questionnaire (MAQ; assessing broad aspects of misophonia) and the child version of the Amsterdam Misophonia Scale (A-MISO-S; assessing misophonia severity). Confirmatory and exploratory factor analysis were used to examine factor structures of the measures. Further, child-parent agreement on …

Predictors And Moderators Of Treatment Outcomes For Anxious Children Randomized To Computer-Assisted Cognitive Behavioral Therapy Or Standard Community Care, Orri Smárason, Andrew G Guzick, Wayne K Goodman, Alison Salloum, Eric A Storch

Faculty, Staff and Students Publications

Introduction:

Computer-assisted cognitive behavioral therapy (CCBT) for childhood anxiety disorders may aid the dissemination of CBT, while maintaining treatment fidelity. Although CCBT is an effective intervention, not everyone benefits equally from treatment. Identifying patient characteristics that predict who will benefit from treatment and to what extent can help with matching patients to suitable interventions, and allow researchers and clinicians to modify, and individualize, their treatment formats more effectively. Such predictors and moderators have not yet been examined for CCBT outcomes in anxious children and studies of more traditional treatment formats have yielded inconsistent results.

Methods:

Using data from a randomized …

Neuromodulation For Adjunctive Treatment In Postmastectomy Pain Syndrome, Kennedy Kirkpatrick, Jay D Shah, Krishna Shah

Faculty, Staff and Students Publications

Postmastectomy pain syndrome (PMPS) affects nearly half of patients who undergo mastectomy to treat breast cancer. As the survival rate of breast cancer increases with advancements in treatment, the incidence of PMPS is also increasing. Patients with PMPS can experience unrelenting, chronic pain refractory to traditional management with oral pharmacotherapy in conjunction with nonpharmacologic treatment (physical therapy, transcutaneous electrical nerve stimulation (TENS)). Neuromodulation is an emerging treatment modality for numerous chronic pain conditions. This case report highlights the tremendous success of spinal cord stimulator placement for a patient with PMPS.

Psychometric Properties Of The Turkish Version Of The Children's Saving Inventory In A Clinical Sample, Mehmet Akif Akıncı, Bahadır Turan, Ali Çakır, İbrahim Selçuk Esin, Eric Alan Storch, Onur Burak Dursun

Faculty, Staff and Students Publications

OBJECTIVE: The Children's Saving Inventory (CSI) is a measurement tool developed to assess hoarding behavior in children. This study aims to investigate the psychometric properties of the Turkish version of the CSI in a clinical sample of children and adolescents.

MATERIALS AND METHODS: The study sample consisted of 52 children and adolescents diagnosed with obsessive-compulsive disorder in the 8-17 age group and their families. As a structured diagnostic interview, the Development and Well-Being Assessment (DAWBA) was applied to all participants included in the research. Hoarding disorder (HD) diagnosis was made clinically by considering the Diagnostic and Statistical Manual of Mental …

Racial/Ethnic Differences Persist In Treatment Choice And Outcomes In Isolated Intervention For Coronary Artery Disease, Rodrigo Zea-Vera, Sainath Asokan, Rohan M Shah, Christopher T Ryan, Subhasis Chatterjee, Matthew J Wall, Joseph S Coselli, Todd K Rosengart, Waleed T Kayani, Hani Jneid, Ravi K Ghanta

Faculty, Staff and Students Publications

OBJECTIVE: Studies have noted racial/ethnic disparities in coronary artery disease intervention strategies. We investigated trends and outcomes of coronary artery disease treatment choice (coronary artery bypass grafting or percutaneous coronary intervention) stratified by race/ethnicity.

METHODS: We queried the National Inpatient Sample for patients who underwent isolated coronary artery bypass grafting or percutaneous coronary intervention (2002-2017). Outcomes were stratified by race/ethnicity (White, African American, Hispanic, Asian). Multivariable logistic regression evaluated associations between race/ethnicity and receiving coronary artery bypass grafting versus percutaneous coronary intervention, in-hospital mortality, and costs.

RESULTS: Over the 15-year period, 2,426,917 isolated coronary artery bypass grafting surgeries and 7,184,515 …

Hope And Optimism In Pediatric Deep Brain Stimulation: Key Stakeholder Perspectives, Natalie Dorfman, Lilly Snellman, Ynez Kerley, Kristin Kostick-Quenet, Gabriel Lazaro-Munoz, Eric A Storch, Jennifer Blumenthal-Barby

Center for Medical Ethics and Health Policy Staff Publications

Introduction: Deep brain stimulation (DBS) is utilized to treat pediatric refractory dystonia and its use in pediatric patients is expected to grow. One important question concerns the impact of hope and unrealistic optimism on decision-making, especially in "last resort" intervention scenarios such as DBS for refractory conditions.

Objective: This study examined stakeholder experiences and perspectives on hope and unrealistic optimism in the context of decision-making about DBS for childhood dystonia and provides insights for clinicians seeking to implement effective communication strategies.

Materials and methods: Semi-structured interviews with clinicians (n = 29) and caregivers (n = 44) were conducted, …

Clinician Perspectives On Levels Of Evidence And Oversight For Deep Brain Stimulation For Treatment-Resistant Childhood Ocd, Michelle T Pham, Tiffany A Campbell, Natalie Dorfman, Laura Torgerson, Kristin Kostick-Quenet, Jennifer Blumenthal-Barby, Eric A Storch, Gabriel Lázaro-Muñoz

Center for Medical Ethics and Health Policy Staff Publications

Approximately 10-20% of children with obsessive-compulsive disorder (OCD) have treatment-resistant presentations, and there is likely interest in developing interventions for this patient group, which may include deep brain stimulation (DBS). The World Society for Stereotactic and Functional Neurosurgery has argued that at least two successful randomized controlled trials should be available before DBS treatment for a psychiatric disorder is considered "established." The FDA approved DBS for adults with treatment-resistant OCD under a humanitarian device exemption (HDE) in 2009, which requires that a device be used to manage or treat a condition impacting 8,000 or fewer patients annually in the United …

Hope And Optimism In Pediatric Deep Brain Stimulation: Key Stakeholder Perspectives, Natalie Dorfman, Lilly Snellman, Ynez Kerley, Kristin Kostick-Quenet, Gabriel Lazaro-Munoz, Eric A Storch, Jennifer Blumenthal-Barby

Center for Medical Ethics and Health Policy Staff Publications

Introduction: Deep brain stimulation (DBS) is utilized to treat pediatric refractory dystonia and its use in pediatric patients is expected to grow. One important question concerns the impact of hope and unrealistic optimism on decision-making, especially in "last resort" intervention scenarios such as DBS for refractory conditions.

Objective: This study examined stakeholder experiences and perspectives on hope and unrealistic optimism in the context of decision-making about DBS for childhood dystonia and provides insights for clinicians seeking to implement effective communication strategies.

Materials and methods: Semi-structured interviews with clinicians (n = 29) and caregivers (n = 44) were conducted, …

Ethics Education For Healthcare Professionals In The Era Of Chatgpt And Other Large Language Models: Do We Still Need It?, Vasiliki Rahimzadeh, Kristin Kostick-Quenet, Jennifer Blumenthal Barby, Amy L Mcguire

Center for Medical Ethics and Health Policy Staff Publications

In this paper, we contend with whether we still need traditional ethics education as part of healthcare professional training given the abilities of chatGPT (generative pre-trained transformer) and other large language models (LLM). We reflect on common programmatic goals to assess the current strengths and limitations of LLMs in helping to build ethics competencies among future clinicians. Through an actual case analysis, we highlight areas in which chatGPT and other LLMs are conducive to common bioethics education goals. We also comment on where such technologies remain an imperfect substitute for human-led ethics teaching and learning. Finally, we conclude that the …

Metropolitan Transportation Commission Discretionary Transit Funding Methods Evaluation, Christopher E. Ferrell, John M. Eells, David Reinke, Richard Lee

Mineta Transportation Institute

In 2021, the Santa Clara Valley Transportation Authority (VTA) approached the Mineta Transportation Institute (MTI) with a proposal to have MTI provide an evaluation of the Metropolitan Transportation Commission’s (MTC’s) operational discretionary funding allocation policies and methods for Bay Area transit operators. The research was done in two parts. Part 1 investigated MTC’s past and current allocation methods for discretionary operational transit funding programs; Part 2 involved the evaluation of outcomes if MTC employed alternative allocation methods. After the Part 1 review of MTC’s various transit funding programs, the federal pandemic relief funds and the Transportation Development Act/State Transit Assistance …

A Phenomenological Study Examining Job Embeddedness Of Direct Support Professionals In Community-Based Services Programs: Why Do They Stay?, Athena M. Thomas

Electronic Theses and Dissertations

Individuals with intellectual and developmental disabilities (IDD) live in the community in apartments, group home settings, and host home environments. They need support in all aspects of adaptive living skills to live independently. Direct support professionals (DSPs) provide support in areas of grooming, oral hygiene, toileting, laundry, housekeeping, meal planning, meal preparation, medication administration, mobility, recreation, shopping, and grocery shopping. This qualitative phenomenological study examined why DSPs remain in the position despite experiencing low wages, inadequate benefits, lack of adequate training, and lack of opportunities for upward mobility. Using the theoretical framework of job embeddedness, this research was conducted to …

The Vermont Family Based Approach In Primary Care Pediatrics: Effects On Children’S And Parents’ Emotional And Behavioral Problems And Parents’ Health-Related Quality Of Life, Masha Y. Ivanova, Allison Hall, Stanley Weinberger, Sara L. Buckingham, William E. Copeland, Phoenix Crockett, Justin Dainer-Best, Casey D'Alberto, Lauren Dewey, Deshan Foret, Maria Galano, Lisa Goodrich, Lindsay E. Holly, Nalini Lane, Maureen Leahey, Mathew Lerner, Jasime Marsh, Ellen Mcginnis, Melissa Paiva-Salisbury, Judith S. Shaw, Pamela Swift, Rebekah Tinker, James J. Hudziak

Psychology Faculty Research and Publications

This randomized controlled trial tested the Vermont Family Based Approach (VFBA) in primary care pediatrics. The VFBA is a model of healthcare delivery that shifts the focus from the individual to the family, emphasizes emotional and behavioral health, and uses evidence-based health promotion/prevention along with the treatment of emotional and behavioral problems. Participants were 81 families of 3–15-year-olds. For children, the VFBA was associated with greater reductions than the Control condition on the Child Behavior Checklist Emotionally Reactive, Withdrawn, Sleep Problems, Aggressive Behavior and Total Problems scales. For parents, the VFBA was associated with greater reductions than the Control condition …

A Special Message To You From Your Mda Dental Pac Chair, Elizabeth Ralstrom Dds, Ms

The Journal of the Michigan Dental Association

This article is a message from the chair of the Michigan Dental Association’s political action committee thanking members for their contributions and encouraging them to make a contribution with their 2024 dues statement. It includes a listing of all contributors to the PAC over the past year.

Mda Advocacy Report: 2023 To Date, And What’S Next, Jason Mashni Dds

The Journal of the Michigan Dental Association

This article is a recap of MDA legislative advocacy accomplishments and what is on the horizon for the remainder of 2023, written by the chair of the MDA Committee on Governmental and Insurance Affairs.

J Mich Dent Assoc October 2023

The Journal of the Michigan Dental Association

The October 2023 issue of the Journal of the Michigan Dental Association provides: A message from the chair of the Michigan Dental Association political action committee with a listing of donors and a report on MDA advocacy during 2023, which are this month’s cover stories. Also included is a Q&A feature on dealing with dental benefits companies. This month’s clinical article is a discussion of the management of a failing implant using guided bone regeneration and esthetic crown lengthening. Other features include a listing of 2023 MDA life members and a President’s Message on the dental workforce crisis in Michigan. …

Nightmares And Self-Injury Among High-Risk Adolescents: Examining The Role Of Emotion Regulation, Kinjal K. Patel

Psychology Theses & Dissertations

Self-injurious thoughts and behaviors (SITBs) are a public health concern among youth. SITB rates rise drastically during adolescence -- a critical and sensitive developmental period characterized by dramatic changes in biological and social systems. Prior research has identified distal risk factors which tell us who is at risk for SITBs. Emerging research suggests proximal risk factors may be useful to identify when an individual may be at risk for SITBs. One promising proximal risk factor for SITBs is sleep problems. Although the relation between sleep problems and SITBs has been widely documented, little is known about the short-term, proximal links …

Considering Equity In Infrastructure Planning Processes And Outcomes For Coastal Resilience, Wie Yusuf, Marina Saitgalina, Tom Allen, Nicole S. Hutton, Jennifer L. Whytlaw, Joshua Behr

School of Public Service Faculty Publications

No abstract provided.

Peace In The Middle Of The Storm, Ronald Washignton Dr, Sandra L. Guzman-Foster Ph.D.

The Journal of Faith, Education, and Community

The march towards biblical Revelation and restoration began at Calvary and continues today. A comforter and Basic Instructions Before Leaving Earth (BIBLE) are given to sustain believers in these times. As educators and more so as followers of Jesus the Christ, there are certain truths we hold. Among them is that we are just passing through this life. In our traversing of this life, we accept the command to spread the good news, utilize our gifts, and do all unto the glory of God. So as educators, the main question throughout the COVID pandemic, with political and social unrest in …

Practical Interventions For Groupwork Leader Training In Master’S Counseling Programs, Madeleine Stevens, Shannon Strohl, Pat Mcgowan

Journal of Counselor Preparation and Supervision

Groupwork in counseling has been utilized to promote client wellness, but little attention has been paid to the development and standardization of group leadership skills training in counselor education. This paper highlights this gap and offers practical, evidence-based solutions to help counselor educators train effective group leaders at the master’s level. The authors developed skill-building solutions using the core competencies for group leadership training in the Professional Standards for the Training of Group Workers (2000) by the Association for Specialists in Group Work (ASGW).

Utilizing The Safe-T Model And Anti-Racist Counseling Principles For Suicide Assessment And Teaching Counselors In Training, Aubrey D. Daniels, Kristen Nadermann, Christy Beck, Yusen Zhai

Journal of Counselor Preparation and Supervision

Training on suicide assessment and intervention in college counseling centers is crucial. The SAFE-T model is effective when teaching counselors in training (CITs) in training clinics on college campuses as students learn how to assess clients’ suicide risk level. We share how the SAFE-T model, in tandem with anti-racist counselor education practices, can enhance training in programs with training clinics based on our clinic at The Pennsylvania State University, followed by a case study to exemplify how to synthesize both practices for robust clinical outcomes.

Experiences Of The Supervisory Alliance And Self-Compassion In Counseling And Psychotherapy Students, Alexandre Brien, Patricia Dionne, Réginald Savard, Cynthia Bilodeau

Journal of Counselor Preparation and Supervision

This qualitative research examined the relationship between supervisory working alliance, self-compassion and reflexive self-awareness with students enrolled in a graduate-level counseling or counseling and psychotherapy program (n = 48). A thematic analysis using a Critical Incident Questionnaire was performed. The themes identified in this study indicate that both supervision alliance and self-compassion seemingly contribute positively to student supervisee learning experiences and to the development of their reflexive self-awareness. Moreover, the perceived learning achieved, and the development of reflexive self-awareness, reciprocally strengthened the supervisory alliance. Furthermore, the degree of supervisees’ self-compassion as well as their perceived supervisory alliances had an …

Counselors’ Stigma Toward Addictions: Increasing Awareness And Decreasing Stigma, Natalie M. Ricciutti

Journal of Counselor Preparation and Supervision

The purpose of this study was to explore licensed counselors’ level of stigma toward individuals with substance use disorders (SUDs) and process/behavioral addictions (PBAs) and note any differences. A total of 138 licensed mental health counselors from one Midwestern state completed the SRTSS and the BRTSS to determine levels of stigma toward SUDs and PBAs, respectively. Participant scores from the SRTSS and BRTSS were normally distributed, and 15% to 32% of participants’ scores were reflective of stigma toward individuals with either SUDs or PBAs. A significant difference was not found between participants’ stigma toward individuals with SUDs or PBAs. Hypotheses …

Suggestions To The Field: Novice Counselors’ Challenges In Treating Borderline Personality Disorder, Qu Chen, Richard Hazler

Journal of Counselor Preparation and Supervision

Novice counselors working with clients diagnosed with Borderline Personality Disorder (BPD) are at risk for professional burnout. For many novice counselors, the cause of professional burnout is based on factors related to quality guidance and supervision. This article aims to call attention to counselor educators and supervisors to protect novice counselors treating BPD and provide suggestions for supervision. The authors review books, journal articles, and training workshop materials from 2003 to 2022, summarize features of BPD, analyze novice counselors’ challenges in treating BPD, and suggest some strategies that counselor educators and supervisors can use to assist novice counselors in treating …

Aspiring Counselors’ Mental Health: Recognizing Students’ Wellbeing As An Impactor On Development, Christopher R. Lafever, Melinda M. Gibbons

Journal of Counselor Preparation and Supervision

Aspiring Counselors (AC) are learning to navigate professional knowledge and skills while engaging in developmentally necessary self-reflection. Wellness, as a professional cornerstone, has been an emphasis in the instruction and development of AC. AC’s development can have barriers of professional and personal disposition, such as un-met or underattended mental health concerns which may require remediation. AC may also have higher prevalence of adverse childhood and trauma experiences. Exploring the current literature on AC’s development, wellness, and adverse childhood experiences and trauma provides insights in how counselor educators can structure programs in a more proactive rather than responsive way. The purpose …

Using Supervision Preferences Of Counselors To Predict Intention To Stay, Amanda K. Mccarthy, Randy Mccarthy

Journal of Counselor Preparation and Supervision

The demand for counselors continues to grow and agencies continue to look for strategies that will retain their counselors. While improving employee retention requires multiple regular and ongoing actions at all levels of an organization, supporting supervisors to provide quality interactions with counselors could be part of the solution. The purpose of this study was to investigate the relationship between supervision preferences and turnover intention among counselors employed in state agencies. Researchers solicited information regarding the supervision activities that counselors preferred to receive compared to the supervision activities they actually received. Instead of asking what counselors need regarding supervision, this …