Other Social and Behavioral Sciences Commons^™

From Anxiety To Stewardship: An Autoethnographic Study Of Therapist Development, Christie Ellis

Theses and Dissertations--Family Sciences

Routine outcome monitoring (ROM) is recognized as an evidence-informed practice for supporting psychotherapy outcomes, yet limited research has examined how therapists-in-training experience integrating ROM into their clinical development. This autoethnographic study investigated the role of ROM in shaping therapist identity development within a university-based marriage and family therapy training clinic. Qualitative data included 34 reflective journal entries analyzed using reflexive thematic analysis, and quantitative data included multiple client outcome trajectories across several clinical measures compared descriptively with prototypical change trajectories derived from MFT-PRN datasets. Qualitative findings reflected a developmental progression from initial anxiety and performance concerns toward increased confidence, attunement, …

German Couples' Mental And Relational Health Before, During, And After Pregnancy: Comparisons Across Conception Type, Mckenna Fey

Theses and Dissertations--Family Sciences

Previous research on the perinatal period (i.e., pregnancy and postpartum) has largely focused on the pregnant partner’s experience and has rarely involved dyadic data from both partners in a romantic relationship. Although mental health—particularly of pregnant partners—has been extensively studied, relational health is often overlooked in the literature. Using life course theory as a framework, the present study examines both pregnant and nonpregnant partners’ mental and relational health before, during, and after pregnancy to understand actor, partner, and cross-process effects. Six hundred and twelve couples (N = 1,224 individuals) from the German Family Panel (pairfam) were assessed for mental and …

Navigating Mental Wellness: A Peer-Led Journey Into Adult Services, Kristin G. Haberek

DSW Capstone Projects

Students with severe emotional disturbances (SED) occupy one of the most underserved intersections in American education and mental health care. As they age out of children’s services, they face abrupt service discontinuation, disrupted therapeutic relationships, and adult systems ill-equipped to meet their needs. These vulnerabilities, including heightened risks of crisis, hospitalization, homelessness, and justice involvement, constitute a central practice problem. This capstone addresses these transitions across three scholarly products: a systematic literature review, a theoretical concept paper, and a practical application paper, tracing a unified arc from diagnosing structural failures to proposing an evidence-informed, equity-oriented clinical response. Synthesizing key findings …

Scrolling, Searching, And Self-Diagnosing: Examining How Social Media Influences Self- Diagnosis And Shapes Mental Health Literacy, Conceptualization, And Identity Development, Sara Elaine Hamilton

DSW Capstone Projects

This capstone examines the influence of social media on the growing issue of self-diagnosis of mental health disorders through three scholarly works: a systematic literature review (SLR), a conceptual paper, and practice application paper. Accessibility, anonymity, and social isolation are identified as contributing factors of self-diagnosis, as individuals increasingly prioritize convenience over traditional help-seeking methods. Research suggests that self-diagnosis is influenced by misinformation and reinforced by validation and a sense of belonging, leading individuals to internalize mental health disorders as part of their identity. Findings further indicate that social media plays a significant role in the dissemination of misinformation about …

Mapping The Impact Of Leadership Training: A Ripple Effects Mapping Of The Kentucky Extension Homemaker Association’S First Leadership Academy, Kelly May

Theses and Dissertations--Community & Leadership Development

This research study evaluates the first Kentucky Extension Homemaker Association (KEHA) Leadership Academy using the participatory, qualitative evaluation tool Ripple Effects Mapping (REM). This study explored the impact and outcomes of the training, both intended and unintended.

REM is a participatory evaluation method that begins with appreciative inquiry, then continues with a group discussion where stories are “mapped” or illustrated in real time. Using the Theming and Rippling Method of REM, the research team coded the information on site with inductive theming and those themes were then shared and confirmed with the group. After the event, the mapped data was …

Voices Of Experience: Lay Perspectives On Severe Maternal Morbidity In Appalachia, Anna Hansen, Cassidy Carter, Nancy Schoenberg, Carrie B. Oser

UK CARES Faculty Publications

No abstract provided.

How Black Undergraduate Students Experience Whiteness In Postsecondary Education, Karen Margaret Guettler-James

Theses and Dissertations--Educational, School, and Counseling Psychology

Critical whiteness scholars have described whiteness as a system of oppression that privileges White identities above others and perpetuates White supremacy. On the college campus, institutional, social, and historical norms reinforce the educational status quo and work together to maintain a system of whiteness that marginalizes Black students. This study investigated perceptions of whiteness held by student participants who self-identify as Black undergraduate students. Through focus group interviews, participants were asked to share their lived experiences with whiteness on the college campus. With the words of the participants, I reveal how campus standards that align with White Eurocentric norms devalue …

What’S Harm Reduction Got To Do With It? A Study Of The Implementation Of Substance Use Management Practices Among A Sample Of U.S. Domestic Violence Programs, Stephanie H. Ratliff

Theses and Dissertations--Social Work

Domestic violence programs are essential resources for survivors of intimate partner violence (IPV). Programs offer services that go beyond providing safety and shelter. To improve outcomes, program staff have expanded services to meet the needs of survivors. One population of survivors that has gained attention in the peer-reviewed literature is survivors who use substances (SWUS). These survivors have unique needs and are at increased risk of IPV due to substance misuse. Research about the support available to SWUS after they access shelter is scarce. Using cross-sectional data from a national sample of 97 U.S. domestic violence programs, this study describes …

Exploration Of Burn Survivors’ Experiences With Nutrition During The Rehabilitation Phase Of Burn Injury Recovery: A Qualitative Study, Alyaa M. Zagzoog

Theses and Dissertations--Rehabilitation Sciences

Approximately 500,000 people in the United States are affected by a burn injury and seek care every year. With medical innovation, however, the burn injury survival rate has increased to 97% in the United States. Burn survivors undergo two phases of recovery: acute and rehabilitation.With advances in burn treatment and care, the focus has shifted from the expectation of survival to improving outcomes. Nutritional care, including assessment and education, plays a major role in burn survivors’ wellness, facilitating wound healing and promoting recovery, but nutritional guidelines and polices appear limited during the rehabilitation phase,with literature suggesting nutritional assessment has historically …

Links Between Perceived Mother-Adolescent And Father-Adolescent Conflict And Low Self-Control: A Cross-National Comparative Study, Tory Thomas

Theses and Dissertations--Family Sciences

The influence of parent-adolescent relationships and adolescent adjustment have been well-documented. Self-control has emerged as a key probabilistic construct in understanding adjustment, well-being, and life success. The present study tests the links between adolescent perceptions of maternal and paternal conflict and self-control. In addition, to understand the extent to which cultural developmental context impacts these associations, the study will employ a cross-cultural comparative lens to test whether cultural context moderates these links. Self-report data were collected from N = 4,924 adolescents (Mage = 16.97 years, 54.08% female) across four countries (China, Czech Republic, Turkey, and the United States). In by …

Disparities In Mental Health Technology Among African Americans: Breaking Cultural Inclusion Barriers, Nyoki Cosey-Brown

DSW Capstone Projects

Mental health technology is a healthcare delivery model of the future. The engagement in virtual healthcare was intensified when traditional healthcare methods were inaccessible during the federal restrictions implemented due to the COVID-19 pandemic. Utilizing digital apparatuses for healthcare improved the convenience, efficiency, and accessibility of various mental health services that were inoperable in past healthcare models. However, the historical constructs of stigma, discrimination, inequity, exclusion, and structural racism in mental healthcare were prevalent problems that remained present in virtual mental health platforms concerning the experiences of African-American patients and professionals who utilized the spaces.

This research explored mental health …

Internalized Homonegativity And The Mental Health Of Lesbian, Gay, And Bisexual Individuals: An Integrative Treatment Approach, David Kearby

DSW Capstone Projects

Lesbian, gay, and bisexual individuals (LGBI) have a higher rate of mental health disorders than the general population. The mental health disparities experienced by LGBI are positively correlated with higher internalized homonegativity (IH) levels, which impacts their functioning at the unconscious, cognitive, and interpersonal levels. Thus, effective interventions targeting the mental health of LGBI must consider IH's intrapsychic, cognitive, and interpersonal nature. An integrative psychotherapy approach addressing the mental health and IH of LGBI is needed to address the intrapsychic, cognitive, and interpersonal factors at play.

Product one of this capstone is a systematic literature review that identified psychotherapeutic interventions …

Evaluating The Differential Effects Of Using A Technology-Based Antecedent Intervention In Comparison To A Technology-Based Treatment Package, Rachel Fosnaught

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

This study investigated the differential effects of using non-contingent reinforcement in the form of attention as an antecedent intervention in comparison to using non-contingent reinforcement in addition to self-monitoring as a treatment package. A multi treatment single case research design was utilized in this study. Levels of student’s on-task behavior were measured to evaluate the differential effects of an antecedent intervention in comparison to the combination of an antecedent and consequent intervention. This study also only used treatments that were technologically delivered to the participants.

Portrayals Of Family Resilience In Webcomics During The Covid-19 Pandemic: A Thematic Analysis, Claire Catherine Heaney

Theses and Dissertations--Family Sciences

Families and couples were challenged with stresses unlike any other as individuals faced adversities from lockdowns, as well as fears derived from the coronavirus. During the pandemic, trends of webcomics became more popular, particularly comics that depicted characters in romantic relationships dealing with “the new normal.” In this project, I suggest that social media webcomics incorporated topics of coping. The purpose of this study was to examine webcomics that documented daily life situations during lockdowns and stress-buffering skills found in couples’ interactions when dealing with concerns. Utilizing Braun and Clarke’s (2006) thematic analysis, 585 romantic relationship webcomics posted from March …

Role Expansion Of School Social Workers: An Educational Paradigm Shift, Sara Murrell

DSW Capstone Projects

This capstone product includes three written documents. The purpose of this work was to discover and justify the role expansion of school social workers into school leaders. The first, a systematic literature review examining the roles of school social workers. This document will review the current literature describing which school social work roles promote school social workers as school leaders, and which roles act as barriers for school social workers to become school leaders. The second document is a conceptual paper. This document identifies the need for a paradigm shift in education towards a whole child perspective. This document looks …

Using Concurrent Operant Analyses To Predict Reinforcers To Increase Work Completion In Schools, Amanda Jo Schaefer

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

In this study, a concurrent operant analysis (COA) was conducted for two elementary aged students in a public school to determine if the results yielded a possible reinforcer for work completion. A simultaneous treatments design was used during the COA to evaluate choice making behavior. The results of the COA indicated the student’s choice making behavior was maintained by access to tangibles, access to attention, or escape. The results were then used to create a token economy in which the student could earn their preferred reinforcer for work completion. An alternating treatments design was used to compare work completion during …

Personality And Coping In Response To Traumatic Experiences In Emerging Adult Women, Julia J. Beier

Theses and Dissertations--Family Sciences

Intimate dating violence is a common occurrence, especially among women (CDC, 2019). Because this type of trauma is so prevalent, it is important to explore how experiences of it impact women and how they cope with its effects. This study explored how individual differences impact the ways in which young women cope with trauma, as well as whether the type of trauma moderate the link between individual differences and coping strategies. Participants were 304 college-age women from a large university in the southeastern United States. Trauma was select items from the Trauma History Questionnaire, while coping was measured using the …

Defining Posttraumatic Stress In Law Enforcement: Normalizing Trauma Response, Britta D. Caudill

DSW Capstone Projects

Significant inequalities exist within the expectations of police officers regarding trauma exposure and the lack of mental health preventive efforts and treatment opportunities. The prevalence of stigma thrives within the thought process of this culture paired with the expectation for resiliency, as police culture focuses on the ability to repress emotion instead of utilizing appropriate coping methods. This review takes an interesting look at the history, definition, and diagnostic criteria of post-traumatic stress disorder (PTSD) by focusing on its evolution within the Diagnostic and Statistical Manual (DSM) over time. The primary goal is to establish a relationship between the definition …

Addressing The Mental Health Disparities Among Black Children During Natural Disasters: A Clinical Perspective And Response To The Covid-19 Pandemic., Brittany Reed

DSW Capstone Projects

The experiences of Black children resulting from the events surrounding the Covid-19 pandemic present a projection to create long-term mental health effects at higher rates than their peers of other races. While the long-term effects of this pandemic are still considered ongoing, the disparities within the Black community will subsequently develop into a trickle-down effect of secondary traumatic experiences faced by Black children. Then, where does that leave Black children and their mental health? This capstone project aims to examine how the Covid-19 pandemic will affect Black children, explore the mental health challenges and disparities faced by Black children resulting …

A Comparison Of Appalachian And Non-Appalachian Kentucky Dui Offenders, Megan F. Dickson, Megan Kissel, J. Matthew Webster

Journal of Appalachian Health

Background: Driving under the influence has been an overlooked consequence of the opioid epidemic. Although recent reports have highlighted the increased prevalence of DUI in rural communities and the extensive mental health problems and criminal and drug use histories among rural Appalachian DUI offenders, it is unclear how Appalachian DUI populations compare to DUI offenders in other regions.

Purpose: To help fill this void in the literature, the current study uses a statewide sample to examine how Appalachian DUI offenders differ from non-Appalachian DUI offenders in a predominantly rural state.

Methods: Assessment records were examined for 11,640 Kentucky DUI offenders …

Survey Results: Complexities And Overlaps In Existing Citizen Science Mosquito Projects, Yujia He, Elizabeth Tyson

Patterson School of Diplomacy and International Commerce Faculty Publications

Currently, multiple projects worldwide engage the public in the scientific process of learning about mosquito biodiversity or monitoring mosquitoes that carry diseases like Dengue, Chikungunya, Zika and Malaria. These projects are executed at different invasion-stages and different scenarios of epidemiological risk based on their country of origin. Through surveying 12 international research teams, this brief report illuminates the differences and the overlaps in the protocols and tools used by existing citizen science mosquito monitoring projects. The analysis covers project goals, requirements and support for participants, policy impact, digital tools and data privacy.

An Exploration Of Transition Experiences Shaping Student Veteran Life Flow, Brian T. Gregg

Theses and Dissertations--Rehabilitation Sciences

Educational institutions offer transformative opportunities for veterans transitioning from military service. Veteran-specific cultural supports in educational environments offer participation in occupations and development of skills needed to complete educational goals. However, veterans experience complex life circumstances atypical from traditional student culture which influences use of available environmental supports. Currently, the student veteran population is growing following fifteen years of combat and with systematic downsizing of the military. Therefore, rehabilitation professionals and educators must understand the unique experiences which shape veteran life flow during the transition process.

This dissertation contains three studies investigating veteran experiences transitioning to postsecondary education. The first …

College-Educated, African American Women's Marital Choices, Katherine M. Oliver

Theses and Dissertations--Family Sciences

This study explores the desire to marry, marriageable mate criteria, and marital choices/options as they pertain to college-educated, African American women within today’s society. A purposive, nationally based sample (N = 95) of never married, college-educated, African American women (i.e., 18 to 40 years of age) was gathered via an online survey accessed by an emailed link. A mixed methods approach was utilized within the survey design, followed by data analyses (i.e., frequencies, two-way analyses) interpreted through a theoretical framework of social exchange. Areas discussed include life goals of marriage, cohabitation, and career; romantic barriers; the perceived availability of …

How Therapists Use And Choose Mindfulness To Treat Trauma, Jessica M. King

Theses and Dissertations--Family Sciences

This qualitative study used the phenomenological method to examine how therapists use mindfulness therapies and interventions to address trauma-salient issues with their clients. Specifically, it explored therapists’ use of and choices about mindfulness-based treatments when addressing post-traumatic stress symptoms, and trauma-relevant emotion dysregulation and attachment injury. Informants were associate and fully-licensed local therapists, recruited using convenience sampling and snowball sampling by word-of-mouth referrals. Data was collected by semi-structured interviewing. Interview data was analyzed with Moustakas’ (1994) recommended procedures for analysis of phenomenological data. Results, Discussion, Limitations and Suggestions for Future Research are described at the end.

Workforce Fitness: Description, Contextual Issues, And Implications For Public Health, Nicolaas P. Pronk

Frontiers in Public Health Services and Systems Research

Workforce fitness matters for the prevention of premature death, chronic diseases, productivity loss, excess medical care costs, loss of income or family earnings, and other social and economic concerns. Yet fitness levels appear to be relatively low and declining. Over the past half century obesity has doubled, physical activity levels are below par, and cardiorespiratory fitness often does not meet minimally acceptable job standards. During this time, daily occupational energy expenditure has decreased by more than 100 calories. It is recommended for employers to consider best practices and design workplace wellness programs accordingly. Regulations that protect and promote worker health, …

Effects Of An Online Training In The Ziggurat Model On The Autism Knowledge Of School-Based Speech-Language Pathologists (Slps), Wendy L. Wilkerson

Theses and Dissertations--Rehabilitation Sciences

Autism Spectrum Disorder (ASD) is a low-incidence disorder with high impacts on individuals, families, and society. School-based speech-language pathologists (SLPs) have tremendous responsibilities toward individuals with ASD, but pre-service SLPs are not adequately trained to fulfill these expectations. In order to reduce the widespread financial and social impact of ASD, school-based SLPs need to complete effective training to prepare them for the selection of established social-communication practices. One framework for the selection of individualized intervention is the Ziggurat Model (Aspy & Grossman, 2008). The following study used mixed methods to investigate the research question: “Does the ASD knowledge base of …

Mental Health Among Suicide Attempt Survivors: The Roles Of Stigma, Self-Disclosure, And Family Reactions, Laura M. Frey

Theses and Dissertations--Family Sciences

Although research has shown that mental-health stigma can impact an individual’s well-being, little is known about who perpetrates suicide stigma. Moreover, anticipation of stigma could impact whether individuals disclose their suicidal experiences; yet, little is known about suicide disclosure and how family members’ reactions play a role in subsequent mental health. To address these gaps, three studies were designed to examine how stigma, suicide disclosure, and family reaction impact subsequent mental health of attempt survivors and those who have experience suicidal ideation.

Individuals who had previously experienced suicidal ideation or a previous suicide attempt (n = 156) were recruited …

The Influence Of Video Games On Adolescent Brain Activity, Joann Lianekhammy

Theses and Dissertations--Family Sciences

The current study examined electrical brain activation in adolescent participants playing three different video games. Forty-five school aged children (M=14.3 years, SD=1.5) were randomly assigned to play either a violent game, non-violent game, or a non-violent game specifically designed to "train" the brain. Electroencephalography (EEG) was recorded during video game play. Results revealed an asymmetric right hemisphere activation in the alpha band for participants in violent game group, while those in the non-violent groups exhibited left hemispheric activation. Greater right activation in emotion literature denotes signs of withdrawal or avoidance from undesired stimulus. Implications of this finding as well as …

Summative Evaluation Of The High School Financial Planning Program In Rural Kentucky, Ryan R. Setari

Theses and Dissertations--Family Sciences

The purpose of this summative program evaluation was to determine if the High School Financial Planning Program (HSFPP) impacts the financial literacy of Kentucky high school students. The HSFPP is a national financial education program used by Kentucky public schools with the goal of improving financial literacy of participants. This evaluation is the first to use a one-group pre-test and post-test design to determine if the target group’s financial literacy is impacted by participation in the program. The results found that students’ financial literacy, and knowledge of specific components related to financial literacy, were impacted by participation. The results imply …

Natural Phenomena As Potential Influence On Social And Political Behavior: The Earth’S Magnetic Field, Jackie R. East

Theses and Dissertations--Political Science

Researchers use natural phenomena in a number of disciplines to help explain human behavioral outcomes. Research regarding the potential effects of magnetic fields on animal and human behavior indicates that fields could influence outcomes of interest to social scientists. Tests so far have been limited in scope. This work is a preliminary evaluation of whether the earth’s magnetic field influences human behavior it examines the baseline relationship exhibited between geomagnetic readings and a host of social and political outcomes. The emphasis on breadth of topical coverage in these statistical trials, rather than on depth of development for any one model, …