Psychology Commons^™

Predictors Of Kidney Transplant Receipt And Medicare Costs For Patients, Parisa Asgarisabet

Dissertations and Theses (Open Access)

Background: The objectives of this study were to first understand whether a dialysis center’s ownership status modified the association between informing end-stage renal disease (ESRD) patients about transplantation options and patients’ transplantation status; and second, to understand whether Medicare’s Prospective Payment System (PPS) implementation affected the cost of care for ESRD patients from Medicare’s perspective.

Method: This study used the United States Renal Data System (USRDS) data containing information on all ESRD patients in the US, linked to Medicare claims. To address the first objective, a multi-level analysis using mixed effect multinomial logistic regression model was conducted with …

Core Concepts In Heroism Science, Volume Two, Scott T. Allison

Bookshelf

What lies at the core of heroism?

This book attempts to answer this daunting question. To understand the core of heroism – the forces underlying it – let’s first examine what heroism is at its surface. On the outside, heroism is a behavior, or set of behaviors. These actions are directed toward helping others, and they go beyond expectation and are considered by most people to be extraordinary (Franco, Blau, & Zimbardo, 2011). In addition, heroism involves taking great risks and making exceptional sacrifices (Allison, Goethals, & Kramer, 2017). We observe these extreme helping behaviors and we admire them -- …

Shadow Women: Wives Betrayed By Sex Buyers, Ingeborg Kraus

Dignity: A Journal of Analysis of Exploitation and Violence

Shadow women are women whose husbands betray them by using prostituted women. Until now, there has been almost no attention paid to the harm to the wives or partners of men who use prostituted women. In this interview, Dr. Ingeborg Kraus talks to the former wife of a sex buyer. She describes the impact of her husband’s betrayal on her and her family. This type of harm needs to be taken seriously and more research done on it.

Secondary Trauma Of Lay Mental Health Workers In Low Resource Locations: Bukavu, Janny Jinor

Journal of Social, Behavioral, and Health Sciences

A general consensus exists in the literature that working with a trauma population will produce negative personal, psychological, and professional consequences including secondary trauma. However, a significant research gap occurs with regard to how secondary trauma affects psychosocial assistants (PAs) who work in low-resource and conflict-stricken Bukavu in the Democratic Republic of Congo (DRC). The DRC is plagued by psychological problems resulting from numerous past and ongoing conflicts, but sufficient trained mental health personnel and resources are lacking. As a result, the dire responsibility of providing mental health services to survivors of rape has shifted to minimally trained PAs. This …

Work Hope And Work Volition: Exploring The Influence Of Community College Students’ Rurality And Socioeconomic Status, Jesse A. Wingate

Theses and Dissertations

Data from a sample of community college students (N = 478) in Virginia were used to examine relations among rurality, socioeconomic status, work hope, and work volition. Socioeconomic status, work hope, and work volition were positively associated. However, rurality, measured both as a continuous and categorical variable, was not correlated with work hope or work volition. Additional analyses showed convergence between measures of work hope and work volition confirming construct similarity. Results, limitations, implications, and recommendations for future study are included.

Perceived Credibility Of Child Sexual Abuse Reporting, Bridget Lashbaugh-Barney

College of Graduate Studies: Theses & Dissertations

Understanding factors that could influence attitudes and beliefs regarding child sexual abuse may inform efforts to educate clinicians, legal and medical personnel, and even the public on potential sources of bias and barriers to treatment and other service utilization, particularly in rural communities. The purpose of the current study was to experimentally investigate the impact of child accuser age and gender and participant rural status on ratings of perceived credibility of child sexual abuse allegations described in vignettes. With this study, I aimed to not only clarify and update previous findings on accuser age and gender, but also to expand …

Parental Practices And Maternal Warmth As Protective Factors For Problem Behaviors In Mexican Preadolescents, Jaime Fuentes-Balderrama, Cinthia Cruz Del Castillo, Jose Ruben Parra-Cardona, Bernardo Turnbull Plaza, Angélica Ojeda García, Rolando Díaz-Loving

The Journal of Sociology & Social Welfare

Epidemiological estimates indicate that approximately 12% of children and adolescents in Mexico are in clinical ranges for psychological disorders. Low-income families in need of psychological support generally encounter understaffed and sometimes inefficient public health services and thus, families frequently constitute the primary source of support for individuals affected by mental health disorders. Empirical studies in the Mexican context have demonstrated that positive parental practices are associated with positive developmental outcomes and low levels of problem behaviors for both children and adolescents. This study aims to identify if such practices act as protective factors for problem behaviors in 306 Mexican students …

Job Satisfaction As A Function Of The Five Factor Model Of Personality In The Community Mental Health Center Environment Of Northern Indiana, Robert Ryan

Dissertations

Problem

The purpose of this study was to examine the relationship between the Big Five personality type indicators and job satisfaction in the community mental health setting. The focus of this study was to gain a better understanding of whether a not-for-profit can benefit from the use of a brief personality instrument to recruit and retain individuals with the highest probability of job satisfaction. This research complements previous research which has revealed a positive correlation between certain Big Five personality traits and job satisfaction in several sectors. The research population for this study consisted of community mental health employees working …

Ethical Decision Making Behind The Wheel – A Driving Simulator Study, Siby Samuel, Sarah Yahoodik, Yusuke Yamani, Krishna Valluru, Donald L. Fisher

Psychology Faculty Publications

Over the past several years, there has been considerable debate surrounding ethical decision making in situations resulting in inevitable casualties. Given enough time and all other things being equal, studies show that drivers will typically decide to strike the fewest number of pedestrians in scenarios where there is a choice between striking several versus one or no pedestrians. However, it is unclear whether drivers behave similarly under situations of time pressure. In our experiment in a driving simulator, 32 drivers were given up to 2 s to decide which group of pedestrians to avoid among groups of larger (5) or …

“Is Therapy For Me?” Perceptions Of Therapy Inclusivity And Willingness To Seek Help Among Black Emerging Adults, Randl B. Dent

Theses and Dissertations

Mental health issues are prevalent among Black emerging adults; however, they tend to underutilize mental healthcare services. The goals of the current study were to examine whether: (1) perceived therapy inclusivity would predict willingness to utilize mental healthcare services and (2) the relationship between perceived therapy inclusivity and willingness would be moderated by two indices of racial identity (i.e., centrality and private regard). Results provide evidence that greater perceptions of therapy inclusivity are associated with greater willingness to seek mental health services even after controlling for factors, such as gender, self-stigma, and previous mental healthcare utilization. Additionally, there was no …

Psychometric Developments Of The Ace-Iq: Understanding The Trauma History Of Latine Immigrants, Jorli K. Swingen Dr.

Theses and Dissertations

Adverse childhood experiences (ACEs) have a profound effect on an individual’s physical and mental health. The World Health Organization has recently updated the ACE questionnaire so it could be used with international populations. The Adverse Childhood Experiences-International Questionnaire (ACE-IQ), has not been translated to Spanish or used with Latine immigrants.

This study translated the ACE-IQ into Spanish, evaluated the psychometric properties of the questionnaire, and collected data on 184 four adult English Language Learners in Chesterfield County, VA.

There is evidence of internal consistency for the ACE-IQ as a whole (α = .908) and within subscales. Three factors were identified …

There Is No Free: An Indigenous Informed Perspective On Free, Prior And Informed Consent, Nicole Burns

Theses and Dissertations (Comprehensive)

Many Indigenous nations in Canada are faced with complex issues surrounding proposed development on their lands. There are numerous rights frameworks that support Indigenous Peoples’ inherent rights, which includes their right to free, prior and informed consent (FPIC) in relation to any development that would impact their lands. This case study examined the various perspectives of Matawa First Nations in regard to their experiences of consultation with government and industry. This study was conducted by performing document review and analysis of three focus groups (n=20), a video analysis of the APTN documentary series Ring of Fire and survey distribution and …

Narrating A Conscientization Journey On Crime Prevention Through Social Development, Carlos Luis Zatarain

Theses and Dissertations (Comprehensive)

There is an increasing interest among municipalities to address crime through prevention as social development (CPSD) that acknowledges the underlying social conditions that influence the occurrence of crime. This requires a critical consciousness among community members and decision-makers of the root causes of crime and critical action that reflect that understanding. This, in turn, implies both a significant mental and cultural shift requiring personal transformation. Only then can the appropriate actions towards a preventative approach to crime be effectively fostered. For this purpose, the Waterloo Region Crime Prevention Council developed a community course titled Reframing Crime, Justice, and Prevention that …

Positive Wellbeing Among University Students From Diverse Communities: A Place-Based Approach, Kevin Bonnell

Theses and Dissertations (Comprehensive)

Universities in Canada and across the globe are experiencing a significant diversification of their student population. However, there is a great need to understand how campus spaces can better support the wellbeing of diverse students, where supports have traditionally been built to support a privileged and homogenous group of students. The study builds on a multi-disciplinary theoretical framework (wellbeing, intersectionality, microaggressions, and the Psycho-environmental Potential Model) to explore a) the positive wellbeing of diverse students (i.e., racialized; lesbian, gay, bisexual, transgender and queer, and/or living with any type of mental health issue or physical disability) and b) how the physical …

Transforming Relations: Anishnawbe Natural Law In The “Ring Of Fire”, Darren Thomas

Theses and Dissertations (Comprehensive)

This multiple manuscript dissertation project contributes to a larger case study research project examining Matawa First Nation experiences of negotiating a proposed mining project known as the “Ring of Fire.” Nine independent First Nations located in the Treaty 9 territory in Northern Ontario, comprise a collective regional organization called Matawa First Nations. These First Nations have a long history of living their Ancestral ways of trapping, fishing, and gathering from the lands. During the early 20^th century, the southern Matawa communities began to have contacts with forestry development, but a chromite deposit with an estimated value of 65 billion …

Reducing Meat Consumption: Drawing On Participatory Action Research To Explore Ways Of Engaging In A Process Of Meat Consumption Reduction, Brittany Spadafore

Theses and Dissertations (Comprehensive)

With growing attention to climate change and human impacts on the environment, an emerging body of literature is exploring the impacts of global reliance on meat consumption. Research is increasingly supporting the feasibility of reducing meat consumption to address the environmental pressures of the global food system. However, recommended strategies to promote a reduction in meat consumption have been limited due to narrowly focusing on individual rational decision-making models. Centralizing a Social Practice theoretical lens, the present study utilized an approach to participatory action research to explore the experiences of seven (N = 7) green-building tenants reducing their meat consumption …

A Housing First Model For Youth And Its Relation To Social Integration, Alexandra Amiri

Theses and Dissertations (Comprehensive)

The present study explored how a Housing First for Youth intervention, working from an empowerment theory approach, influences the social integration of youth experiencing homelessness. This was done by contrasting between groups of individuals who either did or did not receive the intervention. The sample consisted of 86 youth in the city of Ottawa between the ages of 17-24 who were randomized into the intervention (n=44) or treatment as usual group (n=42). Quantitative data from baseline and 6-month follow-up were analyzed using the Community Integration Scale (CIS) and Multidimensional Scale of Perceived Social Support (MSPSS). Repeated measures ANOVA revealed an …

A Program Implementation Fidelity Assessment Of A Housing First Program In Ontario, Steven Bigioni

Theses and Dissertations (Comprehensive)

This research sought to assess the degree of fidelity to the Housing First model achieved by a new Housing First program in a mid-sized Canadian municipal region, and the factors that promoted or hindered fidelity therein. The program was delivering an adaptation to the Housing First model that prioritized home-based support, which was assessed simultaneously. Fidelity ratings were gathered by a team of researchers during a site visit that included observation of a staff meeting, seven interviews with program leaders and staff, two focus groups with program participants, and 10 chart reviews. Overall, the findings show a high degree of …

Well-Being, Discrimination, And Self-Management Among Racialized Lgbq+ Newcomers Living In Waterloo Region, Ontario, Emily Cox

Theses and Dissertations (Comprehensive)

Racism and homo/biphobia may negatively impact the well-being of racialized LGBTQ+ newcomers. While current research focuses predominantly on negative aspects of well-being (e.g., distress, exclusion), research on resilience and positive aspects of well-being (e.g., positive affect) is limited. Although self-management strategies (i.e., activities and attitudes to improve one’s well-being) could be a key factor in promoting well-being, previous research has not addressed how racialized LGBTQ+ newcomers use self-management strategies. Further, there is limited research about the role service providers (e.g., settlement services, mental and physical health services) play in supporting these strategies. In this study, eight racialized LGBQ+ newcomers and …

Relatedness In Gaming: The Effect In‑Game Touch Has On Player Connection, Victoria K. Lew, Joshua Smith, Nicholas Reuss, Xiyu Zhang, Jacob Gulliuzo, Christina M. Frederick

Publications

With the number of individuals becoming gamers on the rise, it has become ever so important to understand the underlying motivations and social interactions that occur within this video game medium. Research has revealed that player motivation and relatedness within a game setting can be affected by the interpersonal relationships that develop from in game social interactions. This specific study was interested in how interpersonal touch and relatedness gestures, more specifically positive or negative touch conditions within a gameplay experience, can impact both player motivations, as well as inter-player impressions. Additionally, observational data measuring the quality of interaction between the …

Hiv-Related Discriminatlon And Cervical Cancer Screening In Zambia, Crystal J. Cazier

Dissertations and Theses (Open Access)

Background: The Republic of Zambia has the third-highest incidence of cervical cancer in the world, where approximately 700,000 women over age 15 are living with HIV. Women living with HIV (WLHIV) are at increased risk for cervical cancer. While literature suggests that discrimination is a barrier to HIV care, no studies have explored if discrimination experienced in HIV clinics is related to cervical cancer screening using nationally representative datasets. Objective: The primary objective of this study was to examine whether perceived discrimination by healthcare workers due to HIV status is related to having been screened for cervical cancer among WLHIV. …

Cholesterol Efflux Capacity And Its Association With Metabolic Syndrome In A Multi-Ethnic Population (Dallas Heart Study): A Cross-Sectional Study, Oludamilola Akinmolayemi

Dissertations and Theses (Open Access)

Metabolic syndrome (MetS) is a multi-component risk factor for cardiovascular disease (CVD) and type 2 diabetes. MetS has been found to be associated with increased risk of incident CVD, cardiovascular morbidity and mortality, and prevalence atherosclerosis. Cholesterol efflux capacity (CEC) is a measure of the functional property of high-density lipoprotein cholesterol (HDL-C). In addition, it characterizes the ability of HDL-C to accept cholesterol from extra-hepatic cells in the periphery to the liver and has been shown in clinical studies to be inversely associated with atherosclerosis cardiovascular disease (ASCVD) and incident cardiovascular disease (CVD) . Low HDL-C is one of the …

Examining The Relation Between Social Capital And Physical Activity Across Life Stages, Leigh Ann Ganzar

Dissertations and Theses (Open Access)

Physical inactivity in adults increases the risk for adverse health outcomes, including non-communicable diseases and premature death. Children who are not sufficiently physically active face increased risk for non-communicable disease risk factors, mental health issues, and poor academic performance. Despite these risks, the majority of people do not achieve sufficient physical activity levels. Social capital is an aspect of the social environment that can shape physical activity behavior throughout different life stages. The three studies of this dissertation sought to assess the association between social capital, from both the cohesion and network perspectives, and physical activity behavior in different life …

Insuring The Integrity Of Global Registries, Aardhra Meenakshi Venkatachalam

Dissertations and Theses (Open Access)

Data quality is a priority in public health because it is used for public health program planning and implementation, research, as well as policy. The information gleaned from the data allows us to assess health status, and improve health needs. This paper evaluated methods for cleaning, managing and addressing missing data in the Lagos State Ambulance Service registry. The techniques included screening, data organization, diagnostic phase, treatment phase and a missing data phase to holistically handle the data. The percentage of systemic errors was reduced through the use of the 5-step method. Missing data was informative for state of origin, …

Nonlinear Functional Models On Causal Inference, Rong Jiao

Dissertations and Theses (Open Access)

Statistical analysis has experienced significant progress on association study, but it remains elusive to understand the etiology and mechanism of complex phenotypes. As a major analytical platform, association analysis may hamper the theoretic development of biomedical science and its application. Thus, many researchers suggest making the transition from association to causation. The mainstream of research in genetics and epigenetics data analysis focuses on statistical association or exploring statistical dependence between variables. Despite significant progress in dissecting the genetic architecture of complex diseases by genome-wide association studies (GWAS), the signals identified by association analysis can only explain a small proportion of …

Additional Graduate Degrees Associated With Promotion Among Primary Care Clinical Faculty, Michael A. Hansen

Dissertations and Theses (Open Access)

Introduction: Many young and ambitious physicians purposefully seek out meaningful careers in academic medicine, yet there are no evidence-based findings to assist these individuals in how to succeed in advancing their careers in this unique work environment. For early and mid-career faculty, a growing number of trainings and opportunities are available but with little insight as to which choices may have the biggest impact. One common perception is the need for additional advanced training, such as a Master of Public Health. Aims and Method: This study sought to provide evidence-based information about additional training by quantifying the benefit of added …

Factors Affecting Antiretroviral Treatment Entrance, Adherence And Retention Among Hiv Patients In Nigeria And Uganda, Nnenna Ananaba

Dissertations and Theses (Open Access)

Introduction: The maximum benefits of antiretroviral therapy (ART) are achieved when HIV patients follow through the HIV Care Continuum. Understanding the factors that impact the Care Continuum are key in minimizing late ART uptake while increasing treatment retention and adherence in sub-Saharan Africa. Objectives: To explore factors that impact the various phases of the HIV Care Continuum, we review trends in median CD4 cells count and presentation with HIV advanced disease stage between 2013 and 2017. We also examined treatment retention rates and the impact of food security on ART adherence. Methods: Two datasets were reviewed. One dataset consists of …

Characterizing Risk & Burden Of Lower Cranial Neuropathy (Lcnp) As Late Effect Among Oropharyngeal Cancer Survivors, Puja Aggarwal

Dissertations and Theses (Open Access)

Background: Lower cranial neuropathy (LCNP) is a rare but potentially disabling late effect of radiotherapy (RT) and other head and neck cancer therapies. Survivors who develop late LCNP may experience profound functional impairment with deficits in swallowing, speech, and voice. The aims of this research were: 1) to quantify the cumulative incidence of late LCNP and identify clinical predictors of late LCNP; 2) to investigate the impact of late LCNP on severity of cancer treatment-related symptoms, general functional impairment (GFI), and single item scores of the most severe symptoms; and 3) to quantify the association of late LCNP with swallowing-related …

Coy Arjate Adrusted Response Adaptive Randomization Designs With Targeted Learning, Hai Zhu

Dissertations and Theses (Open Access)

Since Food and Drug Administration (FDA) issued the very first draft guidance in 2010, adaptive designs have been considered to be one of the most promising approaches to make drug development more efficient and less costly. Two approaches, covariate-adjusted response-adaptive (CARA) randomization and adaptive seamless phase II/III design (ASD) have garnered growing attention recently. However, most of the CARA designs are based on parametric models and suffered from model misspecification. The research of incorporating CARA into ASD is also limited and whether type I error rate can be controlled has not been answered. In this dissertation, a new family of …

Association Between Childhood Maltreatment And Type 2 Diabetes Mellitus: A Retrospective Cohort Study In The United States, Diep N. Poulos

Dissertations and Theses (Open Access)

This retrospective cohort study analyzed self-reported and biological data collected from MIDUS in 2004-2006 to understand the association between the types of childhood maltreatment (CM) and Type 2 Diabetes Mellitus (T2DM). The central hypothesis of this study is that childhood maltreatment is positively associated with adult onset diabetes (T2DM). CM has been associated with lifelong morbidity and an increased risk in chronic diseases such as diabetes and heart disease (Bernstein RE, 2013). In this study, CM was defined by the Childhood Trauma Questionnaire (CTQ). The CTQ has three types of abuse: physical, sexual, emotional, and two types of neglect: physical …