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Articles 2491 - 2520 of 4089
Full-Text Articles in Psychology
Editorial: Individual Differences In Cognition And Affects In The Era Of Pandemic And Machine Learning, Andrea Vranic, Yang Jiang, Xiaopeng Zhao
Editorial: Individual Differences In Cognition And Affects In The Era Of Pandemic And Machine Learning, Andrea Vranic, Yang Jiang, Xiaopeng Zhao
Behavioral Science Faculty Publications
No abstract provided.
Creating A Support System For Online Graduate Students Learning New Software, Marisha C. Kelly
Creating A Support System For Online Graduate Students Learning New Software, Marisha C. Kelly
Transforming Libraries for Graduate Students
This poster outlines strategies for creating a support system for online graduate students learning new software. The Northcentral University (NCU) Library is a 100 percent online library providing services and delivering resources to students in a remote context. According to university facts and figures, approximately 98 percent of students are enrolled in a graduate program and nearly 69 percent of those students are pursuing a doctoral degree. In May 2019, a reference and instruction librarian developed a program to support graduate students learning how to use ProQuest RefWorks, a web-based research management tool. Elements of the program include synchronous options …
Demographic Predictors Of Body Image Satisfaction: The Us Body Project I, David A. Frederick, Canice E. Crerand, Tiffany A. Brown, Marisol Perez, Cassidy R. Best, Catherine P. Cook-Cottone, Emilio J. Compte, Lexie Convertino, Allegra R. Gordon, Vanessa L. Malcarne, Jason M. Nagata, Michael C. Parent, Jamie-Lee Pennesi, Eva Pila, Rachel F. Rodgers, Lauren M. Schaefer, J. Kevin Thompson, Tracy L. Tylka, Stuart B. Murray
Demographic Predictors Of Body Image Satisfaction: The Us Body Project I, David A. Frederick, Canice E. Crerand, Tiffany A. Brown, Marisol Perez, Cassidy R. Best, Catherine P. Cook-Cottone, Emilio J. Compte, Lexie Convertino, Allegra R. Gordon, Vanessa L. Malcarne, Jason M. Nagata, Michael C. Parent, Jamie-Lee Pennesi, Eva Pila, Rachel F. Rodgers, Lauren M. Schaefer, J. Kevin Thompson, Tracy L. Tylka, Stuart B. Murray
Psychology Faculty Articles and Research
We examined how gender, body mass, race, age, and sexual orientation were linked to appearance evaluation, overweight preoccupation, and body image-related quality of life among 11,620 adults recruited via Mechanical Turk. Men were less likely than women to report low appearance evaluation, high overweight preoccupation, negative effects of body image on their quality of life, being on a weight-loss diet, and trying to lose weight with crash diets/fasting. Racial differences were generally small, but greater appearance evaluation was reported by Black men versus other groups and Black women versus White women. Across all measures, gay and bisexual men reported poorer …
Designing Respectful Tech: What Is Your Relationship With Technology?, Noreen Y. Whysel
Designing Respectful Tech: What Is Your Relationship With Technology?, Noreen Y. Whysel
Publications and Research
According to research at the Me2B Alliance, people feel they have a relationship with technology. It’s emotional. It’s embodied. And it’s very personal. We are studying digital relationships to answer questions like “Do people have a relationship with technology?” “What does that relationship feel like?” And “Do people understand the commitments that they are making when they explore, enter into and dissolve these relationships?” There are parallels between messy human relationships and the kinds of relationships that people develop with technology. As with human relationships, we move through states of discovery, commitment and breakup with digital applications as well. Technology …
The Importance Of Quality Of Life In Weight Loss Programs, Brooke Taylor
The Importance Of Quality Of Life In Weight Loss Programs, Brooke Taylor
Undergraduate Honors Theses
The obesity epidemic has plagued the United States for over 50 years, but there is still much education and research that needs to be done to understand weight loss, specifically the relationship between weight loss and quality of life. This paper considers this relationship from three angles: first, by considering the different types of weight loss treatment, including traditional behavioral weight loss, surgery, acceptance-based programs, and internet weight-loss interventions; second, by considering the impact of weight loss on quality of life through the lens of specific demographics, specifically female, child, and elderly populations; and finally, by considering the impact of …
Marginality In Inquiry-Based Science Learning Contexts: The Role Of Exclusion Cascades, Karlyn Adams-Wiggins, Julia Sara Dancis
Marginality In Inquiry-Based Science Learning Contexts: The Role Of Exclusion Cascades, Karlyn Adams-Wiggins, Julia Sara Dancis
Psychology Faculty Publications and Presentations
Vygotskyan-inspired theories of learning have been applied in science education research, yet to more explicit attention to links between local social interactions and cultural-historical processes is needed advance critical theories of science learning. This microgenetic case study examined identity and motivation processes in a 7th grade inquiry science context with the goal of better historicizing these processes by describing the phenomenon of exclusion cascades in relation to two backgrounded cultural-historical processes, alienation and the social division of labor. Exclusion cascades highlighted the mutual constitution of competence and belonging. Implications are discussed with respect to challenging adaptationist ethos in science education.
Changes In Character Virtues Are Driven By Classroom Relationships: A Longitudinal Study Of Elementary School Children, Kendra J. Thomas, Josafa M. Da Cunha, Jonathan Santo
Changes In Character Virtues Are Driven By Classroom Relationships: A Longitudinal Study Of Elementary School Children, Kendra J. Thomas, Josafa M. Da Cunha, Jonathan Santo
Psychology Faculty Publications
The purpose of this study is to understand the role of school relationships in shaping students’ character development in middle childhood. Students and teachers completed surveys on student–teacher relationships, peer relationships, social-emotional learning (SEL), parent-teacher communication, and character strengths of fairness, hope, bravery, teamwork, self-regulation, social responsibility, and prosocial leadership. Participants were 1881 Brazilian children in fourth or fifth grade across 288 classrooms and 60 schools. Data were analyzed using a multi-level model framework. Higher student–student relationships were associated with higher starting scores of character strengths paired with a stronger increase among classes whose relationships improved over time. Higher quality …
Reducing Pulmonary Function Testing Procedure Times In Pediatric Patients, Kathleen Richards Rrt, Shontae Hill Rrt, Kaylynn Bernardo-Stagg Rrt, Heather Miller Rrt, Daniel Barker Rrt, Kailee Perkins Rrt, Michael Richards Mba, Mha
Reducing Pulmonary Function Testing Procedure Times In Pediatric Patients, Kathleen Richards Rrt, Shontae Hill Rrt, Kaylynn Bernardo-Stagg Rrt, Heather Miller Rrt, Daniel Barker Rrt, Kailee Perkins Rrt, Michael Richards Mba, Mha
Journal of Nursing & Interprofessional Leadership in Quality & Safety
Problem. The Pulmonary Function Test Time Project (PFT Project) is a quality improvement (QI) initiative designed to decrease PFT testing time and PFT total time in pediatric patients and improve the overall process for both providers and patients. Patients scheduled to see a pulmonary provider were also scheduled for a PFT prior to the provider’s visit. Data showed that the length of time to perform a pulmonary function test (PFT) was causing: (1) a delay in the pulmonary provider seeing patients at the intended appointment time, (2) a disruption to clinic workflow, resulting in scheduling difficulties, and (3) a decreased …
What Knowledge Do Early Childhood Teachers Use During Literacy Instruction? Using Stimulated Recall To Investigate An Unexplored Phenomenon, Rachel E. Schachter
What Knowledge Do Early Childhood Teachers Use During Literacy Instruction? Using Stimulated Recall To Investigate An Unexplored Phenomenon, Rachel E. Schachter
Department of Child, Youth, and Family Studies: Faculty Publications
This study utilized a novel phenomenological approach with a stimulated recall procedure to understand the pedagogical reasoning of eight early child teachers during the enactment of literacy instruction in whole-group meeting and language arts activities. This approach to investigating knowledge—in contrast to more traditional conceptualizations of knowledge—focused on knowledge use as a process and prioritized teachers’ perspectives on knowledge used to enact literacy instruction in their own classrooms. Additionally, it allowed for a more nuanced investigation of the role of setting and teacher characteristics that are often examined in association with literacy instruction (e.g., degree attainment, years of experience, curriculum, …
Dirfloortime: An Innovative Approach To Supporting Development Through Connection And Understanding, Jessica Townsend
Dirfloortime: An Innovative Approach To Supporting Development Through Connection And Understanding, Jessica Townsend
Department of Occupational Therapy Entry-Level Capstone Projects
Children with developmental delays and neurobehavioral disorders such as autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD), often have social, emotional, or behavioral delays. Children who are not reaching developmental milestones or are reaching them at a slower rate may need extra support and services to reach their full potential. An innovative approach to treatment of developmental delay commonly used among therapists is called DIRFloortime®. DIRFloortime® (also referred to as Floortime) is the application of the Developmental, Individual-Differences, & Relationship-Based (DIR) model in practice. The purpose of this capstone project was to explore Floortime as a holistic intervention …
A Mixed-Methods Study Of Creative Problem Solving And Psychosocial Safety Climate: Preparing Engineers For The Future Of Work, Michelle L. Oppert, Maureen F. Dollard, Vignesh Murugavel, Roni Reiter-Palmon, Alexander Reardon, David H. Cropley, Valerie O'Keeffe
A Mixed-Methods Study Of Creative Problem Solving And Psychosocial Safety Climate: Preparing Engineers For The Future Of Work, Michelle L. Oppert, Maureen F. Dollard, Vignesh Murugavel, Roni Reiter-Palmon, Alexander Reardon, David H. Cropley, Valerie O'Keeffe
Psychology Faculty Publications
The future of work is forcing the world to adjust to a new paradigm of working. New skills will be required to create and adopt new technology and working methods. Additionally, cognitive skills, particularly creative problem-solving, will be highly sought after. The future of work paradigm has threatened many occupations but bolstered others such as engineering. Engineers must keep up to date with the technological and cognitive demands brought on by the future of work. Using an exploratory mixed-methods approach, our study sought to make sense of how engineers understand and use creative problem solving. We found significant associations …
Therapeutic Processes In Clinical Interventions : A View Of Qualitative Methodological Approaches, Jennifer Denis, Marc Tocquet, François Guillemette, Stephan Hendrick
Therapeutic Processes In Clinical Interventions : A View Of Qualitative Methodological Approaches, Jennifer Denis, Marc Tocquet, François Guillemette, Stephan Hendrick
The Qualitative Report
This article examines several qualitative methods to capture and analyze processes in therapeutic and clinical interventions. The study of therapeutic processes provides an understanding of what leads to changes in clinical interventions. This is a goal of any therapeutic intervention. This interest should allow us to try to identify what the therapists do and think they are doing, how they do it, how they think about their interventions, and what happens during the session that might explain changes. These types of studies require that researchers provide clarifications about their epistemological and methodological choices. To meet that requirement, we propose to …
Parental Autonomy Support, Parental Psychological Control And Chinese University Students’ Behavior Regulation: The Mediating Role Of Basic Psychological Needs, Songqin Wei, Timothy Teo, Anabela Malpique, Adi Lausen
Parental Autonomy Support, Parental Psychological Control And Chinese University Students’ Behavior Regulation: The Mediating Role Of Basic Psychological Needs, Songqin Wei, Timothy Teo, Anabela Malpique, Adi Lausen
Research outputs 2022 to 2026
The present research examined relationships between parental autonomy support, parental psychological control, and Chinese emerging adults’ autonomous regulation in their university studies as well as dysregulation in social media engagement. A total of 287 (102 female and 185 male) Chinese university students reported on their perceived parenting styles, psychological needs, and behavior regulation. Results showed that basic psychological need satisfaction was positively associated with parental autonomy support and autonomous regulation of learning; need frustration was positively correlated with parental psychological control and dysregulation in social media engagement. More importantly, psychological need frustration was a mediator of the relation between parental …
When “There Is” A Black: Levinas And Fanon On Ethics, Politics, And Responsibility, Leswin Laubscher
When “There Is” A Black: Levinas And Fanon On Ethics, Politics, And Responsibility, Leswin Laubscher
Middle Voices
This paper examines some of the ways in which the Black other, by Frantz Fanon’s articulation, complicates and challenges Emmanuel Levinas’s philosophies of ethics and justice. Additionally, it brings Levinas’s notion of the il y a, or “there is,” and Fanon’s “zone of nonbeing” into critical conversation with respect to the body and being of the Black other.
Emannuel Levinas, Fr. William Richardson, And The Return Of The Irresponsible Subject, Robert Manning
Emannuel Levinas, Fr. William Richardson, And The Return Of The Irresponsible Subject, Robert Manning
Middle Voices
This article revisits the famous encounter between Levinas and William Richardson to discuss the subject's ability to return to itself despite Levinas's arguments to the the contrary in OTB.
Ethics Of Interaction: Levinas And Enactivism On Affectivity, Responsibility, And Signification, Edward A. Lenzo
Ethics Of Interaction: Levinas And Enactivism On Affectivity, Responsibility, And Signification, Edward A. Lenzo
Middle Voices
In recent years, there have been a number of attempts to connect enactivism with the work of Emmanuel Levinas. This essay is such an attempt. Its major theme is the relationship between affectivity and ethics. My touchstones in enactivist thought are Giovanna Colombetti and Steve Torrances’ “Emotion and Ethics: an (inter-)enactive account” (2009) and the influential concept of participatory sense-making developed by Hanne De Jaegher and Ezequiel Di Paolo (2007). With respect to Levinas, I deploy major insights from Totality and Infinity and Otherwise than Being. I first show that enactivist thought (thus represented) and Levinas roughly agree on …
Revealing Levinas: Transcending Moral And Aesthetic Distinctions Between Form And Content Through Poetic Gamespersonship, Lori E. Koelsch, Alex Kranjec
Revealing Levinas: Transcending Moral And Aesthetic Distinctions Between Form And Content Through Poetic Gamespersonship, Lori E. Koelsch, Alex Kranjec
Middle Voices
This poem was inspired by the confluence of two communications: An email regarding proposed changes to university workload policies, and a call for papers for a journal’s special issue on the work of Emmanuel Levinas. We used poetic form to reflect figuratively on academic integrity and what counts literally as good Levinas scholarship.
Ethics In The Breakdown: Levinas, Winnicott, And Schizoid Phenomena, Matthew J. Devine
Ethics In The Breakdown: Levinas, Winnicott, And Schizoid Phenomena, Matthew J. Devine
Middle Voices
This article addresses the common concern that Emmanuel Levinas’ ethics amounts to a life-denying, moral masochism. To the contrary, I demonstrate close resonances between Levinas’ project and that of the psychoanalyst D.W. Winnicott, for whom the purpose of therapy is to feel alive. In the first section, I trace the Levinasian subject’s coming to be out of the impersonal Il y a. Exploiting the object-relations undertones, I emphasize that the Levinasian subject comes to be as fastened, riveted, or bound to existence, and thereafter seeks to loosen its bond to its existence. In the second section, I discuss Winnicott’s …
King, Levinas And The Interruption Of Love: The Alchemy Of The Fire Fable, Claire S. Lebeau, Kaleb Sinclair
King, Levinas And The Interruption Of Love: The Alchemy Of The Fire Fable, Claire S. Lebeau, Kaleb Sinclair
Middle Voices
Levinas begins Totality and Infinity with a haunting allusion from the 19th century French poet Arthur Rimbaud, “though the true life is absent”, we are in the world. This lamentation is a fitting beginning for his exposition of a radical reformulation of an Ethics that precedes all thought, language, or systematic attempts to cast morality as a Truth. Similarly, Martin Luther King Jr. presented a lamentation for a dream of a world where the transcendence of race, creed, or classification of any kind could allow children to grow up to be first ethical human beings in relation to one …
In Memoriam: George Kunz (1934-2019) / Levinas Issue Introduction, Claire S. Lebeau
In Memoriam: George Kunz (1934-2019) / Levinas Issue Introduction, Claire S. Lebeau
Middle Voices
No abstract provided.
Exploration Of Treatment Resistance In A Parenting Skills Group For At-Risk Mothers, Thomas Boyer
Exploration Of Treatment Resistance In A Parenting Skills Group For At-Risk Mothers, Thomas Boyer
Tennessee Posters at the Capitol [2022]
Treatment resistance is a consistent impediment across psychological interventions. Specifically, the prevalence of adverse childhood experiences, and symptoms of depression, have both been posited to contribute to this phenomenon. This is noteworthy, particularly in parenting interventions, given that maternal ACEs and depression are predictors of suboptimal parenting outcomes and thus the risk factors that increase need for intervention may simultaneously be the very factors that impede with one’s intervention engagement. This study explored if this phenomenon replicates in Mom Power - a 10-week, trauma-informed, parenting skills group for at-risk mothers. A multiple linear regression was performed to predict intervention attendance …
Mindset Matters: The Relations Between Growth Mindset And Academic And Career Variables Among First-Generation College Students, Dillon Harper
Mindset Matters: The Relations Between Growth Mindset And Academic And Career Variables Among First-Generation College Students, Dillon Harper
Master's Theses
Can altering the perception of failure change future performance? Growth Mindset (GM) has been investigated for several decades, and studies have indicated that altering the way people perceive failure can impact certain levels of performance like academic achievement. The individual who endorses a GM views a challenge or failure not as a defeat and submission of inability, but a recognition that further growth, persistence, and effort are required to accomplish the desired task. This project aimed to understand more about first generation college students (FGCS) who endorse a growth mindset. Specifically, the intention of the study was to understand how …
Integrating Natural Language Processing And Interpretive Thematic Analyses To Gain Human-Centered Design Insights On Hiv Mobile Health: Proof-Of-Concept Analysis, Simone J. Skeen, Stephen Scott Jones, Carolyn Marie Cruse, Keith J. Horvath
Integrating Natural Language Processing And Interpretive Thematic Analyses To Gain Human-Centered Design Insights On Hiv Mobile Health: Proof-Of-Concept Analysis, Simone J. Skeen, Stephen Scott Jones, Carolyn Marie Cruse, Keith J. Horvath
Publications and Research
Background: HIV mobile health (mHealth) interventions often incorporate interactive peer-to-peer features. The user-generated content (UGC) created by these features can offer valuable design insights by revealing what topics and life events are most salient for participants, which can serve as targets for subsequent interventions. However, unstructured, textual UGC can be difficult to analyze. Interpretive thematic analyses can preserve rich narratives and latent themes but are labor-intensive and therefore scale poorly. Natural language processing (NLP) methods scale more readily but often produce only coarse descriptive results. Recent calls to advance the field have emphasized the untapped potential of combined NLP …
The Impact Of Formal Education, Specialized Training, And Offense Type On Perceptions Of Employability: Can Bias Toward Hiring A Person With A Criminal History Be Mitigated?, Rheanna Standridge
The Impact Of Formal Education, Specialized Training, And Offense Type On Perceptions Of Employability: Can Bias Toward Hiring A Person With A Criminal History Be Mitigated?, Rheanna Standridge
Master's Theses
Gaining employment for returning citizens has been shown to reduce recidivism and contribute to a successful community reintegration. Yet, many employers remain skeptical when it comes to hiring formerly incarcerated job candidates for a variety of reasons. Though hesitations are often related to assumptions about a person’s dangerousness, there remain legitimate reasons, such as limited formal education and basic skills, that prevent returning citizens from finding work. Further, previous research suggests that hiring decisions are confounded by offense type, even if an employer would otherwise consider a person with a criminal history. Thus, it is unclear whether returning citizens’ level …
Functional Differentiation In The Language Network Revealed By Lesion-Symptom Mapping, William Matchin, Alexandra Basilaskos, Dirk-Bart Den-Ouden, Brielle C. Stark, Gregory Hickok, Julius Fridiksson
Functional Differentiation In The Language Network Revealed By Lesion-Symptom Mapping, William Matchin, Alexandra Basilaskos, Dirk-Bart Den-Ouden, Brielle C. Stark, Gregory Hickok, Julius Fridiksson
Faculty Publications
Theories of language organization in the brain commonly posit that different regions underlie distinct linguistic mechanisms. However, such theories have been criticized on the grounds that many neuroimaging studies of language processing find similar effects across regions. Moreover, condition by region interaction effects, which provide the strongest evidence of functional differentiation between regions, have rarely been offered in support of these theories. Here we address this by using lesion-symptom mapping in three large, partially-overlapping groups of aphasia patients with left hemisphere brain damage due to stroke ( N = 121, N = 92, N = 218). We identified multiple measure …
Promotion Denied! How Promotion Denial Impacts Turnover For Nonpromoted Employees, Michael Mordechai Hay
Promotion Denied! How Promotion Denial Impacts Turnover For Nonpromoted Employees, Michael Mordechai Hay
LSU Doctoral Dissertations
Research into the effects of promotion decisions has primarily focused on the outcomes for promoted individuals without much concern about employees who were denied a promotion. Additionally, there has been a lack of research about the factors which lead promoted individuals to turnover within the public sector when looking at actual turnover. The present study looked at what effect promotion decisions have on employees regarding their turnover behavior by looking at a longitudinal governmental dataset. In total, 1570 promotion decisions were analyzed, looking at 1570 employees, of which 107 ended up turning over within two years of the initial promotion …
Animal Abuse In Egypt: An Assessment Of Attitudes, Behaviors And Protective Factors Among University Students And Graduates., Salma El Saedy
Animal Abuse In Egypt: An Assessment Of Attitudes, Behaviors And Protective Factors Among University Students And Graduates., Salma El Saedy
Theses and Dissertations
Animal abuse is an understudied problem in Egypt with possible ramifications on both non-human and human animals and links to interpersonal violence and conduct problems. This study aims to explore the attitudes and behaviors of Egyptian university students and graduates towards the treatment and use of animals in society and to test if exposure to animal abuse is associated with abusive behavior. The study also aims to identify possible protective factors against animal abuse among a group of positive deviants. A mixed-methods approach was used to study these questions; an online survey was disseminated over social media platforms, and 99 …
Knowledge Within The United States Of Child Maltreatment, Rebekah A. Hubacek
Knowledge Within The United States Of Child Maltreatment, Rebekah A. Hubacek
Honors Program Theses and Research Projects
The literature has looked at the knowledge of child maltreatment amongst certain positions, i.e., teachers, caregivers (Weegar and Romano, 2019; Salloum et. al, 2019). The current study aims to find out how much knowledge the general public has of child maltreatment, including the differences of knowledge among those who are trained, who are parents to minors, who have a close relationship with a minor, and those who are/do not. There are five hypotheses. First, it was expected that the general population had a lack of knowledge of child maltreatment, that their knowledge was not greater than chance. Secondly, it was …
Is Ego Strength A Trait That Contributes To Trauma Resilience?, Matt Hiltebrand,
Is Ego Strength A Trait That Contributes To Trauma Resilience?, Matt Hiltebrand,
Doctor of Psychology (PsyD)
Given the ubiquitous experience of trauma among first responders, there is a critical need to understand the traits that contribute to resilience in experiencing traumatic events. Strength of identity is associated with resilience in several meaningful life events including negative peer review, adjustment to significant change, and recovering from depression or anxiety (Kim & Choi, 2013). There is a scarcity of research that has examined ego strength as a trait that contributes to trauma resilience. The aim of this study was to explore the relationship between ego strength and the experience of trauma among veteran first responders (including, paramedics, firefighters, …
A Cluster Randomized Controlled Trial For A Multi-Level, Clinic-Based Smoking Cessation Program With Women In Appalachian Communities: Study Protocol For The “Break Free” Program, Joanne G. Patterson, Tia N. Borger, Jennifer L. Burris, Mark Conaway, Robert Klesges, Amie Ashcraft, Lindsay Hauser, Connie Clark, Lauren Wright, Sarah Cooper, Merry C. Smith, Mark Dignan, Stephenie Kennedy-Rea, Electra D. Paskett, Roger Anderson, Amy K. Ferketich
A Cluster Randomized Controlled Trial For A Multi-Level, Clinic-Based Smoking Cessation Program With Women In Appalachian Communities: Study Protocol For The “Break Free” Program, Joanne G. Patterson, Tia N. Borger, Jennifer L. Burris, Mark Conaway, Robert Klesges, Amie Ashcraft, Lindsay Hauser, Connie Clark, Lauren Wright, Sarah Cooper, Merry C. Smith, Mark Dignan, Stephenie Kennedy-Rea, Electra D. Paskett, Roger Anderson, Amy K. Ferketich
Psychology Faculty Publications
Background: The cervical cancer burden is high among women living in Appalachia. Cigarette smoking, a cervical cancer risk factor, is also highly prevalent in this population. This project aims to increase smoking cessation among women living in Appalachia by embedding a smoking cessation program within a larger, integrated cervical cancer prevention program.
Methods: The broader program, the Take CARE study, is a multi-site research collaborative designed to address three risk factors for cervical cancer incidence and mortality: tobacco use, human papillomavirus (HPV) infection, and cervi‑ cal cancer screening. Break Free is a primary care clinic-based implementation program that …