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Articles 61 - 90 of 355

Full-Text Articles in Clinical Psychology

Radical Youth Work: A Community Based Approach To Working With Youth, Young Adults And Families, Weston J. Robins Mar 2024

Radical Youth Work: A Community Based Approach To Working With Youth, Young Adults And Families, Weston J. Robins

National Youth Advocacy & Resilience Conference

Radical Youth Work: A Community Based Approach to Working with Youth, Young Adults and Families

A focus on experiential mentoring, humanistic counseling and community engagement as a way to work with youth, young adults and families to provide true holistic therapeutic support and guidance.


At The Intersection Of Religion, Spirituality, And Clinical Psychology: A Conversation With Two Jewish Psychologists, Robert A. Demayo, David A. Levy Mar 2024

At The Intersection Of Religion, Spirituality, And Clinical Psychology: A Conversation With Two Jewish Psychologists, Robert A. Demayo, David A. Levy

Psychology Division Scholarship

This article presents a dialogue between two Jewish psychologists who share their respective personal and professional journeys on how spirituality and religious affiliation impacts their work as clinicians. They address the following questions: How would you identify your cultural background with respect to your religious or spiritual history and identity? How do you manage the competing demands of respecting both individual cultural identity and group cultural identity? How did your early experiences with Judaism influence your professional practice? What were your earliest academic influences on the question of spirituality in psychology? How have religion and spirituality manifested in your clinical …


Power And Control Wheel Tactics: Assessing Posttraumatic Stress Disorder (Ptsd) Epistemology Among Domestic Violence Survivors, Lisa Hady Feb 2024

Power And Control Wheel Tactics: Assessing Posttraumatic Stress Disorder (Ptsd) Epistemology Among Domestic Violence Survivors, Lisa Hady

Theses and Graduate Projects

Domestic violence affects more than 10 million adults in the United States annually (National Network to End Domestic Violence, 2020). The Power and Control Wheel (PCW) places power and control at the center of physical and sexual violence, with eight surrounding tactics representing the abusive behaviors perpetrators use to retain power and control over survivors. Although the PCW has been extended to understand various abusive relationships, and the PCW tactics have been examined in both Intimate Partner Violence (IPV) and Non-Intimate Partner Violence (NPV; Basile et al., 2004; Scott, 2018), limited research compares tactics used based on the perpetrator’s relationship …


The Relationship Between Cognitive Impairment In Psychiatric Patients And Readmission Rate To An Inpatient Facility, Cherilyn Isis Schuff Feb 2024

The Relationship Between Cognitive Impairment In Psychiatric Patients And Readmission Rate To An Inpatient Facility, Cherilyn Isis Schuff

Theses and Dissertations

The primary intention of this study was to further understand the impact of assessing cognitive impairment in psychiatric patients, as a mediating factor on readmission rates. Mild cognitive dysfunction impacts a patient’s functional outcomes (Bowie & Harvey, 2006; Davis et al., 2012; Marcantonio, et al., 2001). Little information exists to guide best practices in the treatment of adults with cognitive impairment who are hospitalized for acute conditions (Davis et al., 2012). A cognitive impairment may impact patient prognosis and ability to function outside of a setting focused on stabilization. Neuropsychological testing is a valuable tool in predicting a patient’s cognitive …


Examining Stigma In Rural Mental Health Care Settings: A Mixed Methods Approach, Lainie Krumenacker Jan 2024

Examining Stigma In Rural Mental Health Care Settings: A Mixed Methods Approach, Lainie Krumenacker

Murray State Theses and Dissertations

More than half of Americans will be diagnosed with a mental illness in their lifetime (CDC, 2021), yet stigma towards mental health affects both patients and providers. Although programs exist to address stigma, improve cultural competency among providers, and educate families on the importance of support, facilities are often limited on programs they provide due to allocation of resources and funds. Without a shift in treatment and programing, stigma will continue to impact patient care and outcome.

This study explored stigma among mental health providers in rural communities, while exploring potential differences in treatment among patients due to race. Mental …


Dungeons And Dragons™ (D&D) As A Brief Intervention For College Students, Alexander W. Peralta Jan 2024

Dungeons And Dragons™ (D&D) As A Brief Intervention For College Students, Alexander W. Peralta

College of Graduate Studies: Theses & Dissertations

This quasi-experimental study investigated the effect of a table-top roleplaying game (ttrpg), specifically Dungeons and Dragons™ (D&D), on increasing feelings of social connection, decreasing perceived stress, increasing self-esteem and improving adjustment to college among first semester, first year students. participants signed up to either the D&D group or the comparison group. D&D participants (n = 18) attended five one-hour weekly D&D sessions, meanwhile the comparison group (n = 10) went through their first semester of college with no intervention, but completed the study measures at the same points in time as the D&D participants. All participants completed measures of social …


A Validation Study Of The Occupational Depression Inventory In Poland And Ukraine, Krystyna Golonka, Karine O. Malysheva, Dominika Fortuna, Bożena Gulla, Serhii Lytvyn, Leon T. De Beer, Irvin Sam Schonfeld, Renzo Bianchi Jan 2024

A Validation Study Of The Occupational Depression Inventory In Poland And Ukraine, Krystyna Golonka, Karine O. Malysheva, Dominika Fortuna, Bożena Gulla, Serhii Lytvyn, Leon T. De Beer, Irvin Sam Schonfeld, Renzo Bianchi

Publications and Research

This study examined the psychometric and structural properties of the Polish and Ukrainian versions of the Occupational Depression Inventory (ODI). We relied on two samples of Polish employees (NSample1 = 526, 47% female; NSample2 = 164, 64% female) and one sample of Ukrainian employees (NSample3 = 372, 73% female). In all samples, the ODI exhibited essential unidimensionality and high total-score reliability (e.g., McDonald’s omegas > 0.90). The homogeneity of the scale was strong (e.g., 0.59 ≤ scale-level Hs ≤ 0.68). The ODI’s total scores thus accurately ranked individuals on a latent occupational depression continuum. We found evidence of complete measurement invariance …


Psychotropics Prescription In Primary Care, Ruthzaine Lopez Bolano Oct 2023

Psychotropics Prescription In Primary Care, Ruthzaine Lopez Bolano

Research Colloquium

Background: The study aimed to measure the prevalence of psychotropic prescriptions in primary care at four UTRGV clinical sites. Based on the results, this paper serves to inform and educate primary care providers of their current practices and treatment options when diagnosing mental health disorders and prescribing psychotropics.

Methods: This study used EMR data from January to March 2021 in four primary care clinics affiliated with the UT Health RGV system. Primary care patients from January to March 2021 and who were diagnosed with mood disorders (including Depression, Anxiety, and Bipolar Disorder) were included in this quality improvement study.

Results: …


The Association Between Symptoms Of Adhd And Alcohol Use And Related Consequences In College Students: Social And Environmental Protective And Risk Factors As Moderators Of This Relation, Cameron Shepard Massey Oct 2023

The Association Between Symptoms Of Adhd And Alcohol Use And Related Consequences In College Students: Social And Environmental Protective And Risk Factors As Moderators Of This Relation, Cameron Shepard Massey

Theses and Dissertations

Alcohol use, while common in college student populations, can bring about significant mental health and educational problems that have negative consequences (Harris et al., 2017; White & Hingson, 2013). Attention-deficit/hyperactivity disorder (ADHD) can also result in significant impairment in academic settings (Kuriyan et al., 2012; Blase et al., 2009, Barbaresi et al., 2007), and those with ADHD often show increased rates of alcohol consumption and related problems, which can greatly increase the risk for students to struggle in college (Barbaresi et al., 2013; Baker et al., 2012). Examining the impact that specific risk and protective factors play in this relation …


Artists, Activists, And Therapists Making Meaning Of Collective Violence In Lebanon: A Community-Engaged Participatory Research Study, Nawal Muradwij Sep 2023

Artists, Activists, And Therapists Making Meaning Of Collective Violence In Lebanon: A Community-Engaged Participatory Research Study, Nawal Muradwij

Dissertations, Theses, and Capstone Projects

This study collaborated with community-engaged artists, activists, and mental health workers living in Lebanon to explore the community narratives that exist around collective violence in Lebanon. With the support of a community advisory board, in-depth interviews, and focus groups were utilized to understand the associations that participants had with the construct of collective violence as it pertains to communities in Lebanon and their understanding of its impact on collective mental health. The sample of artists, activists, and mental health workers framed collective violence in Lebanon as intergenerational, perpetual, and institutionally and politically entrenched. Cultural concepts that described the impact of …


Entering Terra Incognita: Adapting Psychotherapists To Work During The Covid-19 Pandemic, Monika Zielona-Jenek, Agnieszka Izdebska, Emilia Soroko Aug 2023

Entering Terra Incognita: Adapting Psychotherapists To Work During The Covid-19 Pandemic, Monika Zielona-Jenek, Agnieszka Izdebska, Emilia Soroko

The Qualitative Report

Sudden historical events, such as the COVID-19 pandemic, may critically change the circumstances in which psychotherapy is conducted. The objective of this study was to analyze Polish psychodynamic psychotherapists’ experiences of working with patients at the onset of the pandemic and hence to understand the process of their coping with the external reality challenges. 183 Polish psychotherapists (160 women and 23 men) aged 26-66 years (average 38) completed a survey about their therapeutic work during the COVID-19 pandemic. Data were analyzed in accordance with Braun and Clarke’s thematic analysis framework. Five general themes were identified: (1) Facing a taboo; (2) …


Hoping As A Transformational Imperative In Puerto Rico: A Phenomenological And Grounded Theory Study Within Colonized Space, José Luiggi-Hernández Aug 2023

Hoping As A Transformational Imperative In Puerto Rico: A Phenomenological And Grounded Theory Study Within Colonized Space, José Luiggi-Hernández

Electronic Theses and Dissertations

As the United States continues to restrict Puerto Rico’s self-determination and imposes oppressive institutions such as the Oversight Board, the people of the archipelago live in precarity and hopelessness. Limited psychological research on colonialism has focused on the detrimental impact of oppression and its influence on the development of fatalism and the inferiority complex. On the other hand, existing psychological theories of hope fail to describe how it is lived within the post-colonial context and to explain the ways in which this psychological phenomenon arises even in the face of systematic dehumanization. As Puerto Ricans show evident signs of hope …


Beyond Stressors: Identifying Protective Cultural Factors And Coping Strategies For Mental Health Symptoms Among Aging Latino/Hispanic Immigrants, Juan M. Pena Aug 2023

Beyond Stressors: Identifying Protective Cultural Factors And Coping Strategies For Mental Health Symptoms Among Aging Latino/Hispanic Immigrants, Juan M. Pena

Psychology ETDs

Within the next decade, Latino immigrants will constitute the largest middle-aged and older immigrant group living in the U.S. This cross-sectional study investigated traumatic stressors, acculturative stress and perceived structural injustices and their associations with mental health symptoms. This study also examined the linkages between cultural factors, social support, and coping strategies and mental health outcomes. Eighty Latino/Hispanic immigrants who were 45 years of age or older completed a series of questionnaires and optional open-ended questions. A greater exposure to traumatic events, higher acculturative stress, and perceived injustices were associated with greater psychological distress and symptoms of anxiety, depression, and …


Effects Of Parenting And Self-Efficacy On Diet, Family Mealtime And Weight-Related Outcomes In African American Adolescents, Haylee Michele Loncar Jul 2023

Effects Of Parenting And Self-Efficacy On Diet, Family Mealtime And Weight-Related Outcomes In African American Adolescents, Haylee Michele Loncar

Theses and Dissertations

Despite substantial research and concern, adolescent overweight and obesity continues to be a significant public health problem. Theory based on developmental literature emphasizes the role of adolescent self-regulatory factors, like self-efficacy, in health behavior engagement and weight-related outcomes. There is also extensive literature that highlights parents’ role in promoting self-regulatory development through warm and responsive behaviors and practices. However, few studies have considered longitudinal associations and changes in weight-related outcomes over time, as well as moderated effects by parenting. This study assessed longitudinal associations between adolescent self-efficacy parenting factors and adolescent BMI, diet, and family mealtime to fill gaps in …


Comorbid Adhd And Pediatric Sickle Cell Disease: Prevalence And Risk Factors, Sarah Bills Jul 2023

Comorbid Adhd And Pediatric Sickle Cell Disease: Prevalence And Risk Factors, Sarah Bills

Theses and Dissertations

Objective: Sickle cell disease (SCD) is a genetic blood condition that places youth at increased risk for deficits in attention and executive functioning suggestive of increased rates of Attention Deficit/Hyperactivity Disorder (ADHD). There is pronounced inconsistency in reported prevalence rates for attention deficits and ADHD diagnoses among youth with SCD, which is due in part to variability in methodology of previous studies. The primary aim of the present study is to use systematic screening to identify the prevalence of inattentive ADHD symptoms and ADHD diagnoses in a pediatric SCD population seen at a large hematology clinic. A secondary aim is …


The Effects Of Poly-Strengths On Psychological Wellbeing Amongst Young Adults With Childhood Poly-Victimization, Nakisa Asefnia Jul 2023

The Effects Of Poly-Strengths On Psychological Wellbeing Amongst Young Adults With Childhood Poly-Victimization, Nakisa Asefnia

Theses and Dissertations

The field of trauma and victimization has undergone many evolutions in its efforts to conceptualize the impacts of victimization and more recently poly-victimization. Poly-victimization refers to the experiencing of multiple types of victimization over the lifespan. This has led to an ever-growing base of literature highlighting the many deleterious effects of these experiences on individuals’ wellbeing, and the factors which may make a person more vulnerable to victimization. However, a growing movement in the field aims to take a more strengths-based perspective that highlights the resilience of individuals, rather than risk factors, in the hopes of better understanding the factors …


Feasibility Of A Parent-Focused, Stress Management Intervention To Decrease Adolescent Bmi, Reduce Stress, And Increase Well-Being Among African American Families, Colby J. Kipp Jul 2023

Feasibility Of A Parent-Focused, Stress Management Intervention To Decrease Adolescent Bmi, Reduce Stress, And Increase Well-Being Among African American Families, Colby J. Kipp

Theses and Dissertations

African American adolescents in the United States experience a higher prevalence of obesity as compared to their White counterparts. This health inequity presents a public health concern as consequences of weight-related chronic diseases often persist into adulthood and are increasingly problematic. As chronic stress has been found to be higher among African American youth compared to White adolescents, it presents as a potential barrier to participation for African American families in health promotion interventions. Additionally, it may be beneficial to target stress in health promotion programs as a modifiable factor in conjunction with health behaviors that may improve outcomes related …


Stigma As A Treatment Barrier In Trauma Exposed College Students, Lydia Sigurdson Jun 2023

Stigma As A Treatment Barrier In Trauma Exposed College Students, Lydia Sigurdson

Dissertations

Exposure to a traumatic event puts an individual at risk for subsequent psychological distress. Though trauma exposure is common in undergraduate students, college mental health services remain severely underutilized. One reason may be stigma associated with mental illness. The current study investigated the role of stigma on treatment seeking behaviors in trauma-exposed college students. Qualifying participants were randomly assigned to one of two stigma conditions. One week following measure completion, participants received an email offering a free, brief, self-guided intervention described with a stigmatizing label (“trauma symptoms”) in one condition, and as a broad problem (“stress”) in the other. It …


The Co-Occurrence Of Adverse Childhood Experiences And Mental Health Among Latina/O Adults: A Latent Class Analysis Approach, Michael Niño, Kazumi Tsuchiya, Shaun Thomas, Christian Vazquez Jun 2023

The Co-Occurrence Of Adverse Childhood Experiences And Mental Health Among Latina/O Adults: A Latent Class Analysis Approach, Michael Niño, Kazumi Tsuchiya, Shaun Thomas, Christian Vazquez

Sociology and Criminology Faculty Publications and Presentations

Adverse childhood experiences (ACEs) have been linked to poor mental health among Latina/os. Few studies, however, have attempted to understand the extent to which ACEs co-occur and whether different forms of ACE co-occurrence differentially shape poor mental health patterns among Latina/os. The present study begins to address this gap by (1) identifying latent classes of ACEs and (2) determining whether and how different ACE classes shape high depressive symptoms among Latina/o adults. Data were drawn from two waves of the Hispanic Community Health Study/Study of Latinos, a longitudinal, community-based sample of Latina/os living in four urban communities. Latent Class Analysis …


Talking With Horses: Equine Assisted Activities To Promote Social Engagement In Individuals With Autism Spectrum Disorder, Amy Ezhaya May 2023

Talking With Horses: Equine Assisted Activities To Promote Social Engagement In Individuals With Autism Spectrum Disorder, Amy Ezhaya

Doctor of Nursing Practice Final Manuscripts

Purpose of Project: The purpose of this evidenced-based project is to gather data on how therapeutic horseback riding (THR) facilitates social engagement in individuals with autism spectrum disorder (ASD). The project aims to provide alternative treatment options and disseminate information to providers on the importance of community partnerships.

Background: In 2020, it was estimated that 1 in 54 children had ASD, which is a 170% increase since 2000. Often, those diagnosed with ASD also experience co-occurring mental health diagnoses placing a large burden of care on our healthcare system. THR is a growing alternative treatment option and has been found …


The Benefits Of Art Therapy On Stress And Anxiety Of Oncology Patients During Treatment, Helen Shiepe May 2023

The Benefits Of Art Therapy On Stress And Anxiety Of Oncology Patients During Treatment, Helen Shiepe

Expressive Therapies Capstone Theses

Within the last ten years research on art therapy and its positive impact on oncology patients’ stress and anxiety during treatment has been minimal. Oncology patients whether they are children or adults when diagnosed experience similar reactions due to their diagnosis, treatment, and in some cases end of life care. The current question is whether or not art therapy does have a positive impact on decreasing the stress and anxiety with oncology patients while undergoing treatment. Deane, Fitch & Carmen (2000), discussed art therapy as a healing art that is “intended to integrate physical, emotional, and spiritual care by facilitating …


"I Think It's Biblically Wrong, But Temptation Gets The Better Of Me": A Survey On Out-Of-Control Sexual Behavior In A Christian Cohort Of Men In The Uk, Timothy C Y Lau, Glenn M. Miles May 2023

"I Think It's Biblically Wrong, But Temptation Gets The Better Of Me": A Survey On Out-Of-Control Sexual Behavior In A Christian Cohort Of Men In The Uk, Timothy C Y Lau, Glenn M. Miles

Dignity: A Journal of Analysis of Exploitation and Violence

The current study aims to better understand influences on men within the UK Christian community on their engagement with pornography and prostitution. The authors utilized the Carnes (2012) survey to examine the landscape of sexual knowledge and behaviours, and to identify symptoms, and the propensity towards, “out-of-control sexual behavior” among participants. Data from a survey sent to the Christian community through church networks and word of mouth was used for this study. Of the 491 men who participated, the majority (94%, 460) described their personal Christian faith as “strong.” Despite the Christian faith community's moral code of conduct, the survey …


Mental Health Stigma And Social-Cognitive Factors Influence Behavioral Intentions To Seek Psychological Help, Bobbie Juaneza, Whitney Whitaker Apr 2023

Mental Health Stigma And Social-Cognitive Factors Influence Behavioral Intentions To Seek Psychological Help, Bobbie Juaneza, Whitney Whitaker

Academic Leadership Journal in Student Research

Recent estimates suggest that one in five adults in the United States of America experience mental health issues each year; this is estimated to be approximately 51.5 million adults. Despite many individuals who might suffer from mental health issues, and perhaps be diagnosed with a mental health disorder, these same individuals may not seek psychological services when needed. The current study examined mental health stigma (i.e., public and self-stigma of mental health) and social-cognitive factors (i.e., attitudes, subjective norms, and perceived control) that might influence a person’s willingness to seek out psychological help. The Theory of Planned Behavior was used …


Breaking Into Bon Air Juvenile Correctional Center: A Lesson In (Non) Quantitative Research, Mackenzie Seward Apr 2023

Breaking Into Bon Air Juvenile Correctional Center: A Lesson In (Non) Quantitative Research, Mackenzie Seward

Honors Theses

Gaps in the literature on juvenile justice and mental health within a juvenile correctional center prompted a study that focused on self-esteem, emotions, and empathy in residents living in a juvenile correctional center related to their participation in a storytelling course. First-year students from a local university visited the correctional center as part of a community-based learning component. They met with residents to swap stories about their lives. Several limitations and obstacles complicated the data collection process, forcing the researchers to pivot their study from quantitative analyses to qualitative observations. The experience of conducting a study within a juvenile correctional …


The Role Of Religious Coping Resources As Resilience Factors In The Relationship Between Stress And Health-Related Quality Of Life Among Black Americans, Sarah Grace Frary Apr 2023

The Role Of Religious Coping Resources As Resilience Factors In The Relationship Between Stress And Health-Related Quality Of Life Among Black Americans, Sarah Grace Frary

Theses and Dissertations

Black Americans face health disparities due to a number of systemic barriers across individual, relational, environmental, structural and superstructural levels, and these barriers increase their likelihood of chronic illness and premature mortality. Addressing these disparities is urgently needed. Addressing health promotion through culturally relevant interventions has been shown to be more effective, and one target for health promotion is Health-Related Quality of Life (HRQoL), a multidimensional health indicator that aligns well with many Black Americans’ understandings of health. HRQoL is negatively related to chronic stress. This study aimed to identify factors for effective coping with chronic stress that are culturally …


Understanding Intergenerational Transmission And Frequency Of Ethnic-Racial Socialization Practices Among Racial Ethnic Minority Groups, Ryan Chantz Houston-Dial Apr 2023

Understanding Intergenerational Transmission And Frequency Of Ethnic-Racial Socialization Practices Among Racial Ethnic Minority Groups, Ryan Chantz Houston-Dial

Theses and Dissertations

Ethnic-racial socialization (ERS) is a multidimensional concept that can be defined as the transmission of attitudes, beliefs and messages about ethnic-racial group membership (Hughes et al., 2006). To counteract the negative effects of discriminatory experiences, ethnic minority parents proactively impart race-salient messages to their youth. Sociodemographic variables such as regional location has been shown to affect the frequency of ERS messages as well (Thornton et al., 1990). The current study examines ERS practices in 436 African American, Hispanic/Latinx and Asian American parents. This study also explores the concept of intergenerational transmission, in which parents pass on to their own children …


An Examination Of The Prevalence And Predictors Of Drugging Victimization And Drugging Perpetration In A National Sample, Amber Nicole Wallace Apr 2023

An Examination Of The Prevalence And Predictors Of Drugging Victimization And Drugging Perpetration In A National Sample, Amber Nicole Wallace

Theses and Dissertations

Objective: The current study sought to expand the understanding of the nascent phenomenon of drugging, the administering of a drug or alcohol substance to an individual without their knowledge or consent (Swan et al., 2017). Specifically, in this paper, the lifestyle-routine activities theory (L-RAT) is used as a framework to examine what factors may contribute to the occurrence of drugging. Prevalence rates of drugging victimization and drugging perpetration are examined by participant characteristics including gender, sexual orientation, and race/ethnicity, and by risk behaviors including illicit drug use, marijuana use, and binge drinking. Trait sensation seeking, which has been shown to …


Radical Youth Work: A Community Based Approach To Working With Youth, Young Adults And Families, Weston J. Robins Mar 2023

Radical Youth Work: A Community Based Approach To Working With Youth, Young Adults And Families, Weston J. Robins

National Youth Advocacy & Resilience Conference

Eternal Strength Center for Radical Youth Work is a blended community center with customizable mental health therapeutic support for youth, young adults and families. Providing humanistic and person centered psychotherapy and counseling, alongside experiential therapies and community engagement we support families and youth struggling with anxiety, depression, substance abuse, self harm, suicidality and other challenges on their developmental growth journey.


Recruitment Of Young Black Men Into Trauma And Mental Health Services Research: Recommendations And Lessons Learned, Alexandria G. Bauer, Jannette Y. Berkley-Patton Mar 2023

Recruitment Of Young Black Men Into Trauma And Mental Health Services Research: Recommendations And Lessons Learned, Alexandria G. Bauer, Jannette Y. Berkley-Patton

Journal of Health Disparities Research and Practice

Young Black/African American men are more likely to experience repeated trauma that escalates throughout young adulthood, compared to young White men. Exposure to trauma has impacts on mental health outcomes, but young Black men face substantial barriers to mental health care. In order to begin to address these disparities, it is imperative to increase understanding of the needs, preferences, and priorities of young Black men for mental health care services following trauma. Yet, young Black men are often underrepresented in mental health services research. The purpose of the current study was to describe strategies for recruitment of young Black men …


Examining The Home Interventionist Model Of Care In Pediatric Asthma, Katherine D. Lohr Jan 2023

Examining The Home Interventionist Model Of Care In Pediatric Asthma, Katherine D. Lohr

Theses and Dissertations

Pediatric asthma disproportionately affects children living in urban areas and within families reporting an income below the poverty threshold. Home interventionist models of care, utilizing interventionists from the communities they serve, have been found to improve pediatric asthma symptoms and reduce Medicaid costs. Home interventionists, such as community health workers (CHWs) and Healthy Homes assessors (HHAs), focus on connecting care among schools, providers, and homes, and empowering families in accessing resources to overcome barriers to care. However, research is just beginning to understand how home interventionists create positive change among families within low-income, urban communities. This dissertation study used a …