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Articles 91 - 120 of 569
Full-Text Articles in Clinical Psychology
Non-Linear Heart Rate Variability: Investigating Cardiac Complexity Of Psychopathic Traits, Khaya A. Roach
Non-Linear Heart Rate Variability: Investigating Cardiac Complexity Of Psychopathic Traits, Khaya A. Roach
Dissertations, Theses, and Capstone Projects
Psychopathy is a complex personality disorder characterized by distinct emotional and interpersonal deficits, and affects approximately 25% of the prison population and 4.5% of nonincarcerated populations. The manifestation of psychopathy can be understood through two distinct variants, each demonstrating unique etiological pathways and clinical presentations. Primary psychopathy is characterized by core interpersonal and affective deficits, including shallow emotions and manipulativeness, while demonstrating reduced autonomic responsivity and lower anxiety levels. Secondary psychopathy presents with higher levels of impulsivity, anxiety, and emotional dysregulation, showing stronger associations with various psychopathologies. Treatment outcomes also vary between the variants, with primary psychopaths typically showing poor …
The Role Of Parent Psychiatric Symptoms In The Intergenerational Continuity Of Child Neglect: A Prospective Examination, Cody D. Stitzel
The Role Of Parent Psychiatric Symptoms In The Intergenerational Continuity Of Child Neglect: A Prospective Examination, Cody D. Stitzel
Dissertations, Theses, and Capstone Projects
Parental history of childhood neglect is a risk factor for offspring neglect. When a parent and their offspring both experience neglect in childhood, the phenomenon is referred to as the intergenerational continuity of child neglect. Understanding how child neglect is continued from one generation to the next is essential for creating effective interventions and prevention strategies that may help break the cycle. Since links between childhood neglect and heightened risk for various psychiatric symptoms have consistently been identified in research, as well as links between various psychiatric symptoms and heightened risk for child neglect, it may be that parents’ psychiatric …
Improving The Assessment Of Functional Ability In Older Adults, Aneela Rahman
Improving The Assessment Of Functional Ability In Older Adults, Aneela Rahman
Dissertations, Theses, and Capstone Projects
Deficits in instrumental activities of daily living (IADL) are a hallmark of dementia, and the unprecedented aging of the population strongly motivates early identification of older adults at-risk for functional decline. In 2015, the White House Conference on Aging emphasized the need to improve detection of diminished capacity across important areas of functioning. To date, there is very limited research on early IADL changes in cognitively unimpaired (CU) individuals and those with subjective cognitive decline (SCD) and mild cognitive impairment (MCI), who may be in early preclinical dementia stages. Additionally, little is known about how changes in functional brain networks …
The Role Of Intolerance Of Uncertainty In Prenatal Anxiety: Exploring Meta-Cognitive And Psychosocial Moderators, Jenna A. Macri
The Role Of Intolerance Of Uncertainty In Prenatal Anxiety: Exploring Meta-Cognitive And Psychosocial Moderators, Jenna A. Macri
Graduate Masters Theses
Prenatal anxiety is common and has been linked to myriad adverse psychological and physical health outcomes for both the pregnant individual and the child. While research on factors contributing to the etiology and maintenance of prenatal anxiety is limited, intolerance of uncertainty has been identified as a key factor related to anxiety during pregnancy. The current study aimed to substantiate the role of intolerance of uncertainty in prenatal anxiety and explore meta-cognitive and psychosocial constructs as potential moderators of the relation between intolerance of uncertainty and prenatal anxiety. Additionally, due to inconsistencies in the operationalization of prenatal anxiety in the …
Effects Of Emotion Regulation On Reactions To Racism In Process Of Antiracism Among White Individuals, Stephanie Marando-Blanck
Effects Of Emotion Regulation On Reactions To Racism In Process Of Antiracism Among White Individuals, Stephanie Marando-Blanck
Graduate Doctoral Dissertations
The current study used multiple mediation models to explore the pathways and relationships among white privilege awareness, white emotional empathy, white cognitive empathy, white guilt, and different types of emotion regulation as predictors of individual and institutional antiracist engagement. Gaining an understanding of how white individuals experience and regulate certain racial emotions in the process of learning about their white privilege may inform antiracist trainings, diversity, equity and inclusion workshops, multicultural courses in schools, as well as counseling trainings in cultural humility. White adults (N = 170) were recruited through an online crowdsourcing platform (Prolific) and completed a brief (~20 …
Contributions Of Adverse Childhood Experiences, Racism, Therapy And Health Habits To Cardiovascular Health In African American Adults, Tahra Chaunice Nobles
Contributions Of Adverse Childhood Experiences, Racism, Therapy And Health Habits To Cardiovascular Health In African American Adults, Tahra Chaunice Nobles
Doctoral Dissertations
This dissertation explores the impact of Adverse Childhood Experiences (ACEs), racism, health habits, and therapy engagement on cardiovascular disease (CVD) among Black adults. This study builds on the Biopsychosocial Model and Allostatic Load Theory to examine how trauma, racism, and health habits influence cardiovascular health outcomes in the African American population. Through a quantitative analysis, this study investigates whether ACEs, experiences of racism, engagement in health habits, and participation in therapy contribute to the development or mitigation of CVD in Black adults. A total of 83 participants were included in the study, with data collected on ACEs, the frequency of …
The After Effects Of The Covid-19 Pandemic On The Mental Health Of International V/S Domestic Students - A Qualitative Study, Keerat Sidhu Bhatti
The After Effects Of The Covid-19 Pandemic On The Mental Health Of International V/S Domestic Students - A Qualitative Study, Keerat Sidhu Bhatti
Doctoral Dissertations
The COVID-19 pandemic significantly impacted the mental health of both international and domestic graduate students, exacerbating social isolation, financial strain, and psychological distress. This qualitative study examines the long-term effects of the pandemic on these student populations, exploring shared and divergent experiences, coping strategies, and evolving priorities. While both groups faced heightened anxiety and academic disruptions, international students encountered additional stressors, including cultural displacement, visa uncertainties, and limited support networks. Domestic students, in contrast, struggled with routine disruptions but had greater access to familial and social support. Across both groups, the pandemic prompted a reassessment of personal and professional priorities, …
Adult-Child Caregivers’ Fear And Coping Regarding The Risk Of Inheriting Alzheimer’S Disease, Rebecca Anne Ledbetter
Adult-Child Caregivers’ Fear And Coping Regarding The Risk Of Inheriting Alzheimer’S Disease, Rebecca Anne Ledbetter
Walden Dissertations and Doctoral Studies
Caring for elderly parents with Alzheimer’s disease (AD) poses two major challenges for adult-child caregivers: the tasks involved in taking care of ailing parents and also potentially living in fear of developing the same disease. This research examined how caregivers with such fear regard their vulnerability to AD and how they manage the stress that comes with caregiving for someone with a disease they dread developing themselves. This grounded theory study employed the appraisal theory of emotions and the theory of moods as frameworks and aimed to establish awareness regarding coping strategies that adult-child caregivers have about caretaking and their …
Better Serving Those Who Serve: Supporting Psychological Wellness Of Lgb Military Personnel In The Post “Don’T Ask Don’T Tell” Era, Anne Neuweiler
Better Serving Those Who Serve: Supporting Psychological Wellness Of Lgb Military Personnel In The Post “Don’T Ask Don’T Tell” Era, Anne Neuweiler
Electronic Theses and Dissertations
Few studies have been able to explore lesbian, gay, and bisexual military personnel’s experiences in military mental healthcare settings. This study examined the experience of LGB servicemembers in military counseling environments, as well as how to support these servicemembers in military mental health and military communities. Six participants volunteered for the study and six semi-structured interviews were completed with LGB servicemembers who had contact with mental health. Three research questions guided the present study and a transcendental phenomenological frame was used to analyze the data and themes emerged. Research question one yielded three themes: 1) “I'm Definitely not Gay”: The …
The Multicultural Orientation Framework In Couple Therapy, Jasmine R. Davis
The Multicultural Orientation Framework In Couple Therapy, Jasmine R. Davis
Electronic Theses and Dissertations
Couples’ cultural values and beliefs are important to their relational connection. Cultural values and beliefs can be sources of strength in relationships, but they can also lead to impasses. As such, clinicians and researchers could benefit from a cultural framework to inform conceptualization and treatment when working with couples. The Multicultural Orientation (MCO) framework has three pillars: cultural humility, cultural comfort, and cultural opportunities. The MCO framework is empirically supported for use in individual and group psychotherapy but has not been applied to couple therapy. This dissertation includes two parts. First, we outline a conceptual framework for the application of …
There Is No Finish Line: The Ramps Framework – An Evolving Model For Working With Racial Identities In Sport And Performance Psychology, Dylan Vas
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
The field of sport psychology has persisted in its calls for action on increasing cultural competence, being more inclusive of underrepresented identities, and progressing towards social justice (AASP, 2024b; Bejar et al., 2022; Fisher et al., 2003; Martens et al., 2000; Quartiroli, et al., 2023; Ryba et al, 2013; Ryba et al., 2024). This work attempts to contribute to these calls by providing attention on racial identity – including the proposal of an actionable and novel model, The Racial Identity Model of Psychology in Sport (RAMPS) Framework. The proposed model incorporates publications from sport psychology, clinical psychology, and social justice …
Supervisee Barriers To Disclosure And The Supervisory Working Alliance, Rachel G. Hughitt
Supervisee Barriers To Disclosure And The Supervisory Working Alliance, Rachel G. Hughitt
Electronic Theses and Dissertations
This study investigated barriers influencing supervisees’ willingness to disclose clinical errors in mental health training contexts, with a focus on the supervisory working alliance (SWA) as a potential moderating factor. Participants read two vignettes – one describing a clinical error and the other a client concern – and were asked to indicate which case they would discuss with their supervisor. They also completed the Brief Supervisory Working Alliance Inventory–Trainee Form (BSWAI-T) and the Supervisee Disclosure in Supervision Scale (SDSS), which assessed the quality of the supervisory alliance and perceived barriers to disclosure, including fear of negative evaluation, lack of confidence, …
Trainee Countertransference And Competency In Bereavement Therapy: Strengths And Limitations Of The Wounded Healers, Meghan Paynter
Trainee Countertransference And Competency In Bereavement Therapy: Strengths And Limitations Of The Wounded Healers, Meghan Paynter
Electronic Theses and Dissertations
Countertransference is a common experience in therapy, happening among clinicians of all stages of their career and the outcomes of this experience hinge largely on how countertransference is managed. Challenging topics, such as grief, only make countertransference harder to manage effectively and the management of this experience improves with practice and time—something trainees have not yet ascertained. Given the pervasiveness of grief as a human experience, also indiscriminate in nature, the experiences of trainees experiencing countertransference are important to understand, including what is experienced, how they experience it, and how it impacts their process and self-perception of confidence and competence …
Examining Barriers To Crisis Service Use Among Black Young Adults, Emily K. Burns
Examining Barriers To Crisis Service Use Among Black Young Adults, Emily K. Burns
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Black communities face an increased burden of mental illness (Gordon, 2020). This can be linked to factors such as experiences of racism, higher rates of unemployment, financial and food insecurity, and disparities in health care (Gordon, 2020). Despite this, Black communities have historically experienced relatively low rates of suicide (Gordon, 2020). This has been anecdotally attributed to protective cultural values and beliefs about suicide. However, there has been a recent shift in this trend, particularly for Black youth and young adults.
Playing Catch Up: A Brief Look Into Modern Internet Culture And Its Impact On Adolescent Male Development, Xavier Bird
Playing Catch Up: A Brief Look Into Modern Internet Culture And Its Impact On Adolescent Male Development, Xavier Bird
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
This doctoral paper argues that the internet, particularly the "manosphere," poses three significant threats to the development of adolescent males in the U.S.: the influence of misogynistic online personalities, the normalization of risky online behavior, and the spread of right-wing misinformation. The paper highlights the role of the COVID-19 pandemic in exacerbating these issues due to increased internet usage. Furthermore, it proposes a research study to investigate the link between exposure to online misogynistic content and aggressive behavior in schools, emphasizing the unique challenges of studying adolescents and their online culture. Finally, the paper stresses the urgent need for updated …
The Developmental Cohort Model Of Interpersonal Process Groups: A Clinician's Guide For University Counseling Centers, Lauren Caldas
The Developmental Cohort Model Of Interpersonal Process Groups: A Clinician's Guide For University Counseling Centers, Lauren Caldas
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
The purpose of this paper is to outline a clinician's manual that guides providers in the development, facilitation, and maintenance of long-term interpersonal process groups (IPGs) within university counseling centers (UCCs). This manual also presents a new model: The Developmental Cohort Model (DCM), which utilizes a stepped model throughout a traditional student's college timeline. I will present this manual in the context of the Developmental Cohort Model (DCM), but it can certainly remain useful for any type of IPG. Research suggests that group therapy is an effective way to increase access to mental health care (Burlingame & Strauss, 2021) and …
A Clinical Pathway For Differential Diagnosis Of Adhd Vs Trauma: Early Childhood Recognition And Intervention, Maria Neiers
A Clinical Pathway For Differential Diagnosis Of Adhd Vs Trauma: Early Childhood Recognition And Intervention, Maria Neiers
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Distinguishing Attention-Deficit/Hyperactivity Disorder (ADHD) from Complex Posttraumatic Stress Disorder (C-PTSD) presents significant diagnostic challenges due to overlapping symptom presentations, shared neurobiological impacts, and frequent comorbidities. This paper explores the nuanced clinical differentiation between ADHD and C-PTSD, and other trauma disorders, in pediatric populations, emphasizing the importance of trauma-informed assessment, early identification, and integrative clinical reasoning. The discussion highlights how structured diagnostic reasoning can reduce uncertainty, enhance diagnostic clarity, and support effective treatment planning. As a central contribution, this paper introduces an original clinical reasoning flowchart and a case conceptualization to illustrate its practical application in real-world diagnostic dilemmas. The need …
Applying Contextual Behavioral Science To Address Addictions In Monsters, Chase Hollander
Applying Contextual Behavioral Science To Address Addictions In Monsters, Chase Hollander
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
The dominant essentialist paradigm in addiction treatment often conceptualizes addiction as a curse or plague which seizes the individual afflicted by it. Such views are reinforced by neurobiological interventions like Medication-Assisted Treatment (MAT). While MAT can reduce cravings and withdrawal symptoms, its long-term efficacy is mixed, and its emphasis on abstinence as a primary outcome limits its scope. Addiction is a multifaceted phenomenon shaped by physiological, psychological, social, and systemic factors—including stigma, moral judgment, and structural oppression. Essentialist approaches frequently pathologize individuals and obscure these broader influences. In contrast, contextual behavioral sciences and therapies aligned with functional contextualism such as …
Proposed Theoretical Model Of Pediatric Onset Multiple Sclerosis And Restrictive Eating Behaviors, Anna L. Smith
Proposed Theoretical Model Of Pediatric Onset Multiple Sclerosis And Restrictive Eating Behaviors, Anna L. Smith
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Multiple Sclerosis (MS), a chronic, demyelinating, autoimmune disease that causes an array of physical and cognitive symptomatology, is commonly diagnosed in adulthood. Pediatric Onset Multiple Sclerosis (POMS) is characterized by diagnosis of the disease before age 18 and accounts for about 5% of MS cases. While there is a growing body of literature examining the impact of adult-onset multiple sclerosis on psychosocial functioning, research specifically addressing POMS remains limited. Moreover, there is a notable gap in the literature regarding the risk of eating disorders among individuals with POMS. This paper will explore a constellation of potential risk factors that may …
Supporting Healthy Siblings In Pediatric Cancer: Advancing Relational Interventions To Heal Invisible Wounds, Kristen K. Wederski
Supporting Healthy Siblings In Pediatric Cancer: Advancing Relational Interventions To Heal Invisible Wounds, Kristen K. Wederski
Graduate School of Professional Psychology: Doctoral Papers and Masters Projects
Healthy siblings of children diagnosed with cancer occupy a uniquely vulnerable position within the pediatric oncology landscape. Individuals within this population often demonstrate significant emotional distress and can experience long-term psychological challenges. Despite their risk, healthy siblings remain under-researched and under-supported compared to pediatric patients and caregivers. Existing interventions tend to prioritize individual coping skills and psychoeducation and often overlook the critical relational dynamics that shape healthy siblings' psychological adjustment. Grounded in systematic and relational theories, this paper proposes a paradigm shift toward relationally focused interventions that strengthen the caregiver-sibling bond as a core mechanism of change to foster resilience …
Roles Of Sex And Education Level With Alcohol Use Milestone Attainment And Progression, Elisabeth P. Cabot
Roles Of Sex And Education Level With Alcohol Use Milestone Attainment And Progression, Elisabeth P. Cabot
Theses - ALL
Emerging adults report the highest rates of alcohol use, with drinking patterns varying by sex and education level. Few studies have explored how these factors relate to the attainment and progression of alcohol use milestones. The current study addresses this gap by examining the associations between sex, education level and alcohol use milestone progression and attainment in emerging adults. Secondary data analyses were conducted using National Epidemiological Survey on Alcohol and Related Conditions-III (NESARC-III) data (N = 36,309, Mage = 45.63 [SD = 17.53], female = 56%, 53% White, 21% Black, 19% Hispanic and 2% Multiracial). Ordinal regressions indicated males …
Perceptions Of Pain And Benzodiazepine Use Interrelations: A Qualitative Study, Emma Carnes Lape
Perceptions Of Pain And Benzodiazepine Use Interrelations: A Qualitative Study, Emma Carnes Lape
Dissertations - ALL
Growing concern and research attention have focused on potential harms associated with widespread use of benzodiazepine (BZD) medications. Individuals with chronic pain bear a disproportionate burden, characterized by higher rates of BZD prescriptions, longer-term use, and increased dependence compared to the general population. Although theory and emerging evidence suggest that pain may play a role in the maintenance of BZD use, there is no extant data describing how individuals perceive interrelations between their pain and BZD use. The aims of the present study were to conduct a thematic analysis of interview data regarding perceptions of interrelationships between pain and BZD …
Asian/Asian American College Students’ Help-Seeking Attitudes For Adhd, Nandini Jhawar
Asian/Asian American College Students’ Help-Seeking Attitudes For Adhd, Nandini Jhawar
Dissertations - ALL
Background: Asian/Asian American (AA) college students are least likely to engage with ADHD treatment compared to other racially minoritized groups, which may increase their risk for negative outcomes from untreated ADHD symptoms. Public stigma of ADHD contributes to these negative help-seeking attitudes. This study used the minority stress theory to examine if the distal and proximal stress of internalization of the model minority myth, a racial stereotype, influences the relationship between public stigma and help-seeking attitudes. Methods: Participants were undergraduate students recruited from nine geographically diverse universities in the United States. Data was collected over two academic years and included …
Black Mothers' Adhd Experiences, Attitudes, And Support-Seeking Decisions, Catherine L. Montgomery
Black Mothers' Adhd Experiences, Attitudes, And Support-Seeking Decisions, Catherine L. Montgomery
Dissertations - ALL
Background: ADHD, particularly when left untreated, is associated with significant impairment in several domains. Black youth may still be under-diagnosed with ADHD, resulting in symptoms going untreated. Black mothers may determine non-professional delivered supports to be more appropriate and acceptable than medication for their children with ADHD. As they tend to be the primary healthcare decision makers, it is important to develop a greater understanding of Black mothers’ ADHD support-seeking decision making for their youth. Method: The present study used semi-structured interviews guided by Kleinman’s Explanatory Models of Illness to discuss Black mothers’ decision making for their youth with ADHD. …
Pain Intensity And Alcohol Use Behavior Among Veterans With Chronic Pain: The Moderating Role Of Chronic Pain Acceptance, Kyle White
Dissertations - ALL
The co-occurrence of chronic pain and unhealthy alcohol use is common among veterans and associated with worse treatment outcomes and greater functional impairment relative to either condition alone. Accordingly, the U.S. Department of Veterans Affairs (VA) has underscored the importance of addressing co-occurring medical conditions in their clinical practice guidelines for substance-related disorders. Recent legislation has also oriented the VA towards complementary and integrative health therapies to minimize opioid prescriptions for chronic pain. Thus, identifying malleable psychological factors linking pain to alcohol use is a vital step in the development of tailored interventions for veterans. The goal of the current …
A Religious Etiology Of Genito-Pelvic Pain And Pain With Penetration, Emily L. Carlson
A Religious Etiology Of Genito-Pelvic Pain And Pain With Penetration, Emily L. Carlson
Theses and Graduate Projects
Pelvic pain during penetration (PPDP) has been described using various diagnostic terms, including vaginismus, dyspareunia, and vulvodynia. The most recent and comprehensive classification is Genito-pelvic pain/penetration disorder (GPPPD) which is characterized by psychological distress associated with pain during or in anticipation of vaginal penetration (DSM-5-TR; American Psychiatric Association [APA], 2022). The etiology of PPDP is multifactorial, involving a complex interplay of biological, psychological, and relational factors. Religious and cultural influences may play a significant role in shaping individuals’ experiences of sexual pain. This study investigated the etiology of PPDP in relation to the religious influences among women raised in Judeo-Christian …
Registered Nurses' Autism Knowledge And Preparedness To Care For Autistic Patients, Bronte Elisa Weissman
Registered Nurses' Autism Knowledge And Preparedness To Care For Autistic Patients, Bronte Elisa Weissman
Theses and Dissertations
Autistic individuals frequently report negative experiences during healthcare interactions and numerous provider-level barriers to accessing quality care, including stereotyping, perceived lack of autism knowledge, challenges with communication, and insufficient accommodations. Reports of healthcare providers’ experiences caring for autistic patients in the U.S. have largely come from physicians, who endorse inadequate training, resources, and practical guidelines. Although patients spend far more time with nurses than other healthcare providers, registered nurses (RNs)’ perspectives on caring for autistic patients in the U.S. are largely unknown and autism-focused trainings for nurses are minimal. In the current study, a survey was nationally disseminated to a …
The Impact Of Mental Health Courts On Public Attitudes Held Toward Justice-Involved Individuals With Mental Illness, Maeve Porter
The Impact Of Mental Health Courts On Public Attitudes Held Toward Justice-Involved Individuals With Mental Illness, Maeve Porter
Student Theses
Prior research has established that mental health court programs play an important role in reducing recidivism and mental health symptoms of defendants. However, there is a lack of understanding of the stigma that justice-involved individuals may encounter upon release from mental health court into the community, and the extent to which the general public is aware of mental health court programs. The present study sought to address public perceptions regarding mental health courts, their efficacy, and their participants based on the awareness and availability of these specialized courts in two similar states (New York and New Jersey), one in which …
A Qualitative Exploration Of Sibling Relationships Impacted By Autism: “We’Ll Be Brothers Forever”, Julia M. Linger
A Qualitative Exploration Of Sibling Relationships Impacted By Autism: “We’Ll Be Brothers Forever”, Julia M. Linger
Dissertations, 2020-current
The current study used a desire-based research framework to explore the lived experiences of siblinghood in families in which one child is autistic and one child is neurotypical. Their experiences were investigated through semi-structured interviews with eight children (four sibling pairs) between the ages of 11 and 18. Interpretative phenomenological analysis (IPA) was used to analyze and interpret the data. Seven shared experiential themes were constructed that helped describe the experiences of siblinghood for the participants: 1) Siblinghood includes both enjoyment and annoyance, 2) Shared activities and quality time facilitate sibling connectedness, 3) Siblings celebrate differences and use their different …
Using The Personal Health Inventory To Support Engagement In Mindfulness For Veterans With Ptsd: Mixed Methods Secondary Data Analysis, Emily M. Johnson, Mia R. Zappala, Jacob Scharer, Kyle Possemato
Using The Personal Health Inventory To Support Engagement In Mindfulness For Veterans With Ptsd: Mixed Methods Secondary Data Analysis, Emily M. Johnson, Mia R. Zappala, Jacob Scharer, Kyle Possemato
The Journal of Integrated Primary Care
Mindfulness has many potential benefits to physical and mental health but requires many hours of practice to attain the strongest benefits. Mindfulness interventions delivered within the context of primary care settings are often brief, so independent practice beyond the training context is important. Motivational factors are important predictors of sustained practice and different types of motivational factors are associated with different likelihood of sustained practice. The Personal Health Inventory (PHI) is a publicly available personal health planning tool that assesses motivational factors related to self-care behaviors like mindfulness. Our objective was to understand how the PHI can support patient engagement …