Health Psychology Commons^™

Rural Pregnant Women’S Experiences With Substance Use Disorder: A Qualitative Study, Cami Weber

Dissertations

Rural pregnant women with substance use disorder (SUD) are an understudied vulnerable population that often experiences poor pregnancy outcomes (Higgins et al., 2019; Jumah, 2016; Kramlich et al., 2018; Shaw et al., 2015). Despite the high prevalence and high burden associated with SUD, rural women are less likely than non-pregnant women to seek addiction treatment and complete an outpatient treatment program during pregnancy (Shaw et al., 2015). This study aimed to give voice to rural Missouri women with SUD. The research questions explored the life experiences and motivations for seeking treatment using a qualitative, descriptive research design with grounded theory …

An Intergenerational Photo Exploration Of Self Care Actions In Self-Identifying Strong Black Women, Vanessa Patrice Goodar

Dissertations

The current study sought to expand upon the Giscombé Superwoman Schema (2010) specifically exploring the role of vulnerability resistance and help obligation as potential barriers to changing comprehensive self-care health commitments in self-identifying Strong Black Women (SBW). The Superwoman Schema characteristics of vulnerability resistance and help obligation along with socio-economic factors of income, religious affiliation and marital status were assessed in the project using a visual-ethnography approach to Photo Voice methods and five intergenerational focus groups of SBW's born between 1946 and 2002. The collective self-care knowledge of these eighteen participants was analyzed using a participatory action research discussion framework …

Exploration Of Patient Variables And Characteristics Best Suited For Medical Marijuana Treatment For Anxiety And Depressive Disorders, Corey Gazoo

Dissertations

Individuals with posttraumatic stress, anxiety and depressive disorders are currently being prescribed medical marijuana as a treatment in many states across the United States. However, marijuana is still considered a schedule one narcotic by the Drug Enforcement Administration and federal government, which provides several barriers and challenges to conduct research such as approval from the U.S. Food and Drug Administration and following guidelines from the National Institute on Drug Abuse issued by the DEA. Additionally, individuals prescribed medical marijuana for mental health disorders are not always thoroughly instructed on the type of medical marijuana, the dosage, and how frequently to …

Perceived Discrimination Within The Patient-Provider Relationship And Its Impact On Help-Seeking Behaviors, Lechey S. Hibbler

Dissertations

Racial and ethnic minorities have faced discrimination for hundreds of years. When patients experience discrimination in healthcare settings, help-seeking behaviors decrease. Many patients choose to refrain from seeking treatment until their psychological or physical health issues are unmanageable, often resulting in acute visits to the emergency department. Patients that have experienced previous discriminatory encounters with health care providers are more likely to choose not to seek help for physical or mental health concerns, resulting in overall poorer physical health and mental health outcomes. With the use of critical evaluation of previous studies, this paper has demonstrated that perceived discrimination negatively …

Evaluation Of Telehealth Training To Teach The Stimulus Identification Questionnaire And Multiple Stimulus Without Replacement, Andrea Perez

Dissertations

The field of behavioral gerontology has seen a paucity in literature within the past 15 years focused on updating training technology and teaching best practice skills to staff. Specifically, there is a need to expand the breadth of training research focus areas could more broadly the elderly population (e.g., increasing engagement), to ensure that trainings are designed to equip caregivers with the skills to be independent, and finally, given the frequent staffing challenges experienced by aging settings (Harrington et al., 2020), to explore effective and efficient training techniques that are alternatives to lengthy, in-person training modalities. Given the personnel challenges, …

A Descriptive Study Of Health-Related Risks And Outcome Differences By Loneliness Status In A Sample Of Older Veterans, Rachael Beard

Dissertations

There is a need to understand the influences and outcomes related to loneliness in veterans living with complex illness. Patients require self-care to manage complications and exacerbations associated with complex illness. Deficits in self-care result in negative health outcomes and drive resource utilization upward. The identification of potential factors related to self-care is important. Loneliness may be one factor that influences patients’ ability and desire to care for themselves. Descriptive correlational design was used to evaluate loneliness both as a predictor and outcome in veterans admitted to the hospital for three complex respiratory illnesses (heart failure, chronic obstructive pulmonary disease, …

Uncertainty In The Context Of End-Of-Life Communication In Heart Failure, Caleb Pardue

Dissertations

End-of-life communication between patients, their family members, and healthcare providers is essential to quality care at the end-of-life. Advance care planning is increasingly utilized to facilitate end-of-life communication, but heart failure patients in particular face numerous challenges to achieving adequate end-of-life communication. Extant literature has highlighted the inherent uncertainty in heart failure as a barrier to end-of-life communication as well as the role of time perspective on the experience of heart failure patients, but little empirical research has been conducted to examine the impact of these constructs. The sample included 168 participants with heart failure who were recruited online through …

Empowering Nurses Of Minority In The Face Of Incivility And Bullying: Through The Lens Of Phenomenology, Corrine Floyd

Dissertations

Abstract

Up to 85% of nurses have reported exposure to incivility in the workplace (Hunt & Marini, 2012). The often-subtle nature of incivility toward nurses in a minority population may partially explain why it remains a problem. Healthcare organizations realize the need for civility to counter the high turnover rate, staff shortages, and low job satisfaction reported by nurses, but lack understanding of how nurses of a minority population perceive incivility and bullying. This study aimed to answer the research question how do nurses with minority representation experience incivility and bullying versus empowerment in the workplace? A descriptive phenomenological design …

The Mediating Effects Of Drinking Refusal Self-Efficacy On The Associations Between Alcohol Protective Behavioral Strategies And Alcohol Use Outcomes, Kray Scully

Dissertations

Alcohol use continues to pose a serious public health problem at universities across the U.S., largely due to the extent of consumption and frequency of negative consequences experienced among college students. Alcohol protective behavioral strategies (PBS-A) are an empirically supported repertoire of safe drinking behaviors college students can use to monitor and control their alcohol consumption as well as limit harm while drinking. However, there remains a need to better understand how cognitive mechanisms, such as drinking refusal self-efficacy (DRSE), help explain college student safe alcohol use behaviors to enhance evidenced-based intervention and prevention efforts. Recently, studies that examined the …

The Relationship Between Organizational Trauma-Informed Care And Secondary Trauma Symptoms In Staff Members Of Kentucky Domestic Violence Programs, Mary Ellen Foley

Dissertations

This study evaluated secondary traumatic stress (STS) levels in 89 employees from Kentucky’s 15 regional domestic crisis programs to determine whether certain demographic variables predicted STS levels (as measured by the Secondary Traumatic Stress Scale©) and whether employee perception of organizational trauma-informed care practices (as measured by the Ticometer©) reduced levels of STS. Results of a multiple regression analysis indicated that personal trauma history severity did significantly impact STS levels. In this way, the current study rejected the null hypothesis. Results also indicated that the more the employee perceived the organization to adopt and execute trauma-informed care practices, the lower …

Psychological Factors Related To Physical Activity In Adult Congenital Heart Disease, Tyler Pendleton

Dissertations

Adults with congenital heart disease (ACHD) are a new and growing medical population. While medical interventions previously focused on reducing rates of infant mortality, current research suggests increased risk of premature mortality in ACHD may be partially due to acquired cardiovascular disease. One lifestyle intervention to reduce acquired cardiovascular risk is physical activity. Physical activity has been supported in the research as a safe, efficacious, and tolerable intervention for many ACHD; however, most patients do not engage in recommended levels of physical activity. The purpose of this study was to investigate psychological factors related to physical activity in ACHD. Participants …

Emotional Intelligence Methods Utilized By Successful Major League Baseball Closers To Perform Successfully In High Pressure Situations, Joshua Rosenthal

Dissertations

Purpose: The purpose of this qualitative case study is to understand the similarities that exist in the descriptions of emotional intelligence methods utilized by retired successful Major League Baseball closers to appraise, express, regulate, and utilize their emotions to perform successfully in high pressure situations.

Methodology: The dissertation was a qualitative case study. Twelve of the top 50 retired save leaders in Major League Baseball were interviewed to understand the similarities in the descriptions of emotional intelligence methods used to perform successfully in high pressure situations. This study attempted to understand what exactly elite closers did to utilize emotional intelligence …

Evaluation Of A Brief Online Alcohol Intervention For College Students: The Role Of Race-Specific Normative Feedback, Racial/Ethnic Identity, And Readiness To Change, Jacob Scharer

Dissertations

Brief online interventions are effective for reducing alcohol use among college students. However, some research has suggested that these interventions may be less effective for African American students. This study evaluated the acceptability and efficacy of a widely available brief online alcohol intervention in a sample of African American and Caucasian college students through a randomized controlled trial. The aims of this study were to determine if providing race-specific normative feedback impacted treatment efficacy for African American students, and if this effect was moderated by racial/ethnic identity and readiness to change. Participants were 310 heavy drinking African American and Caucasian …

Redefining Burnout: Exploring Common Conceptualizations And The Neurophysiology Of Chronic Stress To Establish An Integrated Allostatic Model, Danny A. Guzzi

Dissertations

Burnout is a widely researched stress-related phenomenon associated with numerous adverse outcomes for employees and organizations. Unfortunately, burnout is not well understood and research to this point has been flawed due to a lack of consensus on the definition, dimensionality, and context of the construct. Prevalent conceptualizations of burnout have been criticized for being arbitrarily developed without solid theoretical foundation and for failing to clearly distinguish burnout from depression or other work-related conditions such as compassion fatigue, secondary traumatization, and vicarious traumatization. The current project first examines relevant literature to identify commonalities among prevalent burnout conceptualizations. Then relevant stress research …

Effect Of Attentional Focus On Learning And Performance In Youth Sports, Justin Wright

Dissertations

Youth athletes are different from adult and elite athletes in several domains that include cognitive resources, working memory, automaticity of motor movements, conscious control for propensity, attentional focus, and acquisition of motor-skills. Due to significant differences between athletes, not all instructions and feedback provided by coaches are best suited for every player. Instructions and feedback may direct an athlete’s attentional focus and cognitive resources incorrectly leading to poor acquisition and performance of motor-skills. Clinical psychologists with knowledge of motor-skill acquisition, cognitive resources, learning theory, conscious control propensity, automaticity of motor movements, constrained action hypothesis, and attentional focus can follow the …

The Influence Of Stressful Life Events On The Development Of Type 2 Diabetes, Joshua Minks

Dissertations

This study examined the relationship between distress and the development of Type 2 diabetes mellitus (T2DM) in the presence of established risk factors. Distress secondary to mental health disparities, stressful life events, and work conditions has been shown to promote insulin resistance and the development of T2DM.

Subjects (N=79) diagnosed with T2DM within the previous six months were recruited from SSM Health Centers and VA Medical Centers in the greater St. Louis area. They completed the Recent Life Changes Questionnaire, ENRICHD Social Support Instrument, and a demographic survey and analyses were conducted to determine differences between the veteran …

Disability-Related Factors And Perceived Stigma: A Closer Examination Of Suicidality In Individuals With Physical Disabilities, Lauren Khazem

Dissertations

Previous research has indicated an association between physical disability and suicidal ideation. However, the mechanisms contributing to the development of suicidal ideation in this population have remained largely unstudied within an empirically supported theoretical framework. The current study expands upon previous research by examining the relationship between different facets of physical disability and suicidal ideation intensity through the indirect effect of perceived stigmatization and interactions with mental states described within the Interpersonal Theory of Suicide, namely perceived burdensomeness and thwarted belongingness. Furthermore, this research aims to examine these potential relationships in a nonclinical sample of adults with physical disabilities ranging …

The Predictors Of Juvenile Recidivism: Testimonies Of Adult Students 18 Years And Older Exiting From Alternative Education, La Toshia Palmer

Dissertations

Purpose: The purpose of this descriptive, qualitative study was to identify and describe the importance of the predictors of juvenile recidivism and the effectiveness of efforts to prevent/avoid juvenile recidivism as perceived by previously detained, arrested, convicted, and/or incarcerated adult students 18 years of age and older exiting from alternative education in Northern California. A second purpose was to explore the types of support provided by alternative schools and the perceived importance of the support to avoid recidivism according to adult students 18 years of age and older exiting from alternative education.

Methodology: This qualitative, descriptive research design identified …

A Mixed-Methods Study: Self-Efficacy And Barriers To Participation In Workplace Wellness Programs, Massiel Perez-Calhoon

Dissertations

America needs a healthy workforce to sustain the country. The scourge of obesity continues to plague Americans despite government initiatives such as the Affordable Care Act and wellness programs in the workplace to combat this epidemic. However, despite initiatives to make America healthy, barriers continued to impede the nation’s health. Lack of awareness and sensitivity to what motivates individual participants versus group participants built formidable barriers to accessing all workplace employees equitably. The purpose of this study was twofold. First, the intent of this study was to explore the relationship between self-efficacy and the impact on participation and engagement when …

Assessing A Punching Bag Feedback Performance Device, Neil Deochand

Dissertations

Physical exercise has been integrated into treatment efforts in reversing the number of overweight and obese individuals. Furthermore, exercise extends mortality, enhances general quality of life, and it is a protective health factor for preventing the progression some mental health disorders. Electronic athletic training equipment easily allows monitoring of real-time physical activity, and enables tracking of progress made toward individualized performance goals. There are limitations to only using visual feedback (e.g., visual depictions of heart rate, speed, distance traveled, or calories burned etc.) to track and improve exercise and athletic performance, especially for some sports, such as boxing. This issue …

Understanding Factors Related To Negative Mental Health Outcomes Following Childhood Unintentional Injuries, Jennifer T. Kuhn

Dissertations

Unintentional injuries are the leading cause of death for children ages 0-19 and account for 9.2 million emergency room visits in the United States each year (Borse et al., 2008). Research shows that approximately 20% of children meet criteria for PTSD following an unintentional injury (Ostrowski et al., 2011). There are several factors that may contribute to the development of PTSD including caregivers’ posttraumatic stress symptoms after the injury event. Research has not explained the association between caregivers’ PTSD and children’s risk for PTSD symptoms, but it is possible that caregivers with PTSD may be modeling anxious behaviors to their …

Increasing Caregiver Supervision Of Young Children: Teaching Scanning, Predicting Behavior, And Modifying For Safety, Natalie Truba

Dissertations

Unintentional injuries account for a significant number of child deaths and visits to the emergency department. Although increased supervision is routinely shown to be an effective method of preventing unintentional childhood injuries, few interventions systemically teach caregivers behavioral skills to supervise their children appropriately. The present study utilized a multiple baseline design to pilot test an intervention designed to increase caregiver supervision and decrease unintentional childhood injuries by training caregivers how to provide appropriate levels of supervision for their young children (ages 6 to 36 months). Specifically, caregivers were taught in the present study include: (1) scanning the environment (for …

The Lived Experience Of Individuals With Chronic Back And Neck Pain, Depression, And/Or Anxiety, Tara L. Palmeri

Dissertations

More than 1.5 billion people worldwide suffer from chronic pain (CP). People who experience chronic pain are 20 to 40% more likely to meet criteria for an anxiety disorder, and three to four times more likely to be clinically depressed than their pain-free counterparts. The relationship between CP and mental health has been studied quantitatively; however, few researchers have investigated co-morbid CP and mental health through a phenomenological lens. The subjective nature of the relationship is not comprehensively addressed within the literature.

This qualitative phenomenological study explored (a) how individuals with chronic back and/or neck pain (CBNP) experience, understand, and …

Piloting A Screening Tool For Eating And Eating-Related Behavior, Michael N. Reynolds

Dissertations

Obesity is a common medical condition associated with negative health and social outcomes. Obesity has a primary malleable behavioral cause, eating more calories than are metabolized. While metabolic rate is malleable with exercise, eating can more quickly add calories than exercising can subtract them. In the past, behavioral weight-loss treatment studies relied on multi-component package interventions that have shown reliable patterns of participant weight-loss during treatment and weight-regain in follow-up. Those findings could be conceptualized as an ABA withdrawal design, eating behavior returns to baseline after the prosthetic contingencies of the treatment study are withdrawn. We must develop ways to …

Family Communication Motivating Athletics Over Generations: A Mixed Method Expansion Of Self-Determination Theory, Elizabeth Hanson Smith

Dissertations

Mixed methods were utilized to test the communication within a model of self-determination (Deci & Ryan, 1985) in a multi-generational sports framework in order to argue for an update to self-determination theory (SDT) that includes a communication element. Fourteen qualitative research questions were posed to examine how communication functioned to move tennis players, golfers, and runners from the initial family influence in participating, to integrating family values to the extent that participants modeled athletic values to offspring and community members. Three hypotheses correlating the variables of self-efficacy, autonomy-controlling and autonomy-supportive family communication supported the argument that communication functioned to develop …

Saliva Cotinine As A Measure Of Abstinence In A Lottery-Based Contingency Management Treatment For Smoking Cessation, Catherine M. Gayman

Dissertations

Contingency management decreases smoking by delivering monetary incentives contingent upon objective verification of abstinence. The present study investigated the effectiveness of monitoring saliva cotinine twice weekly in a contingency-management treatment for cigarette smoking using a cash prize-based payment system. Participants were randomly assigned to either a contingent reinforcement group or a non-contingent reinforcement group. The study began with five consecutive Baseline days during which participants smoked as usual, and was followed by four consecutive Shaping days, during which participants were asked to gradually decrease smoking. During the subsequent three-week Abstinence phase, participants submitted saliva cotinine and breath carbon monoxide samples …

Evaluating Sexual Assault Prevention Training Programs For College Women, Eliza S. Mcmanus

Dissertations

Sexual victimization is a frequent and concerning problem for college women. It is estimated that college women are three times more likely to experience sexual assault than women in the general population. Additionally, women with a history of unwanted sexual experiences are at greater risk for future sexual victimization than women without such histories. For these reasons, the examination of college-based sexual assault prevention programs is important given the high rates of unwanted sexual experiences and subsequent negative mental health consequences. Furthermore, the lack of effective skills-based sexual assault prevention programs on college campuses is an important issue to address. …

Coping, Hardiness, And Parental Stress In Parents Of Children Diagnosed With Cancer, Kathryn Lynch Bigalke

Dissertations

Previous research has demonstrated a significant increase in stress for parents with a child in active cancer treatment. As the number of children diagnosed with cancer continues to rise, there has been a call to identify factors that may contribute to positive outcomes in these families (e.g., Sloper, 2000; Streisand, Kazak, & Tercyak, 2003). Certain effective coping strategies, particularly related to more problem-focused forms of coping and hardiness, appear to be negatively related to parental stress. However, little is known about how these strategies may impact parental stress in families of children in active cancer treatment. The current study assessed …

An Analysis Of The Impact Of Emotional Literacy Instruction On At-Risk Students, Shannon H. Garcia

Dissertations

This study examined the impact of social-emotional literacy instruction for at-risk adolescents ages 13 to 18 at the high school level. Of particular interest is the impact of social-emotional literacy instruction on at-risk youth Grades 9-12 in secondary high schools’ 8-week-long social-emotional literacy class through Project AWARE, particularly in the areas of suspension, expulsion, attendance, connectivity, attitude toward school, resiliency, and relational aggression rates; the data were analyzed using archival data and teacher interview. Project AWARE, the social-emotional literacy intervention examined in this study, educates and provides mentorship for at-risk students, while also providing a group educational component on relationships …

Increasing Positive Interactions Between Staff And Individuals With Disabilities: The Impact Of Training On Acquisition And Maintenance, Kimberly Anne Martell

Dissertations

The primary purpose of the present study was to evaluate the use of direct training to increase the rate of positive interactions between direct care staff (DCS) and individuals with developmental disabilities who reside in intermediate care facilities. Specifically, this study evaluated whether real-time prompts delivered via a one-way radio would result in immediate and sustained increases in rates of DCS positive interactions. Additionally, this study evaluated the link between increased rates of DCS positive interactions and concomitant decreases in residents’ challenging behaviors. A multiple baseline design across participants was implemented to assess DCS rates of positive and negative interactions. …