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Articles 1771 - 1800 of 3197
Full-Text Articles in Health Psychology
Bet You Can’T Eat Just One: Binge Eating Disorder Promotion In American Food Advertising, Debbie Danowski
Bet You Can’T Eat Just One: Binge Eating Disorder Promotion In American Food Advertising, Debbie Danowski
Communication, Media & The Arts Faculty Publications
"Eat Like Andy“; "What Would You Do For A Klondike Bar?“ For well over a century, American food manufacturers have been competing for consumers’ attention through the use of catchy jingles, iconic characters and celebrities. At the same time, the products being advertised contain greater amounts of addictive ingredients, which encourage binge eating resulting in an unprecedented obesity epidemic. Combine this with the full-scale commercialization of the culture today“. Jhally identifies and the powerful impact of food advertisements becomes clear as does the need to evaluate these ads. As Kilbourne noted nearly a quarter of a century ago, the majority …
Storytelling Study, Samantha Irene Pepe
Storytelling Study, Samantha Irene Pepe
Honors Theses and Capstones
Expressive prosody (i.e., a manner of communication that is characterized by lively rhythm and tempo) and inexpressive prosody (i.e., monotone speech) present different environments for listening to a story during a read-aloud session. This study aims to assess whether there are visual attention differences for preschoolers in these varied prosodic environments and how this affects comprehension.
Teaching The Leisure Skill Of Photography To Children With Autism Spectrum Disorder, Alicia Tsai
Teaching The Leisure Skill Of Photography To Children With Autism Spectrum Disorder, Alicia Tsai
CMC Senior Theses
Children with autism spectrum disorder (ASD) often do not use their leisure time appropriately. Previous studies have shown that children with ASD tend to engage in inappropriate actions and maladaptive behaviors (such as engaging in stereotypy and tantrums) that decrease their quality of life. Establishing age-appropriate leisure skills is important for these children as these skills have been recognized as fulfilling habilitative needs, and can increase the quality of life and social acceptance and decrease the amount of stress for these individuals. The present study used a multiple baseline across-participants design to investigate whether children with ASD can learn and …
Racism, Healthcare Provider Trust, And Medication Adherence Among Black Patients In Safety-Net Primary Care: A Strength-Based Approach, Mickeal Pugh Jr
Racism, Healthcare Provider Trust, And Medication Adherence Among Black Patients In Safety-Net Primary Care: A Strength-Based Approach, Mickeal Pugh Jr
Theses and Dissertations
Integrated primary care has been incorporated into a variety of healthcare settings. The benefits of these services are empirically supported by a plethora of studies, which highlight the integration of behavioral and physical healthcare to be beneficial for both patient and healthcare providers. Integrated care models are typically incorporated in Veterans Affairs hospitals, general primary care facilities, and community clinics. Community-based clinics, such as safety-net clinics, typically serve underrepresented populations, and research has shown several mental and physical health disparities to exist among minority populations. Further, the minority stress model posits that distal and proximal minority-based stress processes can result …
Food Insecurity And Children: How Food Insecurity Affects Mental Health In Children, Brianna L. Jordan
Food Insecurity And Children: How Food Insecurity Affects Mental Health In Children, Brianna L. Jordan
UNF Graduate Theses and Dissertations
Being without the financial means to have reliable access to enough food to sustain members of a household is known as Food Insecurity (FI; Gundersen, 2013). Previous research has linked FI to obesity and depression (Adams, Grummer-Strawn, & Chavez, 2003; Bronte-Tinkew, Zaslow, Capps, Horowitz, & Mcnamara, 2007; Huddleston-Casas, Charnigo, & Simmons, 2009; Kim & Frongillo, 2007). Although there have been findings about FI being related to depression and obesity, little research has used African Americans; even less research has used young adolescents as the target population. This study had five aims: 1) Observe the impact of FI on health, 2) …
Portion Size Influences Intake In Samburu Kenyan People Not Exposed To The Western Obesogenic Environment, Kevin P. Myers, Jeffrey M. Brunstrom, Peter J. Rogers, Jon D. Holtzman
Portion Size Influences Intake In Samburu Kenyan People Not Exposed To The Western Obesogenic Environment, Kevin P. Myers, Jeffrey M. Brunstrom, Peter J. Rogers, Jon D. Holtzman
Faculty Journal Articles
For people in the modernized food environment, external factors like food variety, palatability, and ubiquitous learned cues for food availability can overcome internal, homeostatic signals to promote excess intake. Portion size is one such external cue; people typically consume more when served more, often without awareness. Though susceptibility to external cues may be attributed to the modernized, cue-saturated environment, there is little research on people living outside that context, or with distinctly different food norms. We studied a sample of Samburu people in rural Kenya who maintain a traditional, semi-nomadic pastoralist lifestyle, eat a very limited diet, and face …
Relations Among Maternal And Paternal Behavior And Children's Stress Biology, S.K. Jiaming Lin, Stacey N. Doan, John Milton
Relations Among Maternal And Paternal Behavior And Children's Stress Biology, S.K. Jiaming Lin, Stacey N. Doan, John Milton
Scripps Senior Theses
Parenting behavior has been shown to have a wide range of effects, influencing children’s psychological and biological stress outcomes. Most research focuses on maternal parenting behaviors, with few studies observing the effects of paternal behaviors or the influence of both parents on their children. In this study, the relationship between maternal and paternal parenting behaviors was examined in its association to predict children’s cortisol levels. Cultural differences in parenting styles was also observed. American (N=86) and Chinese (N=97) families participated in the study, with parents reporting their behaviors. Children’s cortisol was collected during a stressor task and correlational analysis was …
Implicit Attitudes Of Asian American Older Adults Toward Aging, Anita Ho
Implicit Attitudes Of Asian American Older Adults Toward Aging, Anita Ho
Scripps Senior Theses
Greenwald, McGhee, and Schwartz (1998) developed the Implicit Association Test (IAT), a measure of mental associations between target pairs and positive or negative attributes. Highly associative categories yield faster responses than the reverse mental associations, which is thought to reflect implicit attitudes toward stereotypes. The present study investigated the effect of ethnic group on one’s implicit attitudes toward aging and gender stereotypes by comparing two groups of older adults, Asian Americans and Caucasian Americans, that likely hold different culture values. Past qualitative studies have established the existence of mental health stigma in Asian American populations, including negative Asian American perceptions …
Examining Nurse Resiliency & A Mindfulness-Based Stress Reduction Intervention To Prevent Nurse Burnout, Allegra Grannell
Examining Nurse Resiliency & A Mindfulness-Based Stress Reduction Intervention To Prevent Nurse Burnout, Allegra Grannell
Posters
Nurses continually give of themselves at work, as well as outside of work. This results in extensive stress, physiological distress, and ultimately burnout for individuals in the nursing profession. Nurses that work in high-stress environments, such as critical care, pediatrics, and oncology, are at a significantly increased risk of manifesting physical and psychological symptoms of burnout syndrome, compassion fatigue, and post-traumatic stress disorder (PTSD). Many of these factors are leading to nurses leaving the profession prematurely, resulting in significantly high turnover rates. High burnout and turnover rates of nurses result in the lack of adequate nursing staff in hospitals, which …
The Effects Of Oral Contraceptives On Mood And Affect: A Meta-Analysis, Erica M. Motter
The Effects Of Oral Contraceptives On Mood And Affect: A Meta-Analysis, Erica M. Motter
Cal Poly Humboldt theses and projects
Combined oral contraceptive (COC) pills are widely used by women of reproductive age, but there is still little conclusive evidence that exists about the mood-related side effects associated with their use. This meta-analysis examined the relationship between oral contraceptive use and mood effects such as depression and anxiety to determine what role, if any, that COCs may have in the worsening or improvement of women’s mood when taking them. Effect sizes compared the differences in women’s mood scores before taking COCs and after one or more cycles of use. Seventeen studies made up of 25 individual samples contributed 71 effect …
Masculine Norms, Psychological Symptom Severity, And Intentions To Seek Formal Help In Male College Students, Zahra S. Shine
Masculine Norms, Psychological Symptom Severity, And Intentions To Seek Formal Help In Male College Students, Zahra S. Shine
Cal Poly Humboldt theses and projects
Research has consistently found men to be less likely than women to seek help for mental health symptoms. Additionally, greater symptom severity is related to higher levels of help seeking, although this relationship is less clear among men. Greater conformity to masculine norms may help to explain the relationship between symptom severity and help seeking among men. The present study aimed to further research on men’s help-seeking by examining whether conformity to masculine norms would moderate the relationship between symptom severity and help-seeking intentions in male college students (N = 89). A multiple regression analysis was conducted with all …
Parents And Health Behavior Change: A Review Of The Role Of Parents’ Behavioral Intentions For Health Behavior Change In Their Children, Zoe Elizabeth Gipson-Kendrick
Parents And Health Behavior Change: A Review Of The Role Of Parents’ Behavioral Intentions For Health Behavior Change In Their Children, Zoe Elizabeth Gipson-Kendrick
UNF Graduate Theses and Dissertations
Objective: To examine the existing literature on the relation between contextual and health factors that influence parent intention for child health behavior change, focusing on the importance of a strong theoretical background and measures that match the proposed theory, and to determine the use of intention in the proposed sample of articles.
Method: A preliminary search was conducted, seeking out interventions and programs that target nutrition and/or physical activity in relation to childhood obesity prevention using PsycINFO and MedLine databases. This search totaled 29 studies to be included in the final review.
Results: Ten articles studied intention …
Cognition, Repetitive Thought, And Systemic Inflammation In The Midlife In The United States Study, Elana M. Gloger
Cognition, Repetitive Thought, And Systemic Inflammation In The Midlife In The United States Study, Elana M. Gloger
Theses and Dissertations--Psychology
Segerstrom et al. (2017) found that more repetitive thought (RT) was related to lower interleukin-6 (IL-6), in older adults at average IQ. This study aimed to replicate and extend this finding in midlife adults, with a daily measure of RT, and additional inflammatory biomarkers. 153 participants were drawn from the Midlife in the United States (MIDUS) Refresher project; ages 25-70 (M = 45.07, SD = 10.96), 50.3% female, and 83% Caucasian. Cognition was assessed via the Brief Test of Adult Cognition by Telephone, biological data via fasted blood draw, and RT data were collected as part of the National …
A Program Of Research On Burnout-Depression Overlap, Irvin Sam Schonfeld
A Program Of Research On Burnout-Depression Overlap, Irvin Sam Schonfeld
Publications and Research
The article describes a program of research aimed at unraveling the nature of the relationship of job-related burnout to depression. The research tends to show that burnout symptoms are depressive symptoms and what is termed a state of burnout often reflects an episode of depression.
Determinants Of Latinx Patients’ Perceptions Of Trust In Their Physicians At The Primary Health Care Level, Emani J. Kelley
Determinants Of Latinx Patients’ Perceptions Of Trust In Their Physicians At The Primary Health Care Level, Emani J. Kelley
Senior Independent Study Theses
This study examines the predictors of Latinx patient’s trust in their primary healthcare providers. Specifically, this study tests patient and physician characteristics that contribute to feelings of trust in the healthcare setting. Latinx adults from primary care clinics in Southern California and a legal aid office in Canton, Ohio, completed surveys on their perceptions of cultural sensitivity, compassion, and communication received from their physicians in addition to overall feelings of trust toward their physicians. Surveys also asked participants about their language preference, generational status, and demographics. Data was analyzed using a linear multiple regression model with trust as the dependent …
Social Jetlag, Depressive Symptoms, And Longitudinal Outcomes In College Students, Morgan P. Reid
Social Jetlag, Depressive Symptoms, And Longitudinal Outcomes In College Students, Morgan P. Reid
Theses and Dissertations
Social jetlag refers to the chronic shift in sleep timing between work and free days and has been associated with a variety of negative physical and psychological outcomes. Existing research on social jetlag has relied heavily on cross-sectional studies, preventing researchers and practitioners from assessing the effects of social jetlag over time. The current study used longitudinal data to explore the directionality of the association between social jetlag and depressive symptoms as well as the longitudinal associations between social jetlag, academic performance, and wellbeing in college students. Gender and race were also assessed as potential moderators of these associations. Cross-lagged …
Developing An Evidence-Based Hiv Testing Message For Young African American Women, Melanie P. Moore
Developing An Evidence-Based Hiv Testing Message For Young African American Women, Melanie P. Moore
Theses and Dissertations
African American women have the highest rates of HIV infection among women of all racial/ethnic groups in the United States, and over 50% of HIV infected young adults are unaware of their infection. HIV testing is a cost-effective mechanism for reducing HIV transmission. Despite this, limited research has been devoted to developing interventions specifically promoting HIV testing. This two-part study proposed to address this gap through developing a culturally tailored HIV testing message aimed at increasing HIV test intentions among young African American women. Study 1 was a quantitative study that examined predictors of HIV testing history and future HIV …
Effect Of A 14-Day Mindfulness Intervention On Daily Desire Experiences And Desire Regulation, Nabila Farhin Jahan
Effect Of A 14-Day Mindfulness Intervention On Daily Desire Experiences And Desire Regulation, Nabila Farhin Jahan
Theses and Dissertations
A growing body of research suggests that mindfulness, a receptive attentiveness to one’s present moment experiences, has the potential to adaptively regulate habitual behaviors. No prior study has tested the effect of mindfulness interventions on people’s daily desire experiences to inform the potential for adaptive desire regulation. The present exploratory randomized controlled trial examined the effect of a 14-day smartphone-based mindfulness intervention (versus a coping control intervention) on the frequency, intensity, duration, and enactment of everyday desires in 19 participants. The desire domains included basic need-based desires (i.e., for food, drink, sleep) and secondary desires (e.g., for sex, media, social …
A Cross-Cultural Examination Of The Relations Among Parkinson’S Disease Impairments, Caregiver Burden And Mental Health, And Family Dynamics In Mexico And The United States, Erin Smith
Theses and Dissertations
Parkinson’s Disease (PD) is a common progressive neurodegenerative disorder that leads to both physical and cognitive impairment over time. Eventually, these impairments may include the loss of autonomy, and the individual may require the assistance of an informal caregiver. Informal caregivers are critical in the care of individuals with PD and spend substantial time providing care, which may be associated with negative caregiver outcomes such as burden, mental health issues, as well as poor family dynamics. Although research in the United States and Europe has generally supported these relations, there is very limited research on PD caregiving in Latin America. …
From Sunrise To Sunset: A Lifespan Approach To Understanding The Mental Health Of A Subset Of American Farmers, Janna L. Imel
From Sunrise To Sunset: A Lifespan Approach To Understanding The Mental Health Of A Subset Of American Farmers, Janna L. Imel
Theses and Dissertations
Prior research has indicated higher risk of suicide for farmers and identified depression and anxiety as mental health concerns, though the majority of research was conducted in the 1980s-1990s. In today’s economic, social, and political climate, farmers are exposed to situations and stressors reminiscent of the 1980s Farm Crisis. An added risk is the aging workforce of farmers, as age-related conditions can make farming even riskier. This study investigated the mental health of a subset of American farmers by exploring farm-related stressors, coping mechanisms, and mental health outcomes. Dispositional mindfulness was explored as a specific coping mechanism. Participants (N …
The Influence Of Electronic Cigarette Heating Coil Resistance On Nicotine Delivery, Heart Rate, Subjective Effects, And Puff Topography, Marzena M. Hiler
The Influence Of Electronic Cigarette Heating Coil Resistance On Nicotine Delivery, Heart Rate, Subjective Effects, And Puff Topography, Marzena M. Hiler
Theses and Dissertations
Electronic cigarette (ECIG) users can manipulate several device features including liquid nicotine concentration (mg/ml) and heating coil resistance (Ohms). One class of ECIG models, called “sub-Ohm” devices, use coils with a resistance of < 1 Ohms, lower than those observed in conventional ECIGs (e.g., ≥ 1.5 Ohms). Increasing voltage or decreasing coil resistance increases device power. Given that ECIG coil resistance and liquid nicotine concentration have not been manipulated systematically and simultaneously in clinical laboratory studies, the influence of these factors on ECIG acute effects remain unclear. The primary purpose of this study was to examine the influence of coil resistance and liquid nicotine concentration on nicotine delivery, heart rate (HR), subjective effects, puff topography, and liquid consumption.
Thirty-two experienced ECIG users completed four independent laboratory sessions that differed by coil resistance (0.5Ohm or 1.5Ohm ) and liquid nicotine concentration (3 or 8 mg/ml). In each session, participants used a 4.5 V “Kanger SUBOX” loaded with 3.5 ml ECIG liquid in a 10-puff directed and 60-minute ad libitum bout. Nicotine delivery was greatest when using 8 mg+0.5Ohm combination and lowest when using the 3 mg/ml+1.5Ohm …
Adverse Childhood Experiences, Neighborhood Disorganization, Co-Parenting: The Impact On College Student Mental Health, Mona L. Quarless
Adverse Childhood Experiences, Neighborhood Disorganization, Co-Parenting: The Impact On College Student Mental Health, Mona L. Quarless
Theses and Dissertations
Though mental health issues are prevalent amongst college students, pre-college environment and experiences are largely overlooked as potential factors in scientific literature. The current study examined the association of neighborhood disorganization, Adverse Childhood Experiences (ACEs) and mental health outcomes in a sample of college students. Utilizing the ecological model of human development and risk-resilience framework, I examined co-parenting quality as a plausible protective factor against the negative effects of adverse childhood experiences and neighborhood disorder. Self-report measures of ACEs, co-parenting quality, neighborhood disorder, anxiety, and depression were completed by a sample of college students (N = 259; mean age = …
The Role Of Strength: Navigating Perinatal Loss Among Black Women, Ashley N. Hill
The Role Of Strength: Navigating Perinatal Loss Among Black Women, Ashley N. Hill
Theses and Dissertations
In the U.S., Black mothers experience fetal and infant mortality at alarming rates when compared to White and Latina mothers (Gregory, Drake, & Martin, 2018). The intent of this study was to examine perinatal loss among Black American women and to expand understanding of how the Strong Black Woman (SBW) ideology influences bereavement. Data were gathered from (N=109) Black American bereaved mothers. It was predicted that endorsement of differing aspects of the SBW would moderate the relationship between perinatal grief and psychosocial outcomes (i.e., depression and post-traumatic growth). Regression analyses, alongside a bootstrapping procedure via PROCESS (Hayes, 2017), …
An Evaluation Of Differences In Motivations To Receive Cervical Cancer Screening And Follow-Up Care Between Black And White Women, Ashlee Sawyer
An Evaluation Of Differences In Motivations To Receive Cervical Cancer Screening And Follow-Up Care Between Black And White Women, Ashlee Sawyer
Theses and Dissertations
Background: Cervical cancer among Black women is a major individual and public health concern. Despite advancements in medical technology and policy, disparities in cervical cancer diagnosis and mortality still exist between White and Black women, with Black women having higher rates of diagnosis (10.0 vs 7.1 per 100,000) and mortality (4.1 vs 2.0 per 100,000). Previous studies have focused heavily on barriers to obtaining cervical cancer screening among Black women and efforts to improve screening rates. Despite speculation by researchers that gaps in receipt of quality follow-up care may contribute to disparities, its role in disparate mortality rates between Black …
Examining Sleep And Family Functioning In Pediatric Craniopharyngioma Using Ecological Momentary Assessment, Nour Al Ghriwati
Examining Sleep And Family Functioning In Pediatric Craniopharyngioma Using Ecological Momentary Assessment, Nour Al Ghriwati
Theses and Dissertations
Craniopharyngiomas are among the most common brain tumors in children and are associated with greater rates of sleep problems compared to other pediatric cancers. However, research examining sleep among youth with craniopharyngioma has been limited by a reliance on retrospective reports or sleep studies. Families also play a crucial role in children’s adjustment following a pediatric cancer diagnosis, yet remarkably little is known about transactional associations between family functioning and sleep in pediatric cancer. This study examined cross-sectional and daily associations among family functioning, affect, and sleep difficulties for youth with pediatric craniopharyngioma using retrospective reports and ecological momentary assessment …
Health Literacy And Family Factors In The Transition To Adult Care In Adolescents With Type I Diabetes, Ellen M. Manegold
Health Literacy And Family Factors In The Transition To Adult Care In Adolescents With Type I Diabetes, Ellen M. Manegold
Graduate Theses, Dissertations, and Problem Reports (ETD)
Successful management of type 1 diabetes (T1DM) in adolescence involves multiple daily tasks, developmental changes, and the expectation of transition to an adult provider. Health literacy is one variable to consider in the context of transition, as studies have demonstrated the correlation of parental health literacy with health behaviors and outcomes, yet not studied adolescent health literacy in T1DM. Family factors (e.g., management responsibility, diabetes-specific family conflict, parental support) also are important to behavior and health outcomes in adolescents with T1DM. Study aims were to: 1) examine the association of adolescent health literacy to transition readiness and health outcome in …
Rationale And Design Of A Remote Web-Based Daily Dairy Study Examining Sexual Minority Stress, Relationship Factors, And Alcohol Use In Same-Sex Female Couples Across The United States: Study Protocol Of Project Relate, Kristin E. Heron, Robin J. Lewis, Alexander T. Shappie, Charlotte A. Dawson, Rachel Amerson, Abby L. Braitman, Barbara A. Winstead, Michelle L. Kelley
Rationale And Design Of A Remote Web-Based Daily Dairy Study Examining Sexual Minority Stress, Relationship Factors, And Alcohol Use In Same-Sex Female Couples Across The United States: Study Protocol Of Project Relate, Kristin E. Heron, Robin J. Lewis, Alexander T. Shappie, Charlotte A. Dawson, Rachel Amerson, Abby L. Braitman, Barbara A. Winstead, Michelle L. Kelley
Psychology Faculty Publications
Background: The Healthy People 2020 initiative aims to reduce health disparities, including alcohol use, among sexual minority women (SMW; eg, lesbian, bisexual, queer, and pansexual). Compared with heterosexual women, SMW engage in more hazardous drinking and report more alcohol-related problems. Sexual minority stress (ie, the unique experiences associated with stigmatization and marginalization) has been associated with alcohol use among SMW. Among heterosexuals, relationship factors (eg, partner violence and drinking apart vs together) have also been associated with alcohol use. Negative affect has also been identified as a contributor to alcohol use. To date, most studies examining alcohol use among SMW …
Fighting For Time: Spillover And Crossover Effects Of Long Work Hours Among Dual-Earner Couples, Xiaohong Xu, Yisheng Peng, Peng Zhao, Richard Hayes, William P. Jimenez
Fighting For Time: Spillover And Crossover Effects Of Long Work Hours Among Dual-Earner Couples, Xiaohong Xu, Yisheng Peng, Peng Zhao, Richard Hayes, William P. Jimenez
Psychology Faculty Publications
Drawing upon the spillover-crossover model, this study examined the extent to which one's work time demands spilled over to the family domain, and crossed over to his or her spouse, utilizing data of 365 dual-earner couples from the 500 Family Study. The results of the distinguishable actor-partner interdependence model indicated that there was gender symmetry in the spillover processes such that the effects of work hours were identical between men and women. Further, although there was more bi-directional crossover between partners within couples, we observed some unidirectional crossover from husbands to wives. Specifically, husbands only increased their contribution to domestic …
When Bad Genes Ruin A Perfectly Good Outlook: Psychological Implications Of Hereditary Breast And Ovarian Cancer Via Narrative Inquiry Methodology, Cammi Clark
Antioch University Dissertations & Theses
Scientists debunked the belief that breast cancer is always viral with the mid-90s discovery of the first hereditary genetic mutation linked to a significantly higher-than average chance of breast and ovarian cancer. This genetic condition, called Hereditary Breast and Ovarian Cancer (HBOC), passes the mutation from generation to generation in a family. Thousands of variations of such mutations exist, and carriers account for 10 to 15% of all breast cancer, and up to 20% of ovarian (Childers et al., 2017). In addition, genetic testing uncovered a rapidly rising number of healthy people (never had breast/ovarian cancer) who are also carriers, …
Next Steps For Training And Education In Professional Psychology: Advancing The Science And Expanding Our Reach, Debora J. Bell, Jennifer L. Callahan, Georita M. Frierson, Theodore R. Burnes, Susan Lynn Crowley, Stephen R. Mccutcheon
Next Steps For Training And Education In Professional Psychology: Advancing The Science And Expanding Our Reach, Debora J. Bell, Jennifer L. Callahan, Georita M. Frierson, Theodore R. Burnes, Susan Lynn Crowley, Stephen R. Mccutcheon
Psychology Faculty Publications
As TEPP’s new editorial team begins their term, the authors discuss their vision for the journal as a forum for thoughtful conceptual examination and sound empirical investigation of current issues in health service psychology (HSP) education and training. The editorial team articulates three primary goals for the journal, including (1) engaging the broad training community in sharing its best conceptual and empirical work relevant to the varied levels, settings, and areas of education and training in HSP; (2) advancing the science of education and training through strong empirical research; and (3) expanding our emphasis on the sociocultural context in which …