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Full-Text Articles in Social Work

Annual Credit Checks For Adolescent Youth In Foster Care: Factors Associated With Identity Fraud Victimization, John Gyourko, Johanna K. P. Greeson Jan 2023

Annual Credit Checks For Adolescent Youth In Foster Care: Factors Associated With Identity Fraud Victimization, John Gyourko, Johanna K. P. Greeson

Department of Social Work - Faculty Scholarship

Child identity fraud, or the criminal exploitation of a child’s personal data, poses serious risks and challenges for youth in foster care. Despite the 10-year history of a federal mandate requiring state child welfare agencies to conduct annual credit checks for adolescent foster youth (42 U.S.C. § 675), identity fraud has received scant attention in child welfare research. Analyzing a state-level administrative dataset with linked child welfare and consumer credit records, we employed logistic regression to assess demographic and foster care placement factors associated with identity fraud victimization among a statewide population cohort of 1,176 youth (age 14 to …


Power Of Arts & Craft To Support Children With Illnesses, Gerardo Hernandez Dec 2022

Power Of Arts & Craft To Support Children With Illnesses, Gerardo Hernandez

Capstone Projects and Master's Theses

Jacob’s Heart Children’s Cancer Support Services is a non profit agency in Watsonville, California. Providing family-centered care for children and their families in their emotional, practical, and financial struggles. Due to the impact of the COVID-19 pandemic, there’s a need for a laser-focused strategy to meet the immediate needs of children’s health. Childhood cancer greatly affects their upbringing and may create worse problems throughout their adulthood. Without assistance, these families are critically vulnerable to their physical and mental health issues. This project allows children with illness alongside their families to receive mental health assistance throughout their complex journey. With the …


A Review Of Youth Mental Health Curricula In Peer-Reviewed Studies Addressing Access, Equity, And Belonging, Monica M. Lobenstein, Jennifer Park-Mroch, Lana Lichfield Crowley, Coley Bean, Maren Wright Voss May 2022

A Review Of Youth Mental Health Curricula In Peer-Reviewed Studies Addressing Access, Equity, And Belonging, Monica M. Lobenstein, Jennifer Park-Mroch, Lana Lichfield Crowley, Coley Bean, Maren Wright Voss

Journal of Extension

The goal of this literature review was to identify evidence-based curricula that support youth mental health with special attention to inclusion of access, equity, and belonging (AEB). Four databases were searched for peer-reviewed articles published between 2010 and 2019 related to youth mental health curricula. A total of 1446 articles were identified, and 171 articles underwent a full-text review. Of the 61 curricula identified, 44% addressed AEB to some extent and 65% showed program effectiveness. Four programs were recommended (Sources of Strength, Teen Mental Health First Aid, Dynamic Mindfulness, and Youth Mental Health First Aid) and eight conditionally recommended.


Examining Geographic Variation In Mental And Behavioral Health Outcomes Of Sexual Minority Youth, Kerry M. Mcloughlin May 2022

Examining Geographic Variation In Mental And Behavioral Health Outcomes Of Sexual Minority Youth, Kerry M. Mcloughlin

Electronic Theses, Projects, and Dissertations

Sexual minority youth (SMY) are a population vulnerable to behavioral health challenges. While behavioral health disparities between SMY and heterosexual youth are well documented, less attention has been given to how such disparities vary geographically. The aim of this study is to begin to fill this gap by using a national dataset to examine how behavioral health disparities between SMY and heterosexual youth vary by geography. Understanding how SMY’s experiences vary by location will allow social workers to better allocate resources. Secondary data analysis of cross-sectional data from the Population Assessment of Tobacco and Health (PATH) Study was conducted to …


“It Doesn’T Matter How Good The School Is If You Don’T Learn To Socialize”: Latinx Immigrant Students’ Testimonios Of Coping With Social Isolation In High School, Jenn M. Lilly Jan 2022

“It Doesn’T Matter How Good The School Is If You Don’T Learn To Socialize”: Latinx Immigrant Students’ Testimonios Of Coping With Social Isolation In High School, Jenn M. Lilly

Social Service Faculty Publications

Understanding how Latinx immigrant youth cope with the stressor of social isolation is vital to understanding and improving their functioning and well-being; yet little is known about how they cope with experiences of social isolation in school. To fill this gap in the literature, the purpose of this exploratory study was to qualitatively examine the coping strategies that Latinx immigrant students utilized in the face of social isolation in one high school in a newer Latinx destination in the U.S. south. This study employed a narrative and culturally congruent methodological approach, analyzing the digital testimonios of 5 female and 2 …


Attachment And Creativity Focused Counseling Intervention For Parents And Adolescents Presenting With A Trauma History, Leah Merle Batty-Hibbs Jan 2022

Attachment And Creativity Focused Counseling Intervention For Parents And Adolescents Presenting With A Trauma History, Leah Merle Batty-Hibbs

Antioch University Dissertations & Theses

The central research question that informed this study asks: How do attachment and creativity focused counseling interventions encourage connection between an adolescent and their parent or caregiver? The research study centered on two mother and son dyads that participated in six weeks of a therapeutic intervention. The modality utilized an attachment and creativity focused approach created by the author. Data was collected through a post intervention semi-structured interview with the parent (adult). Data was transcribed and evaluated with an interpretive phenomenological approach. Six themes were identified by a team of researchers. The findings have implications for clinical practice with parents …


An Occupation-Based Program For Formerly Incarcerated Youth And Staff In An Employment Re-Integration Program, Heather Fierros, Angela Blackwell, Leslie Khan-Farooqi Dec 2021

An Occupation-Based Program For Formerly Incarcerated Youth And Staff In An Employment Re-Integration Program, Heather Fierros, Angela Blackwell, Leslie Khan-Farooqi

Fall 2021 Virtual OTD Capstone Symposium

One of the most vulnerable and growing populations within the United States (U.S.) are youth involved in the juvenile justice system. Each day, approximately 60,000 youth are currently incarcerated in the U.S., signifying a necessary demand for community re-entry success. Having been incarcerated makes it more challenging for youth to attend school, obtain a license, find public housing, and attain public benefits. Furthermore, because of the effects following being a part of the juvenile justice system, the youth exemplify a lack of social interaction skills, hindered relationship patterns, altered values and beliefs. These underdeveloped skills and patterns interfere with the …


Increasing Mental Health Awareness In The Homeless Youth Community, Kelly Joyce Dec 2021

Increasing Mental Health Awareness In The Homeless Youth Community, Kelly Joyce

Capstone Projects and Master's Theses

Mental illness within the homeless community is a pressing issue, which requires an increase in awareness throughout the community in order for it to be properly addressed. A lack of funding for low-cost or free mental health care, difficulty accessing existing programs by the homeless, and few options for care have contributed to the issue of mental illness and poor mental health among the homeless youth community. This can lead to various severe consequences, such as declining mental state for those within the community, prolonged homelessness, and an increased risk of developing a substance abuse disorder.

The Youth Homeless Response …


The Rise Of Spanish Speaking Advocates At Casa Of Santa Cruz, Jackelin Rodriguez May 2021

The Rise Of Spanish Speaking Advocates At Casa Of Santa Cruz, Jackelin Rodriguez

Capstone Projects and Master's Theses

CASA of Santa Cruz County is a nonprofit organization that serves youth in the foster care system, by pairing them with a Court Appointed Special Advocate (CASA). CASA’s are volunteers who devote their time by supporting youth through dependency court. The Hispanic/Latino foster youth that requires a Spanish-speaking advocate wait twice as long for a CASA, compared to a youth who is non-Spanish speaking. This research project gathered information regarding the importance of Hispanic/Latino youth in foster care being paired with a Spanish-speaking advocate. Interviews were conducted with former youth who were matched with a CASA. The interviews showed when …


Fostering Resilience In Adolescents: An Evidence-Based Practice Guide For Therapists And Practitioners Of Adolescents In Foster Care, Jordyn Jacobson Apr 2021

Fostering Resilience In Adolescents: An Evidence-Based Practice Guide For Therapists And Practitioners Of Adolescents In Foster Care, Jordyn Jacobson

Evidence-Based Social Work Practice Guide Series

This guide shares 5 evidence-based suggestions to aid practitioners in helping their clients in foster care increase in resilience.


Parents Of Non-Binary Children: Stories Of Understanding And Support, Brooks Bull Jan 2021

Parents Of Non-Binary Children: Stories Of Understanding And Support, Brooks Bull

Antioch University Dissertations & Theses

Parents of non-binary children undergo profound changes as they learn to first understand and then support their child. In order to provide family therapists with a foundation from which to work with these families, a thorough review of the literature is provided as well as a narrative research study. Chapter one provides an introduction to the topic of non-binary gender and transgender identities, defines the terms non-binary, transgender, and transsexual, and clarifies the conceptual frameworks at use in the dissertation: social constructionism and transfeminism. Chapter two is a review of peer-reviewed literature on therapy with children and adolescents who identify …


Using Chess As An Intervention To Improve Executive Functioning Among Youth, Anandita Oberoi Jan 2021

Using Chess As An Intervention To Improve Executive Functioning Among Youth, Anandita Oberoi

Walden Dissertations and Doctoral Studies

Youth represent a vulnerable segment of the population and may have underdeveloped levels of executive functioning (EF), which is important in both daily life and is shown to have far-reaching effects. This research study aimed to decipher if lessons in the game of chess could be used as an efficacious intervention for accelerating EF development in youth. The three research questions focused on determining whether there was a difference in the chosen indices of EF before and after a 14-session chess intervention. The theoretical framework used for this study was Piaget’s cognitive development theory. This quantitative, single group pretest–posttest design …


How Peer Support Specialists Uniquely Initiate And Build Connection With Young People Experiencing Homelessness, James Erangey, Connor Marvin, Danielle Maude Littman, Meredith Mollica, Kimberly Bender, Tom Lucas, Tara Milligan Dec 2020

How Peer Support Specialists Uniquely Initiate And Build Connection With Young People Experiencing Homelessness, James Erangey, Connor Marvin, Danielle Maude Littman, Meredith Mollica, Kimberly Bender, Tom Lucas, Tara Milligan

Graduate School of Social Work: Faculty Scholarship

Young people experiencing homelessness are often apprehensive to engage in conventional service systems due to prior mistreatment by providers and others in their lives, as well as stigma associated with accessing services. Even when relationships between service providers and young people are initiated, they often end prematurely. Mutual aid, or peer-to-peer support, has a long and promising history within the mental health field, yet has received little empirical attention in work with young people experiencing homelessness. The present study used participatory qualitative methods to understand how peers uniquely initiate and build connection with young people experiencing homelessness. Through interviews and …


Queerview: Protocol For A Technology-Mediated Qualitative Photo Elicitation Study With Sexual And Gender Minority Youth In Ontario, Canada, Shelley L. Craig, Andrew D. Eaton, Rachael Pascoe, Egag Egag, Lauren B. Mcinroy, Lin Fang, Ashley Austin, Michael P. Dentato Phd, Msw Nov 2020

Queerview: Protocol For A Technology-Mediated Qualitative Photo Elicitation Study With Sexual And Gender Minority Youth In Ontario, Canada, Shelley L. Craig, Andrew D. Eaton, Rachael Pascoe, Egag Egag, Lauren B. Mcinroy, Lin Fang, Ashley Austin, Michael P. Dentato Phd, Msw

Social Work: School of Social Work Faculty Publications and Other Works

Background:The experiences of resilience and intersectionality in the lives of contemporary sexual and gender minority youth (SGMY) are important to explore. SGMY face unique experiences of discrimination in both online and offline environments, yet simultaneously build community and seek support in innovative ways. SGMY who identify as transgender, trans, or gender nonconforming and have experiences with child welfare, homelessness, or immigration have been particularly understudied. A qualitative exploration that leverages technology may derive new understanding of the negotiations of risk, resilience, and identity intersections that impact the well-being of vulnerable SGMY.

Objective:The objectives of the QueerVIEW study were to (1) …


Health-Related Quality Of Life And Health Literacy Among Mexican American And Black American Youth In A Southern Border State, Steven Hoffman, Heidi Adams Rueda, Lauren Beasley Apr 2020

Health-Related Quality Of Life And Health Literacy Among Mexican American And Black American Youth In A Southern Border State, Steven Hoffman, Heidi Adams Rueda, Lauren Beasley

Social Work Faculty Publications

Among adults, health literacy and health-related quality of life are highly correlated constructs that are associated with tangible health outcomes. While the connection between these concepts and health outcomes among youth is still unclear, studying these factors among at-risk adolescent populations can provide researchers, policy-creators, and educators a quantifiable summary of the challenge they face in their efforts to reduce health disparities. The purpose of this study was to better understand the health of minority youth living in a Southern state near the US-Mexico border. Specifically, we sought to describe their health literacy and health-related quality of life, and identify …


An Assessment Of Mental Wellbeing And Health-Related Quality Of Life Among Youth Living In Central Mexico, Steven Hoffman, Heidi Adams Rueda, Stefan Chase Feb 2020

An Assessment Of Mental Wellbeing And Health-Related Quality Of Life Among Youth Living In Central Mexico, Steven Hoffman, Heidi Adams Rueda, Stefan Chase

Social Work Faculty Publications

The current state of adolescent mental health and wellbeing in Mexico constitutes a serious public health concern. In an effort to better understand the potential impact this crisis is having on youth in Central Mexico, we designed a study to assess the connection between Mental Wellbeing and Health-related Quality of Life among a sample of children in junior high school. Descriptive statistics suggest that 22.5% of our sample was “at-risk” of poor health-related quality of life, with 19.8% at risk within the physical subscale and 24.3% at risk within the psychosocial subscale. Regression analyses showed that mental wellbeing scores significantly …


Gay-Affirmative Social Work Practice With Homeless Lesbian, Gay, Bisexual, And Transgender Youth, Aissa Deloatch-Williams Jan 2020

Gay-Affirmative Social Work Practice With Homeless Lesbian, Gay, Bisexual, And Transgender Youth, Aissa Deloatch-Williams

Walden Dissertations and Doctoral Studies

Lesbian, gay, bisexual and transgender youth are overrepresented in the homeless population and experience higher rates of discrimination and unfair treatment when accessing services and shelter. Research indicates that homeless LGBT youth remain homeless for longer periods of time than their heterosexual peers because of bias and stigmas associated with their gender identity and sexual orientation. The purpose of this qualitative study was to determine if social workers in the city of New Haven, Connecticut, used an affirmative model of intervention when working with homeless LGBT youth. Maslow’s self-affirmation theory served as the conceptual framework for this study. The interview …


Your Goals And You - Don’T Let Your Goals Get (To) You …. Before You Can Get To Them!, Shweta Singh Jan 2020

Your Goals And You - Don’T Let Your Goals Get (To) You …. Before You Can Get To Them!, Shweta Singh

Social Work: School of Social Work Faculty Publications and Other Works

What is the one thing you can count on as far as goals are concerned? Not one thing but many things and secondly- your goals are similar to goals of many people around the world, who (interestingly enough) have really nothing in common with you. And finally- that is because how we decide our goals, has very little to do with what is inside us and more about the surrounding influences.

Just lean back and think about how much you are taught and selectively exposed to - by way of opinions, ideas, thoughts about what an ideal life is? Who …


Serving Youth In Santa Cruz County, Lorena Torres-Alvarez Dec 2019

Serving Youth In Santa Cruz County, Lorena Torres-Alvarez

Capstone Projects and Master's Theses

The Community Action Board (CAB) of Santa Cruz County is an agency that serves low-income under-resourced community members in the county. Through their Youth Homeless Response Team (YHRT) Program, they serve youth ages 15-24 who are currently at-risk or facing homelessness. Too many unaccompanied youths in Santa Cruz County are suffering from homelessness and are in need to accessing services. The lack of motivational and support system, along with the unemployment increasing at alarming rates. Illustrating a dark and unsafe future. Some of the consequences include pushing youth to live on the street or inside cars and being in a …


Unveiling The Mask:Sexual Trauma's Impact On Academic Achievement, Behavior, And Self-Identity, Teshaunda Hannor-Walker, Sarah Kitchens, Lacey Ricks Mar 2019

Unveiling The Mask:Sexual Trauma's Impact On Academic Achievement, Behavior, And Self-Identity, Teshaunda Hannor-Walker, Sarah Kitchens, Lacey Ricks

National Youth Advocacy & Resilience Conference

Sexual trauma is an unfortunate but a common and often masked experience for many students in America. While sexual trauma in itself is not a mental health disorder, it can become a risk factor for many academic and mental health problems. Trauma-informed schools can play an important role in helping students deal with the aftercare of a traumatic experience.


Bridging The Gap: Supporting Transition-Age Youth Living With Mental Health Conditions, Oreoluwa Dasylva, Abbie Ensrud, Brittany Kruse, Cindy Schulz Mar 2019

Bridging The Gap: Supporting Transition-Age Youth Living With Mental Health Conditions, Oreoluwa Dasylva, Abbie Ensrud, Brittany Kruse, Cindy Schulz

Master of Social Work Student Policy Advocacy Briefs

The transition from adolescence to adulthood is a crucial time in a person’s life. For young people living with mental health conditions, becoming an independent, well-functioning, and productive adult can be especially challenging. It is imperative that supports be put in place to ensure transition-age youth have a smooth passage from child to adult mental health services. Nearly half of all life-long diagnosable conditions present by age 14. The Substance Abuse and Mental Health Services Administration (SAMHSA) finds the co-occurrence of serious illnesses and substance use disorders exist among transition-age youth more than any other developmental age. When left untreated, …


Divergent Caregiver And Youth Perspectives Regarding Behavioral Health Needs And Psychosocial Functioning: An Exploratory Study, Isaac Karikari, Betty Walton, Christine Marie Bishop Jan 2019

Divergent Caregiver And Youth Perspectives Regarding Behavioral Health Needs And Psychosocial Functioning: An Exploratory Study, Isaac Karikari, Betty Walton, Christine Marie Bishop

Faculty Publications

Background. To promote effectiveness in behavioral health treatment, the system of care framework and wraparound model accentuate inclusion of family and youth as important stakeholders, not just as consumers. This has challenged conventional practices; and youth and caregivers' perspectives have become integral to treatment planning and service delivery. This study explored caregivers and youth's perspectives of behavioral health needs and psychosocial functioning. Methods. This exploratory study utilized data collected in a Midwestern, suburban county as part of the national Child and Family Study of youth with complex behavioral health needs enrolled in the Child Mental Health Wraparound initiative. The sample …


Self-Determination Theory As A Framework For Understanding Needs Of Youth At-Risk: Perspectives Of Social Service Professionals And The Youth Themselves, Tania Nagpaul, Jinwen Chen Jan 2019

Self-Determination Theory As A Framework For Understanding Needs Of Youth At-Risk: Perspectives Of Social Service Professionals And The Youth Themselves, Tania Nagpaul, Jinwen Chen

Lien Centre for Social Innovation: Research

While there is evidence from the self-determination perspective for the positive impact of self-determination interventions on at-risk youth's transition outcomes, no research to date, has attempted to understand youth needs from both social service provider and youth client perspectives in the same study. The present study sought to generate a nuanced understanding of youth needs. For this purpose, the study was conducted in two phases. In phase1, twenty-one social service professionals (case workers, social workers, counsellors, program supervisors) were interviewed to get an understanding of their perception of youth needs and how they are being met. In phase 2, 45 …


Stories Of Children, Youth, And Families’ Adaptation To Community Living In The First Year After Involvement With Children’S Residential Mental Health Programs, Karen M. Frensch, Gary Cameron Jan 2019

Stories Of Children, Youth, And Families’ Adaptation To Community Living In The First Year After Involvement With Children’S Residential Mental Health Programs, Karen M. Frensch, Gary Cameron

Partnerships for Children and Families Project

Twenty-two youth between the ages of 14 and 18 years old who were involved with residential programs from participating children’s mental health organizations in Southern Ontario, Canada during 2015 to 2017 participated in a study of adaptation to community living in the first year following program exit. Youth, parents, child welfare workers, and mental health workers took part in qualitative interviews up to three times during the study period. Interview comments were used to construct a narrative or “story” of the year following program exit that integrated multiple informants’ perspectives of how each youth was functioning within that timeframe. Stories …


Is It Who Am I Or Who Do You Think I Am? Identity Development Of Adolescents With Substance Use Disorders, Danielle N. Treiber Jan 2019

Is It Who Am I Or Who Do You Think I Am? Identity Development Of Adolescents With Substance Use Disorders, Danielle N. Treiber

Antioch University Dissertations & Theses

The purpose of this study was to unearth how adolescents with substance use disorders achieve the task of identity formation and the construction of self-concept in the midst of the drug culture and society that exists. It sought to uncover the social constructs designed to ignore and/or remove human complexities and allow an intersectional approach to be brought to a study on this population. Historically, there has been a failure to investigate the underlying social attitudes and behaviors that impact the very delicate and vulnerable process of finding self. Psychosocial and relational adjustment are strongly influenced by the extent to …


Depression Education As Primary Prevention: The Erika’S Lighthouse School-Based Program For High School Students, Michael S. Kelly, Heather Freed, Peggy Kubert, Sarah Greibler Jan 2019

Depression Education As Primary Prevention: The Erika’S Lighthouse School-Based Program For High School Students, Michael S. Kelly, Heather Freed, Peggy Kubert, Sarah Greibler

Social Work: School of Social Work Faculty Publications and Other Works

Major depression is a treatable and common mental health disorder for youth. Untreated depression is a major risk factor for youth who become suicidal and die by suicide. Recent focus in the school-based literature on creating universal mental health promotion programs have recognized the need for effective depression awareness education programs to assist youth in identifying symptoms of depression in themselves and their peers, and to encourage those youth to seek trusted adults for help. A quasiexperimental design (QED) was employed in two suburban Chicago high schools (n=652) to evaluate the intervention, Real Teenagers Talking About Adolescent Depression (RTTAAD), a …


Addressing Environmental Gentrification: Improving Environmental Health For Children And Youth Without Displacement, Tania Schusler, Amy Krings Nov 2018

Addressing Environmental Gentrification: Improving Environmental Health For Children And Youth Without Displacement, Tania Schusler, Amy Krings

Center for the Human Rights of Children

This research brief aims to consider how community members and policies might improve environmental amenities within contaminated communities without displacing existing residents. To this end, we will first introduce a concept known as environmental gentrification. We will then summarize some of the existing literature that explores the relationships between urban greening and brownfield redevelopment projects in relation to gentrification. Brownfields refer to properties where the presence or potential presence of a hazardous substance, pollutant, or contaminant may complicate the property’s expansion, redevelopment, or reuse (https://www.epa.gov/brownfields/overview-brownfields- program). Our review of literature indicates that the degree of gentrification associated with sustainable development …


A Longitudinal Examination Of Factors Associated With Network Bridging Among Ymsm: Implications For Hiv Prevention, Dexter R. Voisin Aug 2018

A Longitudinal Examination Of Factors Associated With Network Bridging Among Ymsm: Implications For Hiv Prevention, Dexter R. Voisin

Faculty Scholarship

Social-environmental factors may be associated with social network stability, which has implications for HIV acquisition. However, the link between social-environmental factors, network composition and HIV risk has not been examined previously among a city-population based sample of young Black men who have sex with Men (YBMSM). Respondent driven sampling was used to recruit a cohort of 618 YMBSM. Respondents were evaluated at baseline, 9 and 18 months beginning June 2013. A logistic regression model was used to assess the relationship between bridging (i.e. having non-redundant contacts in one’s network, indicating network instability) and social-environmental factors and HIV risk factors between …


Evaluation Of A Youth Emergency Room Enhancement Program For Behavioral Health, Anne Thatcher Jul 2018

Evaluation Of A Youth Emergency Room Enhancement Program For Behavioral Health, Anne Thatcher

Dissertations

Problem. Pediatric mental health complaints and subsequent hospitalizations have been steadily increasing. The Behavioral Health Network (BHN) developed an intensive outreach case management program aimed at reducing youth mental health emergency department (ED) visits and inpatient psychiatric admissions. The Youth Emergency Room Enhancement (YERE) program was a process improvement initiative to provide immediate case management to youth and caregivers for mental health care.

Methods. A Plan-Do-Study-Act (PDSA) method utilizing a retrospective case record review occurred over a six-month period. A convenience sample of youth aged 6-20 years presenting to one of eight healthcare facilities for either ED or inpatient hospitalization …


School-Based Mental Health Care Program Evaluation, Adriana Torres Jun 2018

School-Based Mental Health Care Program Evaluation, Adriana Torres

Electronic Theses, Projects, and Dissertations

This study aimed to determine if the Department of Behavioral and Mental Health at a local school district is improving the academic outcomes of the students it provides services to. The purpose was to evaluate its effectiveness in order to improve and expand services. This is important since schools have become a primary setting to address the mental health needs of children and youth. The research design consisted of a quantitative, one-group pretest-posttest as students’ outcomes were assessed before and after treatment. The data was analyzed using a paired samples t-test. The findings from this study demonstrated no statistical significance …