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Aca Medicaid Expansions Did Not Significantly Improve Maternal Morbidity, Pinka Chatterji, Hanna Glenn, Sara Markowitz, Jennifer Karas Montez

Population Health Research Brief Series

Rising rates of severe maternal morbidity in the U.S. highlight the unmet need for continuous and comprehensive health care for women before, during, and after pregnancy. This data slice summarizes findings from a study that tested whether ACA Medicaid expansions helped reduce severe maternal morbidity, including transfusion, ruptured uterus, unplanned hysterectomy, eclampsia, and the need for intensive care. Results show little evidence that the ACA expansions improved maternal morbidity, other than reducing the need for blood transfusions.

Predictors Of Adherence To A Brief Sleep Extension Intervention In Emerging Adults, Isabella D. Wright

Theses and Dissertations

Objectives: It is uncertain what characteristics predict adherence to a brief sleep extension intervention, like that offered in primary care settings. This study examined how mental health concerns (i.e., depression, anxiety, stress), self-control, baseline sleep characteristics, and physical activity predicted adherence to a brief sleep extension intervention. Methods: 184 young adults (ages 18-25; m = 20.96) were asked to extend their nightly sleep to eight hours for one week. Sleep was tracked using actigraphy. Baseline sleep quality, baseline daytime sleepiness, depression, anxiety, stress, self-control, and physical activity were assessed. Results: Poorer baseline sleep quality predicted better adherence (p = 0.002). …

Does Media Facilitate Parent-Child Race Discussions? A Mixed-Method Study Of White Families, Children's Media, And Implicit Bias During Early Childhood, J. Andan Sheppard

Theses and Dissertations

The study aimed to investigate through mixed methods how White parents approach race discussions with their children, the factors influencing the discussions, and the implications for promoting constructive conversations. The qualitative analysis of the race discussions revealed that White parents preferred ambiguous or scientific language and diverted the discussion to topics other than race, such as gender or general body characteristics. Discussions often involved referencing personal examples of individuals from racial minority backgrounds, even if they were not personally acquainted. The quantitative analysis expanded and clarified these findings, with parent characteristics, such as education level and the frequency of color-evasive …

Predicting The Best Birds And Bees: Parental-Efficacy As A Mediator Between Parental Factors And Parent-Child Sex Communication, Meg O. Jankovich

Theses and Dissertations

Recent literature on parent-child sex communication (PCSC) has identified optimal sex communication as being not only frequent, but also open in quality, and proactive in timing. However, no studies have sought to understand what motivates parents to participate in this type of optimal parent-child sex communication, nor assessed these relationships longitudinally. Using Self-Determination Theory (SDT) to inform the analysis, this study investigated parent characteristics (parent's sexual self-concept and parenting dimensions) that may longitudinally predict optimal PCSC. This study further examined whether parental sex communication efficacy mediated these relationships. The sample included 607 mother-child dyads, and the father-figure when available (mother-father-child …

A Refuge And A Bridge: Native American Women's Tribal College Experiences, Morgan Duffy

Theses and Dissertations

This study, which focuses on the experiences of Native women attending a tribal college of the Northern Cheyenne Nation, responds to the call by Baird-Olson and Ward (2000) and Almeida (1997) for research that allows Native women, or the "hidden half," to tell their stories. Scant research has examined the value of tribal schools for Native American women and the experiences they have had in relation to their reservation and college lives. Providing narratives of women's experiences can illuminate how higher education in tribal college settings holds multiple values for Native women students as it acts as a refuge and …

The Generalizability Of Proposed Theoretical Factor Models For Common Assessments For Specific Learning Disability In Reading Using A Community Sample, Sean B. Vanhille

Theses and Dissertations

Specific learning disabilities (SLD) are among the most diagnosed developmental disorders in children, with specific learning disability in reading (SLDR) as the most common. SLDR typically occurs due to deficits in phonological processing that can negatively impact decoding and/or reading comprehension skills. Reading deficits are often diagnosed using formal assessments such as the Comprehensive Test of Phonological Processing (CTOPP-2), the Gray Oral Reading Test (GORT-5), the Wechsler Intelligence Scale for Children (WISC-V), and the Woodcock Johnson Achievement Battery (WJ-IV-A). I did not find any research in which the theoretical factor models proposed in the technical manuals of these assessments were …

Shy But Not All The Same: Adolescent Profiles Of Shyness, Self-Regulation, And Benevolent Values, Christina M. Schwartz

Theses and Dissertations

While existing research has posited shyness as a risk-factor for floundering in adolescence and emerging adulthood, not all shy young people may struggle to the same extent. Characteristics such as self-regulation and benevolent values may influence the extent to which individuals with high levels of shyness will have socio-emotional challenges. Therefore, the purpose of the present study was to use a person-centered analysis to explore subgroups of adolescents with distinct levels of shyness, self-regulation, and benevolent values and to examine how these groups differ on outcomes in adolescence and in emerging adulthood. The sample for this paper consisted of 682 …

Helpful Or Harmful? The Effect Of Heritage Language Use On Perceived Maternal Closeness In United States Immigrant Families, Catalina Valdez

Theses and Dissertations

Language use patterns and parent-child relationship quality in immigrant families are both subject to change over time, and past research on the impact of immigrant children's heritage language use on various measures of well-being yields mixed results. Extending scholarship on heritage language use and immigrant family dynamics, I examine the association between different language patterns in U.S. immigrant families and mother's reports of parent-child closeness. I analyze data from 1,142 mothers when their children are in kindergarten, third grade, and fifth grade using the Early Childhood Longitudinal Study "“ Kindergarten Cohort of 2010-2011. I find little variation in perceived maternal …

Ten Questions Concerning Smart And Healthy Built Environments For Older Adults, Sanjay Kumar, Samuel H. Underwood, Julie L. Masters, Natalie A. Manley, Iason Konstantzos, Josephine Lau, Ryan Haller, Lily M. Wang

Durham School of Architectural Engineering and Construction: Faculty Publications

In the past decade, the term ‘global aging’ has gained much attention among researchers, policymakers, civil societies, and governments worldwide. The continuous decline in fertility rates and increased life expectancy have resulted in an ongoing demographic transition where the share of adults aged 65 or older is increasing and outnumbering children younger than five years. In the United States and other developed countries, this rapid demographic transition is expected to continue to strain the existing health infrastructure as it becomes increasingly challenging to ensure healthy living environments for older adults. The ten questions and answers in this paper have been …

"There's No Good, It's Just Satisfactory": Perfectionistic Reactivity In Ncaa Student-Athletes, Daniel J. M. Fleming

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Perfectionistic reactivity is a style of responding to adversity that results in physical, psychological, and social components. Individuals who are high in perfectionistic tendencies are likely to experience anxiety, depression, frustration, and anger when perfection is not attained. The present dissertation utilized two complementary studies to examine perfectionistic reactivity in NCAA golf student-athletes. Results suggested that there is no relationship between perfectionism and performance at a hole-to-hole level. However, athletes highlighted that they experienced reactivity in their thoughts, feelings, and behaviors after both positive and negative performances. Student-athletes frequently cited self-compassion in their interviews, suggesting that the promotion of self-compassion …

Adverse Childhood Experiences Among Adolescent Girls In Residential Treatment: Relationship With Trauma Symptoms, Substance Use, And Delinquency, Akemi E. Mii

Department of Psychology: Dissertations, Theses, and Student Research

Adverse childhood experiences (ACEs) refer to negative events during childhood or adolescence including abuse, maltreatment, and exposure to household dysfunction (Kalmakis & Chandler, 2014). ACEs are associated with negative outcomes including mental and behavioral health concerns and offending (Fox et al., 2015). The risk of negative outcomes associated with ACEs increases when an individual experiences polyvictimization (experiencing multiple types of adverse events; Felitti et al., 1998; Finkelhor et al., 2011). A majority of adolescents served by residential treatment programs (RTPs) have experienced polyvictimization (Briggs et al., 2013). Research examining juvenile offending and youth delinquency has focused on boys. Thus, research …

Neighbourhood Satisfaction And Networks Among Older Adults In Singapore, Rachel Ngu, Micah Tan, William Tov

ROSA Research Briefs

The built and social environment surrounding one’s place of residence is an important factor that shapes well-being and quality of life. This is especially so for older adults as their sphere of mobility decreases and their functional capacity may decline as they age, making their immediate environment more vital in shaping their lives. Studies have established the importance and impact of the physical environment on health and well-being of older adults across various communities (Addae-Dapaah 2008; Alidoust and Bosman 2015; Gale et al. 2011; Oswald et al. 2007). A study on older adults in Singapore found that living environment and …

#Bodypositivity Or #Bodypolitics?: A Rhetorical Analysis Of The Body Positivity Myth Formed By Narratives Of Political Myth, Sydney Berenyi Lasike

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The Body Positivity movement is well-known for advocating for the acceptance of all body types—including size, shape, color, and ability. Images online in support of the movement often showcase stretch marks, cellulite, and other “unattractive” bodily features to protest against the thin-ideal and strict standards of beauty placed upon women. Despite the goal to inspire self-love and celebration of all bodies, the hashtag #BodyPositivity has been taken-over by white, female influencers who have the idolized, female body. They contradict the original message of the movement through their posts on Instagram that centralize white feminine features and thin, Eurocentric bodies. This …

Using Head Start Children's Language Development To Predict Social Information Processing Ability, Kendra Newman

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

As young children grow and develop, gaining social skills and different language abilities is extremely important. As children develop, they also acquire the ability to process social information, which then helps them respond in various social situations. Children should eventually be able to respond to social situations in socially acceptable ways, instead of answering in aggressive or passive ways. This study examined the relations between children’s language development, and social information processing ability. This study included 51 children, from 19 Head Start classrooms. Results showed that at the beginning of the Head Start year children with more language, responded in …

Key Determinants Of Life Satisfaction In Older Adults, Barry Nuqoba, Yi Wen Tan, Yen Cong Wong, Wensi Lim

ROSA Research Briefs

Life satisfaction constitutes a fundamental facet of wellbeing, exerting an influence on an individual's mental and emotional state (Zissi & Barry, 2006). Among older adults, elevated levels of life satisfaction are frequently linked to a more optimistic outlook, contributing to improved health and resilience (Khodabakhsh, 2022; Zheng, Huang, & Fu, 2020). This in turn enhances societal involvement, both in the professional and social domains (Khodabakhsh, 2022). It is also vital to acknowledge that life satisfaction is a multifaceted construct, intricately influenced by an array of external and internal determinants. Life satisfaction is essentially a subjective judgement and assessment of one’s …

The Role Of The Family In Confronting The Excessive Use Of Modern Technology Among Children "Therapeutic Alternatives", Khaled Mikhlif Al-Jenfawi

Journal of Police and Legal Sciences

This study aimed to identify the role of the family in confronting the excessive use of technology and social media programs from the view point of social workers and psychologists working for the Juvenile Welfare Department of the Ministry of Social Affairs and Labor in Kuwait, in the light of some variables (sex , and practical experience)

The studywas a descriptive analytical study. It used the social survey method. A questionnaire consisting of (39) items was built and designed, and its validity and reliability were tested. Among the most important results of the study: The level of the family's role …

The Dynamic Of Gender Relations During And Post Pandemic In Families Of Impromptu Online Woman Entrepreneurs In Indonesia, Johanna D. Imelda, Ditha A. Setiyono

Masyarakat: Jurnal Sosiologi

The article aims to describe the changes in gender relations in the family of women who became impromptu online entrepreneurs due to the COVID-19 pandemic. The theories of gender role triplicity and social capital were used to analyze research findings. Data for this qualitative longitudinal research was collected through observations and interviews with fourteen married women in Depok, West Java, from 2020 to 2022. Research findings illustrated that when women became entrepreneurs during the pandemic, there was a change in their role, from the domestic to the public sphere. However, when family economic condition improved after the pandemic, women returned …

Analyzing The Continuum Of Control And Freedom In Intimate Relationships: A Grounded Theory, Daniel Smedley

Theses and Dissertations

Although research identifying and addressing extreme forms of control exists, all relationships experience some amount of control and some amount of the opposite of control, which is freedom. Large gaps in prevalence estimates and varied definitions of control suggest a need to better define the spectrum of control from mild to extreme forms, including looking at non-physically violent forms of coercive control. The purpose of this study was to expand knowledge of control in intimate relationships by examining the continuum of mild and extreme experiences of both control and freedom. Using constructivist grounded theory methods, the two categories of control …

Securely Ever After: Attachment,Trust, And Commitment In Married Adult Adoptees, Jill P. Burgon

Theses and Dissertations

Past research suggests that adoptees face a higher risk of insecure attachment and encounter more challenges related to trust and commitment in their romantic relationships compared to nonadopted individuals. This study examines the association between adoption status and marital security among newly married couples, with a focus on the potential moderating role of gender. Using data from a representative sample of newly married couples in the United States (n = 2,110), the relationship between adoption status and multiple measures of marital security were measured using OLS regression. Findings indicate that, during the early stages of marriage, adult adoptees exhibited comparable …

Presenting Issue Agreement And The Therapeutic Alliance In Family Therapy, Emilee Oldroyd

Theses and Dissertations

Research has consistently shown a positive association between the therapeutic alliance and family therapy outcome. Theory and preliminary research suggest that parent and adolescent agreement on the presenting problem would be a significant predictor of the therapeutic alliance in family therapy. This study used de-identified data from the Marriage and Family Therapy Practice Research Network. The presenting problem was assessed at the first session, and agreement in presenting problems was determined by matching the responses between the parents and adolescents. The within-system alliance item of the Intersession Alliance Measures-Family (IAM-F), assessed at the fourth session, was used to measure the …

Emotion Regulation Difficulties And Couple Relationship Quality Across Eight Sessions: A Dyadic Analysis With Latent Growth Curve Modeling, Min Xu

Theses and Dissertations

While previous studies have demonstrated significant associations between partners' emotion regulation and overall well-being, few studies provide knowledge on emotion regulation in clinical couples, especially across couple therapy sessions. With 168 heterosexual couples who attended at least the initial eight sessions of couple therapy, the current study was designed to examine the intra- and inter-personal effects of emotion regulation difficulties (i.e., lack of awareness, nonacceptance, limited strategies, and impulsivity) on the development of relationship quality over the course of couple therapy. The results of the current study provide a few important findings. First, gender differences exist in emotion regulation and …

The Hidden Power Of “Thank You”: Exploring Aspects, Expressions, And The Influence Of Gratitude In Religious Families, Joe M. Chelladurai, Loren D. Marks, David C. Dollahite, Heather H. Kelley, David B. Allsop

Faculty Publications

Gratitude has been extensively studied over the past two decades. Among several predictors, aspects of religiosity and spirituality have been consistent predictors of gratitude. To explore the religious motivations and processes that foster the practice of gratitude, we undertook a systematic thematic analysis using interview data from a national qualitative project of 198 highly religious families. Participants (n = 476) included mothers, fathers, and children from various socioeconomic backgrounds and from diverse religious, racial, and ethnic backgrounds in the United States of America. Semi-structured interviews were conducted in the participants’ homes. Data for this study were analyzed using a team-based …

The Affirm Model For Navigating Challenges In Divergent-Interfaith And Consistent-Interfaith Marriages, Justin J. Hendricks

Theses and Dissertations

The current study utilized a qualitative approach to identify the specific processes and principles that promote stability and happiness in exemplary interfaith marriages. In-depth interviews were conducted with 32 interfaith couples (N = 63) that had been recruited through purposive sampling who reported being happily married on average 20 years. Six core themes were identified through team-based systematic analysis using NVivo 12. Many couples reported several significant challenges because of their religious differences, as discussed in our first theme. We organized the five themes regarding how couples navigated religious differences into the AFFIRM model. That is, the adaptive processes and …

Did Covid Change Everything Or Nothing At All? Canadian Family Life During The Covid-19 Pandemic, Carlee Guenther Dynes

Theses and Dissertations

In March of 2020, Canada, along with the rest of the world, declared the COVID-19 pandemic a national emergency and responded with society-wide lockdowns, granting exceptions only for essential workers. Canadians across all demographic categories were significantly impacted, and many parents of children under 18 faced the difficult task of caring for their children while simultaneously meeting their work obligations. Using novel in-depth interview data from 30 Canadian parents (in 15 couples) collected between April 2022 and May 2023, I explore three main changes to family life resulting from the COVID-19 pandemic: expanded family-friendly work practices, increased time with nuclear …

The Effect Of Therapeutic Alliance Quality On Relationship Quality, With Latino Ethnicity As A Moderator: An Exploratory Study, Ivana Elisa Borba Gomez

Theses and Dissertations

A strong therapeutic alliance is consistently related to successful outcomes in couple therapy. However, most of the research done on therapeutic alliance has been done among non-Latino White individuals and couples, failing to account for other ethnic minorities like Latinos. Latinos tend to share certain commonalities as opposed to non-Latino clients that may alter the relationship between alliance quality and relationship quality. This exploratory study was designed to understand whether Latino clients have higher initial levels of alliance and a stronger alliance-outcome relationship in couple therapy when compared to non-Latino White couples. The sample consisted of 567 couples seeking therapy …

“In A Religious Celebration”? The Religious Defense Of Lgbt Rights In U.S. Federal Courts, Kelsy Burke, Emily Kazyak, Maia Behrendt

Department of Sociology: Faculty Publications

This article advances scholarship on the relationship between sexuality, religion, and the law within the United States by analyzing case summaries and court opinions of the federal appellate cases decided between 1990 and 2020 that involve a religion-based claim being used to advance or defend gay and lesbian rights. Contrary to dominant public narratives that position religion uniformly in opposition to progressive sexual values, these cases show how Americans’ religious beliefs and practices include diverse sexual identities. We find that the courts’ reactions to such cases, however, illustrate the tension within legal discourse and hesitancy for the courts to equate …

Patterns Of Classroom Organization In Classrooms Where Children Exhibit Higher And Lower Language Gains, Laura Cutler, Rachel E. Schachter, Clariebelle Gabas, Shayne B. Piasta, Kelly M. Purtell, Nathan P. Helsabeck

Department of Child, Youth, and Family Studies: Faculty Publications

Previous research suggests that the ways in which early childhood classrooms are organized may facilitate children’s language learning. However, different measures of classroom organization often yield inconsistent findings regarding child outcomes. In this study, we investigated multiple aspects of classroom organization across two time points in classrooms where children made varying language gains. Using a purposeful sample of 60 early childhood classrooms, 30 in which children made higher language gains and 30 in which children made lower language gains, we explored the organization of the physical classroom literacy environment, classroom management, classroom time, and classroom activities. Research Findings: Results indicated …

Caregiver Health: Having A Child With Asd And The Impact Of Child Health Insurance Status, Kristin Hamre, Derek Nord, John Andresen

Developmental Disabilities Network Journal

This study aims to understand the health outcomes of parents with children with autism spectrum disorder (ASD) and the interactive effect of child health insurance status. The study utilized 2014-2018 pooled National Health Interview Survey data to construct weighted national estimates and construct main and interaction effect logistic regression models. Findings show parents of children with ASD experienced significantly poorer health compared to parents of children without autism. Insurance status was found to significantly interact with child ASD status. Compared to parents of children without ASD that used private insurance, parents with a child with ASD who used private insurance, …

Book Review: Just Schools: Building Equitable Collaborations With Families And Communities, Tara Bartlett

Journal of Educational Research and Practice

K–12 schools are facing a syndemic of critical junctures right now: On the one hand, school communities and families are still reeling from the effects of racial reckonings and the COVID-19 pandemic, while on the other hand, school leaders and decision-makers are grappling with how to effectively engage families and students amid demands and realizations for equity and justice. The book Just Schools: Building Equitable Collaborations with Families and Communities (2020) by Ann Ishimaru provides tools and pathways forward. Ishimaru first describes how our education systems have long been incubators of oppression and disengagement, steeped in colonizing methods and deficit …

Gender In Cultural History: Gender And Education, Dimitra Kalodimou, Maria Kapalika

Journal of Research Initiatives

The position of women in the oldest societies has often occupied the scientific community, which is a great reason to study it. Today's societies put tremendous effort into highlighting the importance of women's contribution. In this text, we will deal with the position of women in the recording of history, with women’s presence within the historical sources as well as the roles held in family business and education. In addition, the gradual changes regarding women's recovery in society will be presented and highlighted. The first steps to improve women's image started in Europe and continued worldwide. The critically studied articles …