Quantitative, Qualitative, Comparative, and Historical Methodologies Commons^™

Art Therapy With A Familial Caregiver Of An Individual With Dementia Of The Alzheimer’S Type, Alexandra M. Serino

EVMS School of Health Professions Master's Level Capstones, Projects and Papers

Alzheimer’s disease is the most common type of dementia and causes problems with memory, behavior, and thinking. The symptoms of this progressive disease commonly develop slowly and worsen over time. Family members who are caring for individuals with Dementia of the Alzheimer’s type (DAT) experience significant burden that affects their psychological well-being. This may result in an increase in stress/anxiety and a decreased mood. In this mixed methods case study, six individual in-home art therapy sessions were conducted with one 80 year old woman who was caring for her husband who had DAT, in order to gain preliminary understanding of …

The Efficacy Of Art Therapy-Based Processes And Techniques In Decreasing Symptoms Of Burnout And Compassion Fatigue In Pediatric Hospice And Palliative Caregivers: A Mixed-Methods Study, Aubrey Maggio

EVMS School of Health Professions Master's Level Capstones, Projects and Papers

The purpose of this mixed-methods study was to determine the efficacy of art therapybased processes and techniques in decreasing symptoms of burnout and compassion fatigue in pediatric hospice and palliative caregivers. Interventions consisted of two twohour art therapy workshops, one in November 2014 and the second in January 2015. Participants were additionally supplied materials to promote self-care between the two workshops. Quantitative and qualitative measures of burnout and compassion fatigue were conducted pre- and posttest using the ProQOL-5 and individual post-intervention interviews. Due to the small sample size, data was analyzed without statistics, but rather illustrated with graphs and tables. …

Conflict In Families And Nursing Home Placement: A Phenomenological Study, Stephen John Pidwysocky

Department of Conflict Resolution Studies Theses and Dissertations

In the limited qualitative research about families who have placed a family member in a nursing home, conflict is identified as a significant problem (Lashewicz & Keating, 2009; Lashewicz et al., 2007). Whether it is related to absence of filial responsibility on the part of adult children, (Ganong & Coleman, 2005; Piercy, 1998), adult child ambivalence (Bengtson et al., 2002; Lüscher & Pillemer, 1998), female and male gender caregiving roles (Spitze & Trent, 2006; Dayton-Ingersoll, 2003; Aronson, 1992), differences in levels of commitment on the part of adult children to assist older parents (Silverstein et al., 2008), adult children being …

Metaphoric Generative Genograms: A Journey To Bring Genograms To Life Through Metaphorical Components, Elisa Garcia

Department of Family Therapy Dissertations and Applied Clinical Projects

The purpose of this dissertation is to offer a greater understanding of the potential of genograms through my clinical work from a Bowen Family Systems lens. I account for how I processed and effectively blended metaphorical components, by examining six cases from my two-year journal entries, of bringing genograms to life in sessions. I also explain how I created a useful tool, the Metaphoric Generative Genogram, that can benefit other clinicians working with children and families in the foster care community.

Nation-State Personality Theory: A Qualitative Comparative Historical Analysis Of Russian Behavior, During Social/Political Transition, Mark George Bound

Department of Conflict Resolution Studies Theses and Dissertations

The study theorizes that a nation-state can manifest a condition similar to that of personality commonly associated with humans. Through the identification of consistent behaviors, a personality like condition is recognizable, and the underlining motivations dictate national policy independent of any current social/political influence. The research examines Russia during two historical periods examining the conflict events and social/political transitions of the period, to identify common behavioral characteristics, which indicate the existence of any independent personality like trait.

The study focuses on two historical periods: the Monarch Period of Peter I (The Great), and the Post-Soviet Union period of Vladimir Putin, …

Creating Conditions For Scale Up: Technical Assistance As An Implementation Research Uptake Strategy, Ian Askew

Reproductive Health

No abstract provided.

Autonomy In The California Disability Services System, Lisa Ann S. Carbone

Walden Dissertations and Doctoral Studies

Legislation concerning California residents with intellectual and developmental disabilities (ID/DD) requires recipients of services to be treated as independent individuals while emphasizing self-determination. At the same time, under regulatory procedures, recipients are considered dependent on the delivered services and not self-determinant. Neither the California Department of Developmental Services nor the trade associations representing community service providers have established a unified, systematic practice to support self-determination. This phenomenological study explored the experience of adults with ID/DD working toward self-determination.

Specifically, it explored how medical and social models contribute to shaping and actualizing the independence of this population. Interviews with eight adults …

Institutional Aggression: Psychometric Development Of A Predictive Risk Assessment Screening Tool, Lauren Spotts M.S.

PCOM Psychology Dissertations

Aggression among those with mental illnesses has been extensively reviewed. Research has shown that aggression within an institutional or hospital setting, that is presently termed “Institutional Aggression,” threatens the ability to provide a safe and therapeutic environment for both patients and staff. Although earlier measures have been designed to address this construct, the present study examines Institutional Aggression based on the parameters of the Overt Aggression Scale (OAS; Yudofsky, Silver, Jackson, Endicott, & Williams, 1986). The purpose of the current study was to determine the predictive relationship between clinical and sociodemographic factors and the rate of Institutional Aggression with the …

Toward Transforming Health Systems: A Practice Study Of Organizing And Practical Inquiry In Academic Medicine, Thomas A. Ellison

Antioch University Dissertations & Theses

Transformation of health care systems will be grounded in new professional relations and collective, cross-disciplinary actions to impact care delivery. Organizing such relations and actions involves practical inquiry rather than applying professional knowledge. This dissertation presents an exploratory, performative study of the initial organizing of the Health Systems Innovation and Research (HSIR) Program in Health Sciences at the University of Utah. The HSIR program was conceived principally to catalyze cross-disciplinary innovation and health services research and enhance care delivery changes by documenting care improvements and publishing research. This study includes a composite narrative of the organizing and practical inquiry work …

Diffusion Of Innovations Of Videoconference Technology: An Instrumental Case Study Concerning Undergraduate Degree-Seeking Nontraditional Learners, Bruce G. Campbell

Theses and Dissertations

This applied dissertation is an instrumental case study based on diffusion of innovations theory designed to gather student opinions regarding videoconference (VC) technology use in facilitating courses to undergraduate degree-seeking nursing students. The author of diffusion of innovations theory, Rogers (2003), recommended that more qualitative studies be conducted in education. Rogers and Jain (1968) recommended these studies should be conducted from the aspect of “receivers of innovation diffusion” (p.1) to provide feedback instrumental to implementation of technological innovations in academe. Further, Rogers stated that multiple data points should be used during the process of trialing an innovation. Therefore, a current …

Attitudes And Behaviors Of South African Women And Psychosocial Determinants Of Gonorrhea, Takiyah White Ndwanya

Walden Dissertations and Doctoral Studies

The incidence of gonorrhea had declined since the HIV epidemic in the late 1980s, but is now increasing globally due to the emergence of antibiotic-resistant forms of this disease. In South Africa, the incidence of gonorrhea is highest among Black women due to their high co-infection rates with HIV and other sexually transmitted infections (STIs). This study examined the psychosocial determinants of gonorrhea among Black women aged 18 - 35 in the Langa township in Cape Town, South Africa. All participants had reported at least one sexual experience and at least one positive test for gonorrhea in the past two …

Interpersonal Safety Of Active Duty Women In The Deployed Environment Of Bagram Afghanistan, Cynthia Tara Ferguson

Walden Dissertations and Doctoral Studies

In the United States Armed Forces, 30% of women in the military suffer physical assault each year; in 2009, there were 22 reported cases of sexual assault in the U.S. Central Command. Aggravated assault, gang violence, sexual assault, homicide, and suicide can damage the morale of military personnel at a deployed site and collectively cost millions of dollars over time. Interpersonal violence in the United States military is destructive to the military system and directly diminishes mission readiness. This study was designed to illuminate the environmental, cultural, and political influences that affect interpersonal safety among military women in the deployed …

Social Determinants Of Health Inequality And Life Expectancy Among Women Of Edo State, Nigeria, Daniel Aromeh Odekina

Walden Dissertations and Doctoral Studies

Health inequality conflates a huge number of economic, social, and political issues. These issues, together described as social determinants, determine a population's health through influencing health status and life expectancy. The research purpose of this study was to examine how social determinants affected the life expectancy of the women of Edo State, based on secondary data from Nigeria's 2008 demographic and health survey (NDHS). The theories that guided the study were self-efficacy beliefs of the social cognitive theory and physical self-concept of the health belief model. This quantitative cross-sectional study examined the associations between socioeconomic status, nutritional status, literacy/educational attainment, …

Utilizing The Technology Acceptance Model To Predict System Use Of An Interactive Behavior Change Technology To Deliver Virtual Diabetes Health Education, Koren Sher'keyer Goodman

Health Services Research Dissertations

Diabetes is expected to affect more than 21% of the U.S. adult population by the year 2050 (Boyle, Thompson, Gregg, Barker, & Williamson, 2010). What is important to understand about diabetes is that there are safe, effective non-pharmaceutical lifestyle modifications and pharmaceutical treatment options that can prevent and delay the onset of complications. Telehealth efforts are practical solutions increasingly used in the health services delivery model to improve self-care management practices among patients with multiple chronic conditions (Davis, Hitch, Salaam, Herman, Zimmer-Galler, & Mayer-Davis, 2010; Eng, Gustafson, Henderson, Jimison, & Patrick, 1999; Fitzner & Moss, 2013; Gruman, 2011; Lin, 1999; …

A Qualitative Examination Of Barriers And Motivators To Smoking Cessation Among Hiv Positive African American Msm Smokers, Alicia Kaye Matthews, Maria Vargas, Lisa Kuhns, Nitin Shappiva, Andrea C. King

Journal of Health Disparities Research and Practice

Purpose: To identify barriers and motivators to smoking cessation among HIV-positive African American men-who-have-sex with men (MSM) who smoke.

Procedures: A convenience sample of smokers was recruited for this study using a range of outreach approaches. Focus groups (N = 4) were conducted that examined: quit experiences, barriers to and motivators of cessation, cultural beliefs, and community norms. Established qualitative methods were used to conduct and analyze the focus groups.

Main Findings: Participants (N = 31) reporting being diagnosed with HIV+ for M = 12 years. More than 60% reported a quit attempt in the past year. Knowledge was about …

A Study Of The Thematic Content And Formal Elements Of A Free Choice Drawing Created By Older Adults Diagnosed With Alzheimer’S Disease: A Mixed Methods Investigation, Kelly Rose Spessard

EVMS School of Health Professions Theses & Dissertations

This study used a mixed methods approach to examine the themes in the Free Choice Drawings (FCD) created by13 older adults with a diagnosis of Alzheimer’s disease (AD). The Mini-Cog was used as the instrument to identify cognitive impairment in the participants. All participants were scored as positive for cognitive impairment according to the scoring instructions for the Mini-Cog. The FCD followed the Mini-Cog. Of the 13 participants, eight attempted the FCD and five left their paper blank. The FCD was rated using a modified version of the Formal Elements Art Therapy Scale (FEATS). Scales included, Prominence of Color, Color …

Possible Psychosocial Benefits Of Having A Sibling With A Disability, Jenna M. Talbott

Senior Honors Theses

Possible psychosocial benefits resulting from exposure to siblings with disabilities are investigated in the current study. Previous literature has generally overlooked the possibility of psychosocial benefits by exclusively focusing on the negative effects of having a sibling with disabilities. Contact theory suggests that the increased exposure to individuals with disabilities should increase positive attitude toward those who are struggling with disadvantages. This investigation hypothesized that this tendency would be manifested as elevated empathy and compassion in individuals who have siblings with disabilities, and that these traits would be influenced by certain demographic variables. A survey was distributed, and the responses …

The Edward Bliss Emerson Journal Project: Qualitative Research By A Non-Hierarchical Team, José G. Rigau-Pérez, Silvia E. Rabionet, Annette B. Ramírez De Arellano, Wilfredo A. Géigel, Alma Simounet, Raúl Mayo-Santana

The Qualitative Report Books

Edward Bliss Emerson (1805-1834), a younger brother of the renowned essayist and poet Ralph Waldo Emerson, lived in the Caribbean for the final three years of his life. His journal and letters are a rich manuscript source for the history of the Danish Virgin Islands (1831-1832) and Puerto Rico (1831-1834). The texts also reflect the contemporary political and cultural situation in the United States, and Edward's search for health, economic independence, intellectual stimulation and metaphysical fulfillment.

These writings ignited an intellectual passion in José G. Rigau-Pérez, a physician, medical epidemiologist, and historian in Puerto Rico. Furthering access to these unique …

The Effects Of Art Therapy On The Self-Efficacy And Self-Concept Of A Group Of Children With Attention Deficit Hyperactivity Disorder, Sarah Peters

EVMS School of Health Professions Theses & Dissertations

This quantitative study utilized a within group, pre and posttest design to examine whether a group art therapy experience would have an effect on the self-concept and self-efficacy of group of children with Attention Deficit Hyperactivity Disorder (ADHD). Six subjects took part in the study (n=3 male) and (n=3 female) ages 7 to 10. The subjects took part in eight group art therapy sessions which lasted approximately one hour each. The art tasks were designed to provide students with opportunities to gain mastery and competence. It was hypothesized that an experience in an art therapy group would …

Living With Uncertainty: The Impact On Breast Cancer Survivors And Their Intimate Partners, Kimberley Dockery

Department of Family Therapy Dissertations and Applied Clinical Projects

This study explored the lived experiences of breast cancer survivors and their intimate partners. The research was informed by a social constructionist framework and phenomenological method of inquiry. While the body of literature on the physical, psychological, and social health of breast cancer survivors is growing, only a few studies have focused solely on the lived experience of survivorship and the uncertainty of recurrence. This study sought to explore the construction of meaning in the couples' context and experiences of surviving breast cancer. The present study examined how breast cancer survivors make meaning of their survivorship in context of living …

Training Manual On Basic Monitoring And Evaluation Of Social And Behavior Change Communication Health Programs, Praween Kumar Agrawal, Kumudha Aruldas, M.E. Khan

Reproductive Health

Social and behavior change communication (SBCC) interventions are key for addressing social and cultural barriers and achieving goals laid out for health programs. Often these interventions are not evidence based and monitoring and evaluation (M&E) is limited. Lack of trained and skilled human resources for M&E has been a limitation in general. A serious effort is needed to build the capacity of M&E personnel to monitor and evaluate performance of SBCC interventions in terms of reach and effectiveness among intended audiences. The Improving Healthy Behaviors Program of FHI360 aims to provide technical assistance to strengthen capacities to monitor and evaluate …

Summarizing Bodies Of Evidence On The Implementation And Effectiveness Of Fp/Rh Interventions, Ian Askew

Reproductive Health

No abstract provided.

A Good Old Age: Experiencing A Satisfying Life, Kaitlin Thimann

Boise State University Theses and Dissertations

The definition of successful aging has been changing, however, there is a lack of current studies on existing aging trends and how to experience a good old age. The purpose of this study is to identify and describe themes and factors that can lead to an individual experiencing a good old age. This study is a qualitative, exploratory ethnography in which interviews were used to gather information on a good old age from adults aged sixty-five and older. The study revealed that there were several common factors throughout the interviews. Physical and mental health, social support, and financial stability are …

Perceived Attitudes And Staff Roles Of Community Based Outpatient Clinics In Disaster Management, Pauline Antoinette Hodge-Hilton

Loma Linda University Electronic Theses, Dissertations & Projects

Objective: Natural and manmade disasters have claimed the lives of thousands of individuals in the US and caused billions of dollars in property damage. First responders carry the responsibility of disaster management, leaving other health care professionals such as medical clinic staff underutilized to support the clinic staff. We explored how medical and support staff in Community-based Outpatient VHA Clinics (CBOC) perceive their roles in disaster response, their attitudes about clinic readiness and continuity of care during disasters, and their ability to function in a post disaster environment.

Methods: A mixed method study was conducted to answer questions related to …

Body Image: Indicators And Concern As Demonstrated In A Brief Art Therapy Group, Ashley Busch

EVMS School of Health Professions Theses & Dissertations

Research indicates that adolescent girls are prone to partake in pathological eating habits and internalization of the “thin ideal,” which increases their predisposition for developing a negative body image. Negative body image, in turn, increases the risk of developing an eating disorder. This study examined art therapy’s effectiveness in identifying body image concern in a group of pre-adolescent girls. Three girls participated in the single-session art therapy intervention that contained three art tasks related to body image. Two qualitative measures and one qualitative pretest/posttest measures were included to evaluate body image concern and the overall effectiveness of the intervention. Each …

The Role Of Personality In Individual Perceptions Of The Value Of Visual Journaling In Art Therapy Graduate Education, Daniel J. Koon

EVMS School of Health Professions Theses & Dissertations

This preliminary qualitative study used a mixed methods approach to explore the relationship between personality and individual perceptions regarding the value of the self-care practice of maintaining a visual journal. Twenty-two students from the Graduate Art Therapy and Counseling Program at Eastern Virginia Medical School participated in a pre-screening session, in which they completed the Myers-Briggs Type Indicator (MBTI) Form M Self-Scorable. Ten of the twenty-two participants, five introverts and five extraverts, were selected based on the results of the MBTI. Over a one-month research period, participants each completed two ten-question surveys and a face-to-face interview. Participant responses were compared …

Art Therapy From Client And Therapist Perspectives: A Mixed Methods Study, Danielle L. Jweid

EVMS School of Health Professions Theses & Dissertations

In order to constantly improve and enhance any field, research must explore all aspects. This study explored the experience of art therapy from the clients’ perspective and how the therapist views the client experience.

The participants in this study included two client-therapist dyads that were tracking the art therapy treatment experience over the course of four to five weeks. The study involved quantitative and qualitative data collected through questionnaires and semi-structured interviews. Questionnaires were filled out by therapist and client at the end of each session for the duration of the study and then the results were quantified and presented …

The Art Therapy Technique Of ‘Life Review’: Its Impact On Existential Issues In Older Adults, Emily Victoria Willen

EVMS School of Health Professions Theses & Dissertations

For many older adults, the aging process brings many existential and end-of-life concerns. These concerns may be related to their experiences, their self-concept, and the choices they made throughout their lives. Older adults who are able to sufficiently address these issues are less vulnerable to feelings of depression and hopelessness. The geriatric population is in need of services that will help them resolve existential issues and integrate their experiences into a cohesive sense of self.

This qualitative case study explored the effectiveness of using the art therapy technique of the life review to help an older adult resolve existential questions …

Perceptions Of Art Therapy Among Medical Students, Laura A. Sibiski

EVMS School of Health Professions Theses & Dissertations

This study utilized a mixed methods survey to address the perceptions of art therapy among medical students currently enrolled at Eastern Virginia Medical School (EVMS). Of 530 students, 179 completed the online survey, which resulted in a 34% respondent rate. Overall, respondents indicated that they find the treatment of psychosocial factors/symptoms secondary to medical illness very important and psychiatry and psychotherapy/counseling as somewhat effective in doing so. The respondents reported a lack of knowledge regarding the field of art therapy and an overall interest in learning more about art therapy and the program specific to EVMS. Suggestions for further integration …

Depressive Symptoms And Bookmaking In Group Art Therapy With Female African American College Students, Joselyn Spence

EVMS School of Health Professions Theses & Dissertations

This mixed methods study examined the experience and effects of bookmaking in art therapy on the depressive symptoms of a 22 year-old female African American college student through a six-week art therapy intervention using bookmaking. It was hypothesized that bookmaking in art therapy would lead to a decrease of depressive symptoms. The hypothesis was supported as evidenced by a 14-point decrease on the Beck Depression Inventory-II. Additionally, the participant reported that the experience with bookmaking in art therapy was an effective tool in decreasing her depressive symptoms by giving her an outlet and a place to share her feelings.