Barrett, The Honors College Thesis/Creative Project Collection

Objective: This study looked at three key variables of fear of COVID-19, preventative behaviors, and vaccination intent among college students in the United Sates. In addition, the three key variables were compared between genders, age groups, race groups, and over time to see if there were any significant findings. <br/>Method: This longitudinal study consisted of two anonymous online surveys administered on REDCap before and after a COVID-19 vaccine became available. <br/>Results: The findings suggested positive correlations between students’ fear of COVID-19 and their preventative behaviors with the passing of time. Hispanic/Latino participants had significantly higher fear of COVID-19 scores compared to Non-Hispanic Whites and other races at Wave I and II. Participants between 25 and 30 years old had a marginally greater difference fear of COVID-19 score compared to those less than 25. Females had significantly higher mean preventative behavior score than males at Wave II. There was a significant association between race/ethnicity groups and vaccination intent. <br/>Conclusion: Knowing why different groups do not engage in recommended preventative behaviors or receive vaccinations can tell us more about what tailored interventions may need to be developed and implemented to promote health and wellbeing in this population. Further research needs to be done regarding race, gender, and age and how these different groups of college students are responding to COVID-19 and why.

In a healthcare system already struggling with burnout among its professionals, the COVID-19 pandemic presented a barrage of personal and occupational strife to US healthcare workers. Structural and everyday discrimination contributed to the health inequities of people of color in the US, exacerbated by COVID-19-related racism and xenophobia. There is little research regarding the effects of COVID-19 and related and/or concurring discrimination upon minority nursing staff, despite their importance in supporting the diverse American patient population with culturally competent, tireless care amid the pandemic. This cross-sectional survey study aimed to examine 1) the relationships between discrimination, social support, resilience, and quality of life among minority nursing staff in the US during COVID-19, and 2) the differences of discrimination, social support resilience, and quality of life among minority nursing staff between different racial/ethnic groups during COVID-19. The sample (n = 514) included Black/African American (n = 161, 31.4%), Latinx/Hispanic (n = 131, 25.5%), Asian (n = 87, 17%), Native American/Alaskan Native (n = 69, 13.5%), and Pacific Islander (n = 65, 12.7%) nursing staff from 47 US states. The multiple regression results showed that witnessing discrimination was associated with a lower quality of life score, while higher social support and resilience scores were associated with higher quality of life scores across all racial groups. Furthermore, while participants from all racial groups witnessed and experienced discrimination, Hispanic/Latinx nursing staff experienced discrimination most commonly, alongside having lowest quality of life and highest resilience scores. Native American/Alaskan Native nursing staff had similarly high discrimination and low quality of life, although low resilience scores. Our findings suggest that minority nursing staff who have higher COVID-19 morbidity and mortality rates (Hispanic/Latinx, Native American/Alaskan Native) were left more vulnerable to negative effects from discrimination. Hispanic/Latinx nursing staff reported a relatively higher resilience score than all other groups, potentially attributed to the positive effects of biculturality in the workplace, however, the low average quality of life score suggests a simultaneous erosion of well-being. Compared to all other groups, Native American and Alaskan Native nursing staff’s low resilience and quality of life scores suggest a potential compounding effect of historical trauma affecting their well-being, especially in contrast to Hispanic/Latinx nursing staff. This study has broader implications for research on the lasting effects of COVID-19 on minority healthcare workers’ and communities’ well-being, especially regarding Hispanic/Latinx and Native American/Alaskan Native nursing staff.

The purpose of this study was to examine the effect of the comprehensive HPV educational video, “What is HPV?” on the vaccination intent of young adults. The study also aimed to collect information regarding knowledge, attitudes, and beliefs that influence vaccination and related health behaviors. The sample included 215 participants between the ages of 18-26 who had not received any HPV vaccine, were able to read and comprehend English, and had consented for participation through Amazon Mechanical Turk. After they completed the baseline survey (T0), participants were randomly assigned to two study conditions. The intervention group (n = 104) watched the “What is HPV?” video, and the control group (n = 111) read the CDC HPV Fact Sheet. Both groups then completed a post-intervention survey (T1). The analysis results show that the vaccination intent among participants in the intervention group significantly increased following the intervention (59.6% to 71.2%), while vaccination intent significantly decreased for the control group (65.8% to 55%) following the intervention. The results also show a significant difference in the changes in vaccination intent for the two intervention groups. The most change in vaccination intent following the intervention came from the group who was undecided in the initial survey. The findings of the study suggested that a brief HPV educational video that provides the most updated evidence while using non-stigmatizing language and tone has the potential to increase young adults’ vaccination intent to prevent HPV-related cancers and diseases. The findings also suggested that effective HPV education is key to combating negative attitudes and misinformation about HPV vaccines.

COVID-19 has drastically impacted the student learning experience this past year. Arizona State University nursing students have had to learn fundamental nursing education, clinical experience, and simulation skills virtually. Research has shown that the educational experience during the COVID-19 pandemic has caused psychological and emotional stress on students adjusting to new university protocols and virtual learning. Two Term 8 nursing students questioned how these changes affected nursing students who are in their final semester of nursing school. The Term 8 nursing cohort was invited to participate in an anonymous online survey to provide feedback about their learning experience and recommendations for program leadership. The qualitative data was analyzed through content analysis to underline themes that portrayed the nursing students’ learning experience. The following themes were illuminated: an overall negative impact on virtual learning experiences, self-developed efforts to promote success, the aversion of using an online learning platform, and the desire for academic accommodation and faculty support during this time. Student recommendations for program leadership include requesting more hands-on experience when possible along with increased faculty lenience and understanding with course workload. Students had the opportunity to participate in a study where feedback is taken seriously and will be supplied to leadership to make changes to the ongoing academic dilemmas during the pandemic.

COVID-19 has drastically impacted the student learning experience this past year. Arizona State University nursing students have had to learn fundamental nursing education, clinical experience, and simulation skills virtually. Research has shown that the educational experience during the COVID-19 pandemic has caused psychological and emotional stress on students adjusting to new university protocols and virtual learning. Two Term 8 nursing students questioned how these changes affected nursing students who are in their final semester of nursing school. The Term 8 nursing cohort was invited to participate in an anonymous online survey to provide feedback about their learning experience and recommendations for program leadership. The qualitative data was analyzed through content analysis to underline themes that portrayed the nursing students’ learning experience. The following themes were illuminated: an overall negative impact on virtual learning experiences, self-developed efforts to promote success, the aversion of using an online learning platform, and the desire for academic accommodation and faculty support during this time. Student recommendations for program leadership include requesting more hands-on experience when possible along with increased faculty lenience and understanding with course workload. Students had the opportunity to participate in a study where feedback is taken seriously and will be supplied to leadership to make changes to the ongoing academic dilemmas during the pandemic.

This scoping review provides a synthesis of research which maps the literature on the topic of COVID-19 related impact on Undergraduate Student Mental Health and Baccalaureate Success. The purpose of this review was to identify existing literature pertaining to the psychological repercussions of COVID-19 on the undergraduate population, describe the range of successful interventions used to reduce stress and demand on the U.S. undergraduate population during a pandemic, and identify implications for future research. Due to the novelty of coronavirus and limited research on the given topic, this review provides a framework of available research by identifying types of available research, identifying how research is conducted on the topic, identifying and analyzing knowledge gaps, and clarifies key concepts in literature.

When the COVID-19 pandemic emerged on an international scale, the disruption of routine and social interactions caused challenges in mental health, as people began to self-isolate and confine themselves from the world. Although the sudden interruption of social interaction led to stress and anxiety, human-animal interactions have shown a decrease in stress, anxiety, depression, and feelings of loneliness and social isolation. The purpose of this thesis is to determine whether companion animals influence mental health, specifically depression and anxiety, in college-aged students who attended the Arizona State University Downtown Campus during the 2020-2021 academic school year.

The goal of the descriptive, cross-sectional study was to collect and analyze data among minority nursing staff including 1) the relationships between quality of life, social support, discrimination, and coping during the COVID-19 pandemic, and 2) the differences between quality of life, social support, discrimination, and coping among different racial/ethnic groups during the COVID-19 pandemic. This paper is based on a secondary data analysis of the T1 data from a longitudinal study mentioned above and was performed by myself, while mentored by my committee, for completion of my thesis.

The purpose of this study was to examine the effect of educational videos on Human Papillomavirus (HPV) vaccination intent among young adults aged 18-26. A two-group randomized control trial (RCT) is conducted among 156 individuals (control group n = 79, intervention group n= 77). Inclusion criteria were English-speaking young adults aged 18-26 who have not been vaccinated against HPV. Participants who met the inclusion criteria based on an online screening form were recruited via Amazon Mechanical Turk (MTurk) and invited to join the study. They first completed a pretest (T0) online via REDCap, randomly assigned to the intervention or control group, and completed a posttest (T1) after viewing their assigned intervention. Participants assigned to the intervention group watched two brief animated videos while participants assigned to the control group examined an HPV educational brochure created by the Centers for Disease Control and Prevention (CDC). Guided by the Theory of Planned Behavior, survey questions measured HPV-related knowledge, attitudes, perceived severity, perceived susceptibility, vaccination intent (T0 and T1), sociodemographic characteristics, and health history (T0 only) of participants. The results showed the intervention group had an increase in vaccination intent while the control group had a decrease in vaccination intent. This shows that video education methods are more effective than traditional written education methods at increasing vaccination intention among young adults.

The purpose of this study was to examine the effect of educational videos on Human Papillomavirus (HPV) vaccination intent among young adults aged 18-26. A two-group randomized control trial (RCT) is conducted among 156 individuals (control group n = 79, intervention group n= 77). Inclusion criteria were English-speaking young adults aged 18-26 who have not been vaccinated against HPV. Participants who met the inclusion criteria based on an online screening form were recruited via Amazon Mechanical Turk (MTurk) and invited to join the study. They first completed a pretest (T0) online via REDCap, randomly assigned to the intervention or control group, and completed a posttest (T1) after viewing their assigned intervention. Participants assigned to the intervention group watched two brief animated videos while participants assigned to the control group examined an HPV educational brochure created by the Centers for Disease Control and Prevention (CDC). Guided by the Theory of Planned Behavior, survey questions measured HPV-related knowledge, attitudes, perceived severity, perceived susceptibility, vaccination intent (T0 and T1), sociodemographic characteristics, and health history (T0 only) of participants. The results showed the intervention group had an increase in vaccination intent while the control group had a decrease in vaccination intent. This shows that video education methods are more effective than traditional written education methods at increasing vaccination intention among young adults.