ASU Electronic Theses and Dissertations
This collection includes most of the ASU Theses and Dissertations from 2011 to present. ASU Theses and Dissertations are available in downloadable PDF format; however, a small percentage of items are under embargo. Information about the dissertations/theses includes degree information, committee members, an abstract, supporting data or media.
In addition to the electronic theses found in the ASU Digital Repository, ASU Theses and Dissertations can be found in the ASU Library Catalog.
Dissertations and Theses granted by Arizona State University are archived and made available through a joint effort of the ASU Graduate College and the ASU Libraries. For more information or questions about this collection contact or visit the Digital Repository ETD Library Guide or contact the ASU Graduate College at gradformat@asu.edu.
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- All Subjects: Counseling psychology
Description
Operating within the framework of a public health model that emphasizes the prevention of health concerns through the identification of risk and protective factors, this study approaches the health disparities Latinxs face from a strength-based stance through the promotion of sport and exercise participation. The purpose of this study is to understand the factors that promote sport and exercise participation within a Latinx college student sample using cross-sectional data from the Healthy Minds Study (HMS) from cohort years 2016 through 2020. It was hypothesized that psychosocial-cultural predictors (i.e., sense of belonging, discrimination, depression, anxiety, and positive mental health) would predict Latinx college students’ participation in (1) sports and (2) exercise while accounting for established factors such as demographic (gender, financial hardship, US-born status) and academic (i.e., GPA, academic persistence) variables. Further, the study incorporated an exploratory approach to further examine gender-based differences in (1) sport and (2) exercise participation rates among the aforementioned study variables. Preliminary analyses using chi-squared analyses, point bi-serial correlations, and group differences using t-tests were conducted. The main analyses conducted using logistic regression indicated that psychosocial cultural variables predict (1) sport and (2) exercise participation while accounting for demographic and academic variables. However, the classification accuracy for sport participation with the addition of psychosocial-cultural variables was not compelling so individual predictors were not analyzed. For exercise participation, gender, financial hardship, sense of belonging, discrimination and positive mental health were the only individual, significant factors. Further, in terms of gender differences, it appears that financial hardship, GPA, and discrimination uniquely affect Latinx women. Implications for academic institutions, coaches/fitness instructors, and clinicians are further discussed.
ContributorsSandoval Martinez, Alejandra (Author) / Tran, Alisia (Giac-Thao) (Thesis advisor) / Dillon, Frank (Committee member) / Lopez, Vera (Committee member) / Arizona State University (Publisher)
Created2023
Description
The onset of the COVID-19 pandemic during the spring of 2020 necessitated a sudden and national transition from in-person to telehealth mental health services. Burgeoning literature has supported the use of telehealth services generally, though there is little research related to its use among graduate-level trainees. The present study utilized data collected from a university counseling training center to compare client outcomes, namely ratings of depression and anxiety, between in-person (pre-pandemic; n = 86) and telehealth (intra-pandemic; n = 102) groups. Additionally, I examined treatment format (in-person vs. telehealth) as moderator of the association between client-reported working alliance and client-reported outcomes. Results showed a significant and negative effect of the working alliance on symptoms of depression and anxiety regardless treatment format. Implications for research and practice are discussed.
ContributorsGerton, Jessica M (Author) / Spanierman, Lisa (Thesis advisor) / Bludworth, James (Thesis advisor) / Dillon, Frank (Committee member) / Arizona State University (Publisher)
Created2022
Description
Adolescent substance use is a complex and significant public health concern that has received considerable attention among researchers and practitioners (Gray & Squeglia, 2018). The purpose of this dissertation was to examine factors associated with substance use intervention effects and to develop subgroups of risk factors for Mexican adolescents. This dissertation utilizes secondary data from a randomized controlled trial of the school-based substance use universal prevention program, keepin’ it REAL (kiR). The dissertation included two studies. Study 1: This study tested a model on the efficacy of the school-based substance use universal prevention program, keepin’ it REAL, among a sample of Mexican adolescents (N = 3,742, 11-17 years old). Study 1 analysis included Structural Equation Modeling and results demonstrated that participation in kiR positively predicted alcohol resistance strategies and those alcohol resistance strategies were negatively and significantly associated with alcohol use. Further, depressive symptomology was a moderator of intervention effects as the effects of kiR on resistance strategies increased as the level of depressive symptomology increased. Study 2: this study explored subgroups (classes) of Mexican adolescents (N = 5,520, 11-14 years old) based on their experiences with violence (witnessing, victimization, and perpetration), depressive symptomology, and substance use (alcohol, tobacco, and marijuana). Using Latent Class Analysis (LCA) four empirically, well-differentiated classes emerged representing adolescents various risk typologies (Moderate Risk-Violence at 55% of the sample, Low Risk at 35%, High Risk at ~8%; and Moderate Risk-Substance Use at ~2%) Implications for research and practice are discussed across both studies.
ContributorsArévalo Avalos, Marvyn R (Author) / Spanierman, Lisa (Thesis advisor) / Dillon, Frank (Committee member) / Marsiglia, Flavio (Committee member) / Arizona State University (Publisher)
Created2021
Description
Every year an alarming number of deaths for the Black community are a result of disparities and inequalities in health outcomes. While literature has largely focused on social determinants of heath (e.g., economic, environmental, biological, and behavioral structures) as contributing factors to disparate health outcomes for Black people, literature on medical mistrust has been on the rise. Medical mistrust is defined as the belief that health care entities and providers act against a patient's best interest and well-being, and is associated with lower rates of service utilization, inadequate management of health conditions, lower levels of involvement in research, and treatment nonadherence. Only recently has patient-centered care been examined as a construct that may reduce the negative effects of medical mistrust. This study examined Black identifying patients (N = 174) across gender and their reported levels of medical mistrust, and if the perception of a patient-centered health care environment would moderate the association. The findings indicated that Black females, compared to Black males, endorsed higher levels of medical mistrust that may be indicative of intersectional influences. While there were significant effects of gender and perceived patient-centered care on medical mistrust, perceived patient-centered care was not found to significantly moderate the relationship between gender identity and medical mistrust. This may be indicative of the varying degrees of medical maladies that may be stronger determinants of perceived patient-centered care, despite gender or other demographic characteristics. Implications for practice and future research on the intersectional influences on medical mistrust and perceived patient-centered care in the Black communities are discussed.
ContributorsMatthews, Tianna (Author) / Warner, Cheryl (Thesis advisor) / Randall, Ashley K (Committee member) / Dillon, Frank (Committee member) / Arizona State University (Publisher)
Created2021
Description
Amid the COVID-19 outbreak that were heightened in the United States between 2020 and 2021, reports of racial discrimination increased compared to year’s past for those who identify as Black, Indigenous, or Person of Color (BIPOC). Experiences of racial discrimination are stressful, and individuals in a romantic relationship may turn to their partner to receive support. However, in the context of interracial romantic relationships where one partner identifies as White, experiences of racial discrimination may be sometimes dismissed or minimized from the White partner, which may further the distress of their BIPOC partner. Nevertheless, supportive behaviors, such as empathy, may alleviate distress and validate one’s experience of racial discrimination. Relational savoring is an online intervention that has been theorized to increase empathy and perspective taking by focusing on positive relational memories associated with one’s partner, grounded in attachment theory. The purpose of this study was to examine whether relational savoring was effective in increasing empathy and perspective taking in a sample of White identified individuals who are in a romantic relationship with a BIPOC partner. This study collected data from 111 White identified individuals in an interracial romantic relationship with a BIPOC partner for an average of 8.9 years. It was hypothesized that White identified individuals who participated in a relational savoring task would report increased empathy and perspective taking when their partner experiences a racially discriminatory event via a vignette, compared to those in the control condition. Contrary to the study’s hypothesis, participation in the relational savoring task did not statistically change White participant’ ability to perspective take and report empathic concern when faced with their partner experiencing acts of racial microaggression. Results did, however, show that relational savoring, compared with a control condition, is effective in decreasing negative emotion after exposure to a vignette that depicts a racial microaggression.
ContributorsBorders, Jessica Ilana (Author) / Randall, Ashley K (Thesis advisor) / Bludworth, James (Committee member) / Dillon, Frank (Committee member) / Miramontes, Lilia (Committee member) / Arizona State University (Publisher)
Created2023
Description
Research examining the psychosocial correlates of mental and behavioral health among Latinx populations during the COVID-19 pandemic is limited. This is problematic given that Latinx communities in the U.S. find themselves at the intersection of worse COVID-19-related mortality, mental health distress, and health outcomes. These COVID-19 related disparities came at a time when U.S. Latinxs were already experiencing a disproportionate burden of mental health and substance use disease. Health disparities research has largely focused on Latinxs as a monolithic group, yet in doing so, the intersectionality of race, ethnicity, and socioeconomic status on health are overlooked. It is critical to understand the mental health needs of Latinxs in light of the current COVID-19 pandemic as well as the challenges and potential barriers to services experienced by these communities to better meet their unique needs. Therefore, Study 1 aimed to investigate differences on pandemic-related stressors along economic, emotional, and physical domains, psychological distress, and substance use, based on Latinx ethnicity. The second aim of Study 1 was to identify the most significant pandemic-related stressors and challenges faced by specific Latinx subgroups. Study 2 built off of the results from Study 1. Specifically, Study 2 investigated the association between pandemic-related economic, emotional, and physical stressors examined in Study 1 to various health and mental health outcomes including, psychological distress, alcohol use, and drug use, reported during the pandemic by different Latinx ethnic groups.
ContributorsFlorez, Jennifer Elizabeth (Author) / Capielo-Rosario, Cristalís (Thesis advisor) / Dillon, Frank (Committee member) / Truong, Nancy (Committee member) / Arizona State University (Publisher)
Created2024