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- All Subjects: healthcare
- All Subjects: psychology
- Creators: School of Life Sciences
- Status: Published
Description
In the US, underrepresented racial and ethnic minorities receive less than adequate health care in comparison to White Americans. This is attributed to multiple factors, including the long history of structural racism in the US and in the medical field in particular. A factor that is still prevalent today is the lack of diversity within the healthcare workforce. Racial and ethnic minorities are underrepresented in most healthcare occupations. Moreover, many physicians may continue to harbor implicit biases that may interfere with giving adequate care to patients of different backgrounds. We propose that diversity in healthcare should be increased through educational programs and a revamp of existing systems such as medical schools. The increased diversity would mitigate some of the health disparities that exist amongst minorities, as medical professionals are more likely to give adequate care to those who are members of the same community. Increased diversity would also help to increase the cultural competency of physicians as a whole.
ContributorsWebb, Linden (Author) / Lopez, Adriana (Co-author) / Martin, Thomas (Thesis director) / Feagan, Mathieu (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor)
Created2022-05
Description
Environmental ethics is often described on a continuum of anthropocentrism to biocentrism. Pet ownership has been shown to correlate with biocentrism. This study aims to answer how strong the correlation is between pet ownership and biocentrism and how pet owners react when pets' needs conflict with the environment. Findings from the study confirm previous research that pet owners lean biocentric, but their biocentric beliefs end when their pet's well-being misaligns with environmental concerns.
ContributorsCrawford-Paz Soldan, Esme (Author) / Wynne, Clive (Thesis director) / Minteer, Ben (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor)
Created2024-05
Description
The cerebellum is recognized for its role in motor movement, balance, and more recently, social behavior. Cerebellar injury at birth and during critical periods reduces social preference in animal models and increases the risk of autism in humans. Social behavior is commonly assessed with the three-chamber test, where a mouse travels between chambers that contain a conspecific and an object confined under a wire cup. However, this test is unable to quantify interactive behaviors between pairs of mice, which could not be tracked until the recent development of machine learning programs that track animal behavior. In this study, both the three-chamber test and a novel freely-moving social interaction test assessed social behavior in untreated male and female mice, as well as in male mice injected with hM3Dq (excitatory) DREADDs. In the three-chamber test, significant differences were found in the time spent (female: p < 0.05, male: p < 0.001) and distance traveled (female: p < 0.05, male: p < 0.001) in the chamber with the familiar conspecific, compared to the chamber with the object, for untreated male, untreated female, and mice with activated hM3Dq DREADDs. A social memory test was added, where the object was replaced with a novel mouse. Untreated male mice spent significantly more time (p < 0.05) and traveled a greater distance (p < 0.05) in the chamber with the novel mouse, while male mice with activated hM3Dq DREADDs spent more time (p<0.05) in the chamber with the familiar conspecific. Data from the freely-moving social interaction test was used to calculate freely-moving interactive behaviors between pairs of mice and interactions with an object. No sex differences were found, but mice with excited hM3Dq DREADDs engaged in significantly more anogenital sniffing (p < 0.05) and side-side contact (p < 0.05) behaviors. All these results indicate how machine learning allows for nuanced insights into how both sex and chemogenetic excitation impact social behavior in freely-moving mice.
ContributorsNelson, Megan (Author) / Verpeut, Jessica (Thesis director) / Bimonte-Nelson, Heather (Committee member) / Barrett, The Honors College (Contributor) / Department of Psychology (Contributor) / School of Life Sciences (Contributor) / School of Mathematical and Statistical Sciences (Contributor)
Created2024-05
Description
In the emergency department of a hospital, providers are responsible for diagnosing and treating multiple critical patients at a time. Their ability to make quick and careful decisions often will determine whether their patient lives or dies. Because of this, emergency department (ED) providers experience significant amounts of stress during each shift which consequently may lead to burnout (Lall et al., 2019). It is crucial to investigate strategies to help control burnout among ED providers, as their own well-being directly affects the physical health of their patients. Furthermore, female providers are subject to increased stress from unique challenges within the workplace due to their gender. The purpose of this study was to determine which strategies are the most effective in the mitigation of burnout among female emergency department providers. A survey was administered to emergency department providers (M.D., D.O., P.A., and N.P.) from three hospitals in Arizona. It was found that spending time with family, maintaining good nutrition, and exercising were the most effective strategies in the mitigation of female provider burnout. These results should be considered by providers who work in the ED, female providers working in other medical specialties, other ED staff, hospital administration, and ED patients. With the implementation of these three strategies into their daily life, female ED providers may find a decrease in burnout and, consequently, an improvement in patient care.
ContributorsZurbriggen, Hannah (Author) / Kappes, Janelle (Thesis director) / Lewis, Stephen (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor) / Department of Psychology (Contributor) / Sanford School of Social and Family Dynamics (Contributor)
Created2024-05
Description
StayWell is an app concept that revolutionizes how young adults manage their health information by “Putting the Self-Care in Healthcare.” Allowing users to track both their medical and wellness information in one place, StayWell will act as both a healthcare and self-care app. The main page is a customizable calendar with a pill tracker, habit tracker and appointment tracker. At the bottom of the page, there is a storage feature to hold all of the user’s medical information such as insurance cards, provider contact, lab results, and other documentation. This allows users to track all medical or self-care related information in one convenient app that is fully customizable to match their specific needs, whether it’s tracking a chronic condition or just striving to reach new fitness goals. Our product is currently available for pre-sale via our website which showcases mockups of the user interface. With proper funding we can begin the development of the app and release a beta version to our existing audience who have already signed up for the app pre-sale.
ContributorsLau, Caleb (Author) / Ghosh, Samrat (Co-author) / Grant, Zoey (Co-author) / Markenson, Rachel (Co-author) / Watson, Sara (Co-author) / Byrne, Jared (Thesis director) / McCreless, Tam (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor) / Hugh Downs School of Human Communication (Contributor)
Created2024-05
Description
Despite differences in schooling and clinical experience prior to practice, advanced practice providers often have similar scopes of practice, which raises concerns about the quality of care being provided. In this paper, we explore if prescribing patterns are comparable between provider types by comparing differences in time spent on pharmacological interventions utilizing a simulated healthcare environment. Physicians (MDs and DOs), Nurse Practitioners (NPs), and Physician Assistants (PAs) actively practicing in Family Practice/Medicine or Internal Medicine in the U.S. state license/recognition were recruited at healthcare conferences and simulation centers. Participants were provided 20 minutes to complete the patient consultation on a Standardized Patient (SP) presenting with a chief complaint of a post-hospitalization follow-up for heart failure, fatigue, and some edema. All encounters were recorded and uploaded to be reviewed by undergraduate evaluators, who were responsible for quantifying the amount of time the participants spent on each of the task categories, including pharmacologic interventions. With a total of 46 participants in this study, the average amount of time spent discussing this activity per visit across each provider type was 14.8 seconds for MDs/DOs, 29.2 seconds for NPs, and 38.8 seconds for PAs. The results of this study suggest that PAs (p= 0.0028) spent significantly more time discussing pharmacological interventions and were significantly more likely to discuss pharmacological interventions (p=0.0243) when compared with physicians (MD/DOs). It is important to note that the sample size of PAs was very small (N=9), which could potentially skew the results and not be representative of the population. With limited literature that examines whether time spent discussing pharmacological interventions is comparable across provider types, it is important for more simulated healthcare research to be conducted on this topic.
ContributorsSeifert, Sabrina (Author) / Paredes, Addlena (Co-author) / Green, Ellen (Thesis director) / Reifsnider, Elizabeth (Committee member) / Barrett, The Honors College (Contributor) / School of International Letters and Cultures (Contributor) / School of Life Sciences (Contributor)
Created2023-05
Description
Joseph Henrich coined the term WEIRD: Western, Educated, Industrialized, Rich, and Democratic to describe individuals who were noted to be the predominant sample subjects in psychology research studies and whose behavior is often used to represent behavioral studies (Henrich et al., 2010). Three distinctive conclusions were drawn from a review of a compilation of psychological and behavioral science research: massively biased samples – with approximately 96% of the experimental participants being drawn from northern Europe, North America, or Australia, and 70% of this subpopulation being American undergraduates; psychological diversity; and psychological peculiarity. In Henrich’s book, he discusses the points in history when the West began to differentiate themselves, psychologically speaking, from other cultures and the various driving factors that contributed to this change. Henrich emphasizes the narrowness of sampling within the psychological and behavioral sciences due to the nature of WEIRD societies. As such, it is difficult to generalize the normative ways of development in cross-cultural settings when there is a lack of representation for non-WEIRD societies. For example, shame is one of the vehicles that heavily influences non-WEIRD societies while guilt appears to be a driving factor in WEIRD societies. An idea that is guided by shame, “losing face,” is prominent in multiple non-WEIRD populations and may act as the driving force for adolescents to adopt ‘adult-like’ behaviors. Specifically, “migrant youth” is a phenomenon whereby youth from underdeveloped and developing nations leave some vestige of home to better themselves (Cortina et al., 2014). There is evidence to suggest that unaccompanied Latino migrant youth (LMY) in particular, live as “adults” despite being adolescents (Carlos Chavez et al., 2021). Whether their migration to the U.S. is motivated for a better life and future (Carlos Chavez et al., 2022) or as a family strategy (Stark & Stark, 1991) for the financial survival of the household, it may be possible that unaccompanied LMY are willing to sacrifice themselves in order to ‘save their parents’ face’ from poverty, hunger, and poor health. This type of ‘adult-like’ behavior among LMY challenges the normative human development literature and brings to surface the cultural implications and psychological consequences of non-WEIRD individuals who live in WEIRD societies.
ContributorsTang, Tracy (Author) / Carlos Chavez, Fiorella (Thesis director) / Zhang, Xing (Committee member) / Barrett, The Honors College (Contributor) / School of Music, Dance and Theatre (Contributor) / School of International Letters and Cultures (Contributor) / School of Life Sciences (Contributor) / School of Human Evolution & Social Change (Contributor)
Created2023-05
Description
This paper encompasses part of the complex topic of relationships between consumers, organic products, and advertising in America with a particular focus on Tempe, Arizona. Background research included in this paper includes how the term "organic" was developed and regulated to fit the federal standards that are implied through the use of the USDA organic label that was introduced in October of 2002. Further research considers the factors that have empirically and overwhelmingly contributed to motivations of attitude development and purchasing behaviors of the average organic consumer in America, tracking changes and potential causes over the past several decades. A large proportion of this paper analyzes the results of a survey conducted in Tempe between late 2014 and early 2015. This survey, shown in the appendices, includes responses from 310 Tempe consumers regarding questions of demographics, knowledge and perception of organic products, perceived access to organic products, consumer values, and purchasing behaviors. The results of the survey reflect the values displayed in previous studies on national surveys, with some discrepancies that appear to set Tempe apart from the national average. However, the results of the survey are limited by their exclusion and limited parsing of multiple confounds. Additionally, the respondents of the survey were not proportionate to the actually population of Tempe and therefore cannot be accurately generalized to the Tempe population as a whole. The third and final section of this paper deals with the relationship between advertisers and consumers. This considers how advertising helps to develop product values and perceptions through various methods. Future directions for advertising of organic products is also addressed, as advertisers can potentially become a source of developing scientific information if properly utilized. Further directives and gaps in research are addressed in the final portion of the paper and include how to increase consumer knowledge, the problems faced by organic advocates, what is important about what we already know, and where to go from here.
ContributorsAttanasio, Amber-Leigh Lace (Author) / Brian, Jennifer (Thesis director) / Phillips, Elizabeth Capaldi (Committee member) / Barrett, The Honors College (Contributor) / Department of Psychology (Contributor) / School of Life Sciences (Contributor)
Created2015-05
Description
Patient-physician interactions are the cornerstone of healthcare delivery, with the potential to significantly influence patient outcomes and healthcare efficiency. The quality of patient-physician interactions is pivotal in facilitating efficient communication concerning patient care and treatment. This relationship impacts the patient's adherence to medical advice and trust in healthcare. Considering the diversity of the patient population, there are a multitude of pertinent variables to take into account, including but not limited to English proficiency, race, educational attainment, age, gender, and socioeconomic status. How do patient-physician communication patterns and demographic variables impact patient comprehension, perception of communication efficacy, and healthcare outcomes across diverse cultural, linguistic, and socioeconomic backgrounds? The purpose of this thesis is to comprehensively understand the characteristics underlying effective patient-physician communication and its impact on patient compliance, retention of medical information, and healthcare outcomes. By addressing racial, cultural, linguistic, and socioeconomic disparities in healthcare, the research aims to establish a universal foundation for augmenting patient-centered care. The methodology of this research included an extensive literature review, shadowing of clinical visits, and patient care, along with the distribution of a survey to patients to gain insight into their satisfaction with healthcare. Practical applications include the development of targeted interventions, communication training programs for healthcare providers, and the formulation of policies aimed at improving patient outcomes and healthcare system efficiency. This research paper investigates the impact of physician attitudes on patient understanding and overall health through a comprehensive analysis of survey data collected from 115 individuals attending various clinics. Our findings highlight the significance of quality healthcare delivery in fostering favorable patient experiences, with 63.5% of respondents rating their visits as excellent or very good. Effective communication emerges as a key determinant of patient satisfaction, with 64.4% of respondents rating communication as excellent or very good. However, a notable proportion of respondents (26.9%) rated their overall satisfaction as neutral or dissatisfied, indicating areas for improvement in patient satisfaction related to unaddressed concerns or inadequate communication. Gender-related concerns, reactive versus proactive medicine, mental health, and shared decision-making emerge as overlooked topics in current clinical practice. Our observations underscore the need for a holistic approach that addresses patients' psychosocial and emotional needs alongside medical concerns. Gender-related differences in care delivery are evident, with female patients reporting feeling dismissed or misunderstood by male doctors, particularly regarding issues related to pain or reproductive health. Female physicians are associated with a greater likelihood of receiving preventive counseling and gender-specific screening, highlighting the importance of gender diversity in healthcare. Furthermore, patients express frustration with a reactive approach to medicine, advocating for a higher focus on addressing the underlying causes of health issues rather than merely treating symptoms. Patients also desire more information about natural remedies and holistic treatment options, emphasizing the importance of incorporating these discussions into shared decision-making between doctors and patients. The study underscores the pivotal role of specific provider qualities such as communication, empathy, and attention to patient comfort in patient-centered care delivery. The comprehension and cooperation rating between the doctor and patient was 81.8% excellent and good with a remaining of 18.2% indicating the need for a more interactive visit. Based on the survey, the important qualities of a provider from highest to lowest ranking include: communication (listening and understanding), empathy and kindness, medical knowledge proficiency, and quality listening. Due to the heavy importance on communication, it is imperative for healthcare providers to gain the necessary skills to cater to and address many of the concerns of their patients outside of simple medical knowledge. Given the doctor explanation comprehension rating of 25.2% being somewhat clear and not so clear, it is necessary for providers to develop their patient communication skills to optimize patient satisfaction and compliance. Cultural competency emerges as a critical aspect of providing effective and equitable care to patients from diverse backgrounds. However, there are limitations to the study, including the relatively small sample size and potential response bias. The findings of this study provide valuable insights into the multifaceted nature of the doctor-patient interaction and underscore the importance of effective communication, patient-centered care, and shared decision-making in promoting positive patient outcomes. According to the patient experience survey, talking more in depth about the patient treatment plan and taking the time to display eagerness to help and be active in one’s health will significantly enhance visit satisfaction. In addition to patients' ratings of physician level of empathy and respect consisting of 93% of respondents as exceeded or met expectations, the patient confidence in their health situation out of 10 was 6 and above for 90 percent of the survey respondents. However, with the shared decision making rating, 28.3% of respondents felt being somewhat involved or a little involved in their own care. By addressing patient needs and preferences and fostering collaborative relationships between physicians and patients, healthcare providers can enhance patient satisfaction, adherence to treatment recommendations, and overall health outcomes.
ContributorsAbdul, Zahir (Author) / La Crosse, Amber (Co-author) / Agu, Nnenna (Thesis director) / Markabawi, Bashar (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor) / Department of Psychology (Contributor)
Created2024-05
Description
This world promises just one thing: continuous change. As humanity has moved through time much has changed in the worlds of science, mathematics, and physics. These changes in humanity's understanding of the world often come in quick unsuspecting waves of education, innovation, and experimentation. Such waves can be thought of as a series of technology shocks which are known to cause significant disruptions within an industry and the economy broadly as firms permanently change the ways they produce and distribute goods and services in response to the new technologies or information. The recent flurry of innovation and interest into Artificial Intelligence leads us to believe that many industries may be experiencing such a wave of change today. The healthcare industry currently employs the most workers of any other sector in the United States (outside of the government) and is made up of an unprecedented 77% of female workers making the outcomes of changes in its labor market demands particularly important. In this paper we discuss the current state of Artificial Intelligence adoption within the clinical side of healthcare, what sub sectors and occupations are most exposed, and to what extent the FDA approved AI-enabled clinical healthcare products replace or complement those tasks of existing occupations. We also interviewed a few healthcare professionals with different levels of seniority and exposure to AI enabled products to develop a holistic understanding of current AI adoption, employee preparation, and potential labor market implications over the short and long term. We find that AI implementation within clinical healthcare settings is young in its life cycle yet fast growing. Current use cases are mostly in the earlier stages of the patient’s care journey assisting workers in various capacities in the processes of patient testing, diagnosis, care planning, and post treatment monitoring. The tasks associated with patient interaction and care administration do not appear to be threatened by AI automation at this point in time. Additionally, approved Artificial Intelligence products for clinical use are disproportionately concentrated in the subsectors of radiology, neurology, and cardiology. Finally, our interviews revealed a concerning lack of consideration and preparation, among healthcare workers, of the potential automation of their fundamental tasks. Going forward, we believe it believe wise for healthcare workers to monitor the evolution of clinical AI use cases as well as the FDA approval of AI enabled products and prepare for potential automation by continuing to learn new skills, take on additional responsibilities, and generally inject themselves into as many stages of the patient’s healthcare journey as possible to differentiate among other workers and avoid automation.
ContributorsMehta, Ari (Author) / Asheim, Brody (Co-author) / Dolasinski, Nicholas (Thesis director) / McElenney, Nicholas (Committee member) / Barrett, The Honors College (Contributor) / School of Human Evolution & Social Change (Contributor) / School of Life Sciences (Contributor) / Dean, W.P. Carey School of Business (Contributor)
Created2024-05