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This study examined whether social support available to parents moderated the heritability of parent-reported social approach at 12 months (N = 286 twin pairs, 52.00% female) and social competence at 30 months (N = 259 twin pairs, 53.30% female). Genetic and environmental covariance across age is also reported. Social support

This study examined whether social support available to parents moderated the heritability of parent-reported social approach at 12 months (N = 286 twin pairs, 52.00% female) and social competence at 30 months (N = 259 twin pairs, 53.30% female). Genetic and environmental covariance across age is also reported. Social support consistently moderated genetic influences on children’s social approach and competence, such that heritability was highest when parents reported low social support. Shared environment was not moderated by social support and explained continuity across age. Findings provide further evidence that genetic and environmental influences on development vary across context. When parents are supported, environmental influences on children’s social competence are larger, perhaps because support helps parents provide a broadly promotive environment.
ContributorsClifford, Sierra (Author) / Lemery-Chalfant, Kathryn (Thesis advisor) / Doane, Leah (Committee member) / Shiota, Michelle (Committee member) / Grimm, Kevin (Committee member) / Arizona State University (Publisher)
Created2017
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Built upon Control Value Theory, this dissertation consists of two studies that examine university students’ future-oriented motivation, socio-emotional regulation, and diurnal cortisol patterns in understanding students’ well-being in the academic-context. Study 1 examined the roles that Learning-related Hopelessness and Future Time Perspective Connectedness play in predicting students’ diurnal cortisol patterns,

Built upon Control Value Theory, this dissertation consists of two studies that examine university students’ future-oriented motivation, socio-emotional regulation, and diurnal cortisol patterns in understanding students’ well-being in the academic-context. Study 1 examined the roles that Learning-related Hopelessness and Future Time Perspective Connectedness play in predicting students’ diurnal cortisol patterns, diurnal cortisol slope (DS) and cortisol awakening response (CAR). Self-reported surveys were collected (N = 60), and diurnal cortisol samples were provided over two waves, the week before a mid-term examination (n = 46), and the week during students’ mid-term (n = 40). Using multi-nomial logistic regression, results showed that Learning-related Hopelessness was not predictive of diurnal cortisol pattern change after adjusting for key covariates; and that Future Time Perspective Connectedness predicted higher likelihood for students to have low CAR across both waves of data collection. Study 2 examined students’ future-oriented motivation (Future Time Perspective Value) and socio-emotional regulation (Effortful Control and Social Support) in predicting diurnal cortisol patterns over the course of a semester. Self-reported surveys were collected (N = 67), and diurnal cortisol samples were provided over three waves of data collection, at the beginning of the semester (n = 63), during a stressful academic period (n = 47), and during a relaxation phase near the end of the semester (n = 43). Results from RM ANCOVA showed that Non-academic Social Support was negatively associated with CAR at the beginning of the semester. Multi-nomial logistics regression results indicated that Future Time Perspective Value and Academic Social Support jointly predicted CAR pattern change. Specifically, the interaction term marginally predicted a higher likelihood of students switching from having high CAR at the beginning or stressful times in the semester to having low CAR at the end the semester, compared to those who had low CAR over all three waves. The two studies have major limits in sample size, which restricted the full inclusion of all hypothesized covariates in statistical models, and compromised interpretability of the data. However, the methodology and theoretical implications are unique, providing contributions to educational research, specifically with regard to post-secondary students’ academic experience and well-being.
ContributorsCheng, Katherine C (Author) / Husman, Jenefer (Thesis advisor) / Lemery-Chalfant, Kathryn (Committee member) / Granger, Douglas (Committee member) / Eggum-Wilkens, Natalie D (Committee member) / Pekrun, Reinhard (Committee member) / Arizona State University (Publisher)
Created2017
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Description
Advance care planning (ACP) is the act of deciding ones wishes at the end-of-life and making those wishes known. Healthcare providers rely on these wishes to provide end-of-life care. Despite the impact ACP has on quality of life at the end-of-life, most conversations remain undocumented. Even when ACP conversations take

Advance care planning (ACP) is the act of deciding ones wishes at the end-of-life and making those wishes known. Healthcare providers rely on these wishes to provide end-of-life care. Despite the impact ACP has on quality of life at the end-of-life, most conversations remain undocumented. Even when ACP conversations take place, completion rates remain at an all-time low. This report explored the impact of appointment call reminders and patient portal messages on advance directive (AD) completion and documentation in the EHR. Following completion, a primary care practice experienced an increase in ACP conversation and ACP completion in the EHR. This report will discuss the methods utilized to improve ACP completion.
ContributorsDaily, Stephanie M. (Author) / Mangold, Kara (Thesis advisor)
Created2019-04-28
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Description

The health benefits of breastfeeding are well documented and exclusive breastfeeding for at least the first six months of life is the target of national and global health care organizations. Although initial breastfeeding is on the rise, the percentage of infants still breastfeeding at six months drops significantly. In the

The health benefits of breastfeeding are well documented and exclusive breastfeeding for at least the first six months of life is the target of national and global health care organizations. Although initial breastfeeding is on the rise, the percentage of infants still breastfeeding at six months drops significantly. In the population of newly delivered mothers of an obstetric practice, there is no readily accessible breastfeeding support offered following hospital discharge. A review of relevant literature revealed that lack of support is often cited as a key factor in the discontinuation of breastfeeding, whereas the evidence shows that participation in peer support has a positive effect on breastfeeding self-efficacy, which can have a positive effect on breastfeeding duration.

To address this problem, the initiation of a breastfeeding closed social network Facebook group for this practice setting population was developed and implemented to provide readily accessible peer support and have a positive effect on the outcome of breastfeeding self-efficacy. Three months after initiation of the Facebook group, an anonymous voluntary survey was offered to group members, and 25 members participated in the survey. Responses demonstrated that peer support is helpful with breastfeeding confidence and that, following participation in the group, the respondents wanted to continue breastfeeding.

ContributorsStorto, Pamela (Author) / Mangold, Kara (Thesis advisor)
Created2018-05-03