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An Approach to Assessing PTSD in Refugee Children

Description

Post-traumatic stress disorder is prevalent in refugees. The population of refugees in the United States is continuing to increase, of which the majority of the incoming refugees are children. A more comprehensive approach is needed to assess children for PTSD.

Post-traumatic stress disorder is prevalent in refugees. The population of refugees in the United States is continuing to increase, of which the majority of the incoming refugees are children. A more comprehensive approach is needed to assess children for PTSD. This creative project involved reviewing existing literature on refugees in the United States, child refugees, Erik Erikson's stages of psychosocial development, and available and applicable PTSD assessment tools. I developed a reference chart that compared the available assessment tools. I recognized that a PTSD assessment tool for refugee children does not exist. In response, I created an approach to assessing PTSD in refugee children ages 5-12. In creating this toolkit, I determined who is appropriate for administering the assessment, discovered how to create trust between the clinician and the child, created the assessment tool, including implementation instructions, and then provided directions on scoring and referrals. The tool itself is called the Child Refugee PTSD Assessment Tool (CRPAT-12). The creation of the CRPAT-12 will hopefully be disseminated and will encourage refugee resettlement organizations to assess children for PTSD upon intake. Early identification of symptoms of distress will help the child receive the appropriate treatment and will help prevent more extreme mental health complications.

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2017-05

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Measuring the Effects of Martial Arts and ADHD

Description

The purpose of this study was to explore the effects of a four-week martial arts program implemented once a week on children diagnosed with attention-deficit hyperactivity disorder (ADHD) between the ages of four and seven. This was a single group,

The purpose of this study was to explore the effects of a four-week martial arts program implemented once a week on children diagnosed with attention-deficit hyperactivity disorder (ADHD) between the ages of four and seven. This was a single group, pre- and post-intervention assessment pilot study. The total sample of the study was four children (n=4) and the martial arts classes were based on the Duke Kenpo Little Tiger Program by Jonathan Duke of Mesa, Arizona. Change was measured using the Behavior Rating Inventory of Executive Function, 2nd edition (BRIEF-2) parental form and participants were encouraged to record at-home practice. Data were collected pre-intervention and four weeks afterwards. Limitations included small sample size, measurement limitation (e.g., ceiling effect), data based on parental report, a short intervention period, potential instructor bias, and uneven gender distribution. Given the small sample size (n=4), this study did not complete statistical analysis and alternatively described the changing patterns of the participant's ADHD symptoms from BRIEF-2 measures pre and post intervention. The results of this study could not generate the power to detect significance to state significant implications. However, the trends suggested that some participants declined in executive function in certain areas (e.g., task-monitoring and planning) and improved in other areas (e.g., working memory and organization of materials). All participants demonstrated improvement within the cognitive (CRI) scale of the BRIEF-2 and future studies may explore the potential for martial arts interventions in children under seven as a means to improve the cognitive aspect of executive function development. In addition, future studies may consider exploring the role of frequency versus time for at-home martial arts practice for children with ADHD under the age of seven.

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2017-12

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The Effects of Interaction with Children in Symptoms of Depression in the Elderly

Description

The purpose of the study was to determine the impact of social interaction with children on the symptoms of depression in elderly participants at the John C. Lincoln Adult Day Healthcare center when compared to depressive symptoms in the elderly

The purpose of the study was to determine the impact of social interaction with children on the symptoms of depression in elderly participants at the John C. Lincoln Adult Day Healthcare center when compared to depressive symptoms in the elderly who do not regularly interact with children. This organization provides care to elderly members of the community in a dignified and stimulating manner. It allows caregivers of participants to take a break from day to day responsibilities while providing the participants with a safe and active environment. It shares premises with the Lincoln Learning Center, which is a care/educational facility for children ages 6 weeks to 12 years of age. The children and the elderly interact one day a week for half an hour in a planned activity in the Adult Day Healthcare Center. The Geriatric Depression Scale- Short Form was used to assess for presence of depressive symptoms in both the control group (those who did not regularly interact with children) and the experimental group (those who did regularly interact with the children). The scale consisted of 15 yes-or-no questions regarding the average emotions the participants experienced in a week. A total of 15 people participated in the study, eight in the control group and seven in the experimental group. Eight of the participants were male, seven were female and they ranged in age from 58 to 96 years old. An independent sample t-test was performed to assess the data for statistical significance.

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2016-12

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Overweight Youth: The Prevention of Premature Chronic Disease Development

Description

This creative project examines the effectiveness of several school based nutritional education and parent based programs along with multi-component interventions. Six published articles were reviewed and summarized to identify the most successful interventions to prevent childhood obesity. In addition to

This creative project examines the effectiveness of several school based nutritional education and parent based programs along with multi-component interventions. Six published articles were reviewed and summarized to identify the most successful interventions to prevent childhood obesity. In addition to these studies other resources were examined to understand the developmental levels of school-aged and adolescent students. As part of this project a narrated power point covering the key aspects of the nutritional needs of the school-aged child was developed. This power point will be utilized by future nursing students whom are working with parents in the schools or in the community on nutrition strategies. The power point will provide a context for individual or group discussions with parents to offer helpful ideas on how to work effectively with their children. The topic of nutrition and obesity in school-aged children is a current topic in health care especially in environments where nutritional resources are limited. The overall outcome of this project will be to assist in decreasing the incidence of overweight and obese youth and the prevention of the development of premature chronic diseases especially in early adolescence and young adulthood.

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2014-12

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Family-Centered Perspectives to Improving Care Coordination for Children with Special Health Care Needs

Description

It is well known that the lack of care coordination in the healthcare system causes numerous problems including cost inefficiency and inconsistent care, specifically for complex pediatric and adult patients. Many pediatric patients have complex medical and social service needs

It is well known that the lack of care coordination in the healthcare system causes numerous problems including cost inefficiency and inconsistent care, specifically for complex pediatric and adult patients. Many pediatric patients have complex medical and social service needs which can be expensive for both the patient’s parents and the general healthcare system. Therefore, it is difficult for the healthcare system to deliver the highest quality care possible, due to the number of appointments that have to be scheduled (with some being out of state), the large volume of physical health records, and overall lack of time parents have to coordinate this care while also caring for themselves and other family members. It is integral to find a more efficient way to coordinate care for these patients, in order to improve overall care, cost efficiency, and outcomes. <br/>A number of stakeholders in Arizona came together to work on this problem over several years. They were funded through a PCORI Eugene Washington Engagement grant to investigators at ASU. This project, Take Action for Arizona's Children through Care Coordination: A Bridge to Action was developed in order to further develop a research agenda and build the network (PCOR). Regional conferences were conducted in Flagstaff, Yuma, Phoenix, and Tucson, as well as a final capstone conference held in Phoenix. At these conferences, frustrations, suggestions, and opinions regarding Children with Special Health Care Needs (CSHCN) and navigating the healthcare system were shared and testimonials were transcribed.<br/>This study focused on the capstone conference. The study design was a strategic design workshop; results of the design analysis were analyzed qualitatively using descriptive content analysis. Themes described parent’s common experiences navigating the system, impacts resulting from such experiences, and desires for the care coordination system. Quotes were then grouped into major themes and subthemes for the capstone conference. After these themes were determined, the overarching goals of stakeholders could be assessed, and implementation projects could be described.

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2021-05