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Patients face tremendous challenges when attempting to navigate the United States health care system. This difficulty to navigate the system creates a burden that is placed on the patient and caregiver, in turn affecting the health outcomes of the patient, resulting in higher health care costs, less than desirable outcomes,

Patients face tremendous challenges when attempting to navigate the United States health care system. This difficulty to navigate the system creates a burden that is placed on the patient and caregiver, in turn affecting the health outcomes of the patient, resulting in higher health care costs, less than desirable outcomes, and a large strain on the patient and caregiver's daily lives. There are several ways that people have tried to create a comprehensive theoretical framework to understand the system from multiple perspectives. This work will expand existing theoretical frameworks that observes the relationship between the patient, their social networks, and health care services such as the Burden of Treatment Theory. Consisting of a comprehensive, multidisciplinary literature review, research was derived from the disciplines of medicine, informatics, management, and ethics. In this paper, I attempt to identify key contributing factors and then develop and categorize these stressors into a typology. Since there are many contributing factors that affect the burden of work at multiple levels, a nested typology will be used which will link micro- and macro-leveled pressures to a single system while also showcasing how each level interacts and is influenced by the others. For the categorization of the contributing factors, they will be sorted into individual actors, organizational level, and macro-level factors. The implications of this work suggest that a combination of historical shifts, structural design, and secondary effects of policy contribute to patients' burden of work.
ContributorsTomlinson, Rachel Laiku (Author) / Pine, Katie (Thesis director) / Trinh, Mai (Committee member) / School for the Science of Health Care Delivery (Contributor) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor)
Created2017-05
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During speech, the brain is constantly processing and monitoring speech output through the auditory feedback loop to ensure correct and accurate speech. If the speech signal is experimentally altered/perturbed while speaking, the brain compensates for the perturbations by changing speech output in the opposite direction of the perturbations. In this

During speech, the brain is constantly processing and monitoring speech output through the auditory feedback loop to ensure correct and accurate speech. If the speech signal is experimentally altered/perturbed while speaking, the brain compensates for the perturbations by changing speech output in the opposite direction of the perturbations. In this study, we designed an experiment that examined the compensatory responses in response to unexpected vowel perturbations during speech. We applied two types of perturbations. In one condition, the vowel /ɛ/ was perturbed toward the vowel /æ/ by simultaneously shifting both the first formant (F1) and the second formant (F2) at 3 different levels (.5=small, 1=medium, and 1.5=large shifts). In another condition, the vowel /ɛ/ was perturbed by shifting F1 at 3 different levels (small, medium, and large shifts). Our results showed that there was a significant perturbation-type effect, with participants compensating more in response to perturbation that shifted /ɛ/ toward /æ/. In addition, we found that there was a significant level effect, with the compensatory responses to level .5 being significantly smaller than the compensatory responses to levels 1 and 1.5, regardless of the perturbation pathway. We also found that responses to shift level 1 and shift level 1.5 did not differ. Overall, our results highlighted the importance of the auditory feedback loop during speech production and how the brain is more sensitive to auditory errors that change a vowel category (e.g., /ɛ/ to /æ/).
ContributorsFitzgerald, Lacee (Author) / Daliri, Ayoub (Thesis director) / Corianne, Rogalsky (Committee member) / College of Health Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Description

The purpose of this longitudinal study was to predict /r/ acquisition using acoustic signal processing. 19 children, aged 5-7 with inaccurate /r/, were followed until they turned 8 or acquired /r/, whichever came first. Acoustic and descriptive data from 14 participants were analyzed. The remaining 5 children continued to be

The purpose of this longitudinal study was to predict /r/ acquisition using acoustic signal processing. 19 children, aged 5-7 with inaccurate /r/, were followed until they turned 8 or acquired /r/, whichever came first. Acoustic and descriptive data from 14 participants were analyzed. The remaining 5 children continued to be followed. The study analyzed differences in spectral energy at the baseline acoustic signals of participants who eventually acquired /r/ compared to that of those who did not acquire /r/. Results indicated significant differences between groups in the baseline signals for vocalic and postvocalic /r/, suggesting that the acquisition of certain allophones may be predictable. Participants’ articulatory changes made during the progression of acquisition were also analyzed spectrally. A retrospective analysis described the pattern in which /r/ allophones were acquired, proposing that vocalic /r/ and the postvocalic variant of consonantal /r/ may be acquired prior to prevocalic /r/, and /r/ followed by low vowels may be acquired before /r/ followed by high vowels, although individual variations exist.

ContributorsConger, Sarah Grace (Author) / Weinhold, Juliet (Thesis director) / Daliri, Ayoub (Committee member) / Bruce, Laurel (Committee member) / College of Health Solutions (Contributor, Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
Description

The objective of this thesis is to further understand the obstacles that impoverished families face, which may include: meeting nutritional needs, an earlier introduction to violence, or struggles with family planning. It is crucial to illustrate the effects of poverty on the physical, mental, and emotional health of both children

The objective of this thesis is to further understand the obstacles that impoverished families face, which may include: meeting nutritional needs, an earlier introduction to violence, or struggles with family planning. It is crucial to illustrate the effects of poverty on the physical, mental, and emotional health of both children and caregivers. Additionally, the family dynamics and educational challenges for children will also be explored as supplemental research. This study will draw upon psychological theories with an emphasis on maternal and child health. The goal is to empower families to make informed family planning decisions. This project will be focused on supporting families in low-income areas, particularly in Arizona

ContributorsKizior, Kameron (Author) / Agu, Nennna (Thesis director) / Nelson, Robin (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor) / College of Health Solutions (Contributor)
Created2023-05
ContributorsMichels, Bailey (Author) / O'Flaherty, Katherine (Thesis director) / Rasmussen, Elizabeth (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor)
Created2023-05
ContributorsMichels, Bailey (Author) / O'Flaherty, Katherine (Thesis director) / Rasmussen, Elizabeth (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor)
Created2023-05
Description

The study investigated unconscious biases in physicians regarding conflicts in developing care plans for patients related to religious restrictions in medicine. Fourteen physicians were interviewed to discuss their experiences with these patients and find patterns and factors that could lead to more negative attitudes from the physicians in the patient’s

The study investigated unconscious biases in physicians regarding conflicts in developing care plans for patients related to religious restrictions in medicine. Fourteen physicians were interviewed to discuss their experiences with these patients and find patterns and factors that could lead to more negative attitudes from the physicians in the patient’s care. It was found that the gender, religious background, and location of residency had various impacts on the attitude of the physician regarding a religious concern; however, there was no outstanding demographic that led to a comparatively negative attitude. Additionally, the type of reasoning a patient used related to a religious concern had an impact on the attitude of the physician, and this was due to the logic and duration of the concern as well as the attitude of the patient. These factors and patient cases were thoroughly analyzed and discussed throughout the paper to shed light on possible factors that could negatively affect the patient’s care.

ContributorsKalmadi, Nisha (Author) / Hurlbut, Ben (Thesis director) / Dietz, Elizabeth (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor) / College of Health Solutions (Contributor)
Created2023-05
Description

Schizophrenia is a mental health disorder that affects an individual's ability to function per societal expectations, leading to the onset of stigmatization and discrimination. This can affect the course and outcome of the individual's diagnosis, which impacts several aspects of life, including interpersonal relationships, self-care, and medical attention. Reclassifying the

Schizophrenia is a mental health disorder that affects an individual's ability to function per societal expectations, leading to the onset of stigmatization and discrimination. This can affect the course and outcome of the individual's diagnosis, which impacts several aspects of life, including interpersonal relationships, self-care, and medical attention. Reclassifying the term "schizophrenia" can create a better understanding of the disorder's symptoms and increase funding and research to alleviate the stigmatization currently affecting individuals with this diagnosis.

ContributorsFalkman, Kayleigh (Author) / Mosher, Madison (Co-author) / Arce, Alma (Thesis director) / Sellner, Erin (Committee member) / Barrett, The Honors College (Contributor) / Division of Teacher Preparation (Contributor) / College of Health Solutions (Contributor)
Created2023-05
Description

Alcohol use disorder is a major problem worldwide and can result in a number of significant physical, social and economic consequences. Specifically when comparing the prevalence of alcohol use disorders in the United States and Spain, it is much higher in the United States, at 13.9% compared with 1.5% in

Alcohol use disorder is a major problem worldwide and can result in a number of significant physical, social and economic consequences. Specifically when comparing the prevalence of alcohol use disorders in the United States and Spain, it is much higher in the United States, at 13.9% compared with 1.5% in Spain. While there are a number of factors that contribute to a person’s risk, this thesis focuses on possible cultural explanations for these differences. After analyzing current literature surrounding alcohol trends and differing cultures in the US and Spain, the differences could be attributable to the dry drinking culture in the US, and the culture surrounding university - living and college towns in the US. The findings of this study suggest that culture, norms and attitudes surrounding drinking have a large impact on alcohol use disorder, and the US could benefit from implementing strategies to change these norms and attitudes surrounding alcohol, as well as train healthcare providers to have effective, brief counseling conversations.

ContributorsBailey, Kayla (Author) / Taylor, Teri (Thesis director) / Gaughan, Monica (Committee member) / Cotner, Kali (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor) / Watts College of Public Service & Community Solut (Contributor)
Created2023-05
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Description
Artificial intelligence (AI) and machine learning (ML) is rapidly evolving with enormous impact on a wide range of individual and societal matters including in health care, now and in the future. The goal of this research project is to assess the current knowledge level of AI and ML in health

Artificial intelligence (AI) and machine learning (ML) is rapidly evolving with enormous impact on a wide range of individual and societal matters including in health care, now and in the future. The goal of this research project is to assess the current knowledge level of AI and ML in health care among healthcare professionals and the lay public. Results from this research will identify knowledge gaps and educational opportunities to improve future use and applications of AI and ML in health care.
ContributorsShen, Maria (Author) / Martin, Thomas (Thesis director) / Wheatley-Guy, Courtney (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor)
Created2022-05