Matching Items (12)
Description
Health-related quality of life (HR-QOL) is a significant treatment outcome for persons with end-stage renal disease (ESRD); however, little is known about the HR-QOL of Mexican patients with ESRD. This pilot study describes relationships between demographics, sleep disorders, spirituality, mood, folk practices and dialysis modality on the HR-QOL of patients with ESRD residing in Guanajuato, Mexico. Mexican patients receiving continuous ambulatory peritoneal dialysis (CAPD), automated peritoneal dialysis (APD) and hemodialysis (HD) provided information on demographics, clinical health data including body mass index (BMI), and folk health practices. Measures included the Short Form (SF)-36 HR-QOL survey, Sleep Habits Questionnaire, Latin Spirituality Perspective Scale and Hospital Anxiety and Depression Scale. Data were analyzed using SAS software (V9.1). Signifi¬cance level for this pilot study was set at p<0.10. The Quality-Adjusted Life Year method was utilized to examine cost effectiveness for each dialysis modality. Demographics and clinical data showed participants (N=121) to be 59 (SD=13) years, predominantly men (55.4%), married (66.9%), Catholic (92.6%), and not currently working (78.3%). The majority were diabetic (72%) and slightly overweight (BMI M=26.1; SD=5.1). The CAPD group (n=39) demonstrated significantly lower HR-QOL scores compared to the APD (n=42) and HD (n=40) groups. Patients on HD reported higher rates and greater numbers of sleep disorders, including insomnia symptoms, non-restorative and insufficient sleep, and daytime somnolence compared to patients on CAPD and APD. Patients on CAPD reported more anxiety and depression compared to patients on HD and APD. Overall linear regression for HR-QOL found dialysis type, sleep disorders and income to be significant predictors and the model accounted for 31% of the variance. Cost analysis indicated APD as the preferred treatment because it is less costly and results in the best HR-QOL compared to the other treatment modalities. Findings provide the first SF-36 norms for Mexicans with ESRD. Sleep disorders and dialysis type greatly impinge on the HR-QOL of these patients, particularly their mental health. APD was identified as the preferred treatment based on low cost and improved HR-QOL. Results can inform clinical care and health policy for Mexican patients with ESRD.
ContributorsReynaga-Ornelas, Luxana (Author) / Baldwin, Carol M. (Thesis advisor) / Quan, Stuart F (Committee member) / Arcoleo, Kimberly (Committee member) / Arizona State University (Publisher)
Created2011
Description
The current study sought to reevaluate Cass' Theory of sexual identity formation in terms of lesbian identity development over the past twenty years and how media acts as mediation in lesbian identity development. Ten semi-structured interviews were conducted with only nine useable transcripts analyzed for this thesis. This study is an explanatory investigation into linear stage theory, specifically Cass' theory, as well as the impact of media as a mediator during lesbian identity development. This study had three objectives 1) to gain an understanding of the theory and its components related to lesbian identity development 2) to understand the lesbian identity formation process and 3) to understand the impact and influence if any, media has had on lesbian self-reported identity development. Qualitative methods were used to obtain information and analyze the responses. Results indicate that the participants in this study believed that the coming out process was important. This study's results showed that several of the participants entered each stage of the theory, while others did not. Media had little influence on the identity development, and the participants had mixed reviews of medias portrayal of lesbians. Implications for practice and further research are discussed.
ContributorsHaseley, Hilary (Author) / Lacasse, Jeffrey R (Thesis advisor) / Segal, Elizabeth (Committee member) / Rounds, Tamara (Committee member) / Arizona State University (Publisher)
Created2011
Description
Obesity in Hispanic youth has reached alarmingly high levels, increasing the risk of type 2 diabetes, hyperlipidemia, hypertension, and cardiovascular disease. In Mexican American children ages 6-11 years, 41.7% are overweight and obese, 24.7% are obese and 19.6% have a Body Mass Index (BMI) greater than the 97th percentile. While personal, behavioral, and environmental factors contribute to these high rates, emerging literature suggests acculturation, self-efficacy and social support are key influences. The one-group, pre- and post-test, quasi-experimental design used a community-based participatory research (CBPR) method to test the feasibility, acceptability, and preliminary efficacy of the 8-week intervention. Social Cognitive Theory (SCT) was used to guide the design. Measurements included an analysis of recruitment, retention, participant satisfaction, observation of intervention sessions, paired t-tests, effect sizes, and bivariate correlations between study variables (acculturation, nutrition and physical activity [PA] knowledge, attitude and behaviors, perceived confidence and social support) and outcome variables (BMI z-score, waist circumference and BP percentile) Findings showed the SSLN program was feasible and acceptable. Participants (n = 16) reported that the curriculum was fun and they learned about nutrition and PA. The retention rate was 94%. The preliminary effects on adolescent nutrition and PA behaviors showed mixed results with small-to-medium effect sizes for nutrition knowledge and attitude, PA and sedentary behavior. Correlation analysis among acculturation and study variables was not significant. Positive associations were found between perceived confidence in eating and nutrition attitude (r = .61, p < .05) and nutrition behavior (r = .62, p < .05), perceived confidence in exercise and nutrition behavior (r = .66, p < .05), social support from family for exercise and PA behavior (r = .67, p < .01) and social support from friends for exercise and PA behavior (r = .56, p < .05). These findings suggest a culturally specific healthy eating and activity program for adolescents was feasible and acceptable and warrants further investigation, since it may fill a gap in existing obesity programs designed for Hispanic youth. The positive correlations suggest further testing of the theoretical model.
ContributorsStevens, Carol (Author) / Gance-Cleveland, Bonnie (Thesis advisor) / Komnenich, Pauline (Committee member) / Shaibi, Gabriel (Committee member) / Arcoleo, Kimberly (Committee member) / Arizona State University (Publisher)
Created2011
Description
This study aimed to fill the gap in research with regards to how individuals who define themselves as LGBT (lesbian, gay, bisexual, and transgendered) and devoutly religious (either currently or in the past) manage the interaction between these two conflicting identities. The researchers conducted 8 semi-structured qualitative interviews to examine how these individuals manage this conflict and what affects these individuals experience internally and externally. To analyze the interviews, researchers used an open coding method to determine the common themes amongst the participants. Results indicated that these participants traveled a similar path when attempting to manage the conflict between their religion and sexuality and similar internal and external affects were experienced amongst the participants.
ContributorsWheeler, Heather (Author) / Gerdes, Karen (Thesis advisor) / Klimek, Barbara (Committee member) / Segal, Elizabeth (Committee member) / Arizona State University (Publisher)
Created2013
Description
African American students are one of the historically disadvantaged groups by the public education system. Related to this phenomenon is the overrepresentation of African American children in special education due to disability diagnoses, which has been referred to as disproportionality. It has been hypothesized that disproportionality is due to poverty or a cultural mismatch between primarily white, middle-class teachers and African American students. Using a sample of African American children in special education from Memphis, Tennessee, this secondary data analysis explored the relationship between children's behavioral and educational outcomes and their environment, efficacy beliefs, and the impact of an intervention, the Nurse-Family Partnership. This study also explored differences in children's externalizing and internalizing behaviors by self-report, children's mothers and children's teachers. Using multiple imputation and regression analyses, the results indicated the following: 1) children's self-efficacy and number of hours in special education were associated with children's academic achievement, 2) mothers' and teachers' ratings of children's behaviors differed from children's self-report of their behaviors, 3) African American boys are more likely to experience acting-out behaviors, while African American girls are more likely to experience anxiety and depression, 4) children were less likely to experience anxiety and depression if their mother believed that she had control over circumstances in her life. These findings are discussed in light of Brofenbrenner's ecological systems theory and Bandura's social cognitive theory.
ContributorsBean, Kristen (Author) / Segal, Elizabeth (Thesis advisor) / Arcoleo, Kimberly (Committee member) / Gerdes, Karen (Committee member) / Arizona State University (Publisher)
Created2012
Description
Representation in television and film not only impacts how people view themselves, but also how society views them. We have created a society in which the media defines societal norms and controls how particular groups and issues are represented. It is vital for identity formation and creating a sense of belonging, and normalizes communities that may be viewed through a stereotypical lens. What we see in the media has a significant impact on our lives and perspectives. For lesbian and queer women, invisibility and heteronormativity are common themes in television and film representation, both historically and today. Representation in film and television is uncommon and short-lived for lesbian and queer women. When these characters are included, they often pose issues such as not being relatable to the community or they exemplify stereotypes and tropes. These include the oversexualization of lesbian and queer women and the “bury your gays” trope, which explains the frequency that these characters are killed or denied happiness. Lesbian and queer women crave visibility and authentic representation. Diverse representation that strays from the standard heteronormative narrative is imperative in creating a more inclusive world in which every person feels they belong and receives acceptance and respect. My webpage, www.violet-representation.com, shares my research and aims to serve as a resource for the lesbian and queer community to express their opinions about shows and films, and for creators to learn what lesbian and queer women wish to see in television and film representations.
ContributorsWiley, Carlee (Author) / Himberg, Julia (Thesis director) / Haseley, Hilary (Committee member) / Barrett, The Honors College (Contributor) / School of Public Affairs (Contributor)
Created2024-05
Description
A child’s death evokes intense and long-lasting grief in parents. However, few interventions exist to address the needs of this population. This mixed methods project used secondary data to evaluate the impact of a four-day, grief-focused mindfulness-based retreat on bereaved parents.
A quasi-experimental design with two nonequivalent groups (intervention group n = 25, comparison group n = 41) and three observations (pretest and two posttests) was used. Mixed-model repeated-measures analyses of variance were used to assess change over time for the intervention group and relative to a no-intervention comparison group. Outcome measures were depressive and anxious responses, measured by the Hopkins Symptom Checklist-25 (HSCL-25); trauma responses, measured by the Impact of Event Scale-Revised (IES-R); mindfulness, measured by the Five Facet Mindfulness Questionnaire (FFMQ); and self-compassion, measured by the Self-Compassion Scale-Short Form (SCS-SF). The intervention group was expected to show significant decreases in psychological distress and significant increases in mindfulness and self-compassion over time and relative to the comparison group.
The qualitative component consisted of semi-structured interviews with nineteen retreat participants using a constructivist phenomenological approach in order to obtain a richer understanding of the retreat’s impact on participants’ lives.
There were significant time by condition interactions with small to medium effect sizes for the IES-R and its subscales, the HSCL-25 and its depression subscale, and three FFMQ scales (describe, act with awareness, and nonjudge), all favoring the intervention group. However, not all benefits were maintained at follow-up.
Psychoeducation and relationships emerged as key qualitative themes. Psychoeducation included benefits related to present-moment awareness, fully inhabiting grief, self-compassion, emotional equanimity, and reduced distress or judgment of distress. Relationships included benefits related to giving and receiving social support, emotional expression and sharing, validation and normalization of grief-related experiences, resonance and self-other awareness, self-appraisal, changes in relationships, and connection to a deceased child. Mindfulness seemed to be a key component in reducing trauma responses. Relationship factors, combined with psychoeducation and present-moment awareness, seemed responsible for increasing participants’ capacity for nonjudgmental acceptance of experiences.
The retreat may be an effective intervention for helping parents cope with and express their grief and warrants further study.
A quasi-experimental design with two nonequivalent groups (intervention group n = 25, comparison group n = 41) and three observations (pretest and two posttests) was used. Mixed-model repeated-measures analyses of variance were used to assess change over time for the intervention group and relative to a no-intervention comparison group. Outcome measures were depressive and anxious responses, measured by the Hopkins Symptom Checklist-25 (HSCL-25); trauma responses, measured by the Impact of Event Scale-Revised (IES-R); mindfulness, measured by the Five Facet Mindfulness Questionnaire (FFMQ); and self-compassion, measured by the Self-Compassion Scale-Short Form (SCS-SF). The intervention group was expected to show significant decreases in psychological distress and significant increases in mindfulness and self-compassion over time and relative to the comparison group.
The qualitative component consisted of semi-structured interviews with nineteen retreat participants using a constructivist phenomenological approach in order to obtain a richer understanding of the retreat’s impact on participants’ lives.
There were significant time by condition interactions with small to medium effect sizes for the IES-R and its subscales, the HSCL-25 and its depression subscale, and three FFMQ scales (describe, act with awareness, and nonjudge), all favoring the intervention group. However, not all benefits were maintained at follow-up.
Psychoeducation and relationships emerged as key qualitative themes. Psychoeducation included benefits related to present-moment awareness, fully inhabiting grief, self-compassion, emotional equanimity, and reduced distress or judgment of distress. Relationships included benefits related to giving and receiving social support, emotional expression and sharing, validation and normalization of grief-related experiences, resonance and self-other awareness, self-appraisal, changes in relationships, and connection to a deceased child. Mindfulness seemed to be a key component in reducing trauma responses. Relationship factors, combined with psychoeducation and present-moment awareness, seemed responsible for increasing participants’ capacity for nonjudgmental acceptance of experiences.
The retreat may be an effective intervention for helping parents cope with and express their grief and warrants further study.
ContributorsThieleman, Kara (Author) / Cacciatore, Joanne (Thesis advisor) / Segal, Elizabeth (Committee member) / Hodge, David (Committee member) / Arizona State University (Publisher)
Created2019
Description
Using integrated threat theory as the theoretical framework, this study examines the impact of perceived realistic threats (threats to welfare) and symbolic threats (threats to worldview) on anti-immigrant sentiment among a nationally representative sample in the U.S. Analysis of the antecedents of prejudice is particularly relevant today as anti-immigrant sentiment and hostile policies toward the population have risen in the past two decades. Perceived discrimination has also become salient within immigrant communities, negatively impacting both mental and physical health. Using logistic ordinal regressions with realistic threat, symbolic threat, and immigrant sentiment scales, this study found that both realistic and symbolic threats increased participants' likelihood of selecting a higher level of anti-immigrant sentiment, suggesting both are predictive of prejudice. However, symbolic threats emerged as a greater predictor of anti-immigrant sentiment, with an effect size over twice that of realistic threats. Implications for social work policy, practice, and future research are made.
ContributorsKiehne, Elizabeth (Author) / Becerra, David (Thesis advisor) / Segal, Elizabeth (Committee member) / Androff, David K. (Committee member) / Arizona State University (Publisher)
Created2014
Description
The Arizona legislature has enacted a number of anti-immigrant policies which negatively impact Latino immigrant families. The purpose of this study was to explore the perceptions of Latino parents on how anti-immigration policies emotionally impact their children and how they believe they can protect their children from the harmful effects of such policies. Secondary data analysis was conducted based on in-depth semi structured interviews completed with a sample of 54 Latino immigrant parents residing in the state of Arizona. Grounded theory methods informed the analysis process. A constant comparative approach was used to complete initial and focused coding. Findings indicate that Latino immigrant parents observed a range of behavioral changes in their children following the passage of anti-immigrant legislature. Parents reported that the emotional impact they observed stemmed from children's social interactions in their home, school, and community environments as well as through their exposure to the media. Latino youth experienced emotional impact is summarized in the following themes, concern and sense of responsibility; fear and hypervigilance; sadness and crying; and depression. Findings further demonstrated that parents protected Latino youth from anti-immigration policies directly and indirect ways by focusing on children's safety and well-being (let children live their childhood, be prepared, send messages), building parents capacity (pursue education, obtain papers), and engaging in change efforts at the community level (be proactive). Parents indicated that by engaging in these efforts they could protect their children, and counter the negative effects of anti-immigrant policies. Implications for social work practice to better advocate and serve Latino youth at the individual, family, and community level are discussed.
ContributorsRubio-Hernandez, Sandy (Author) / Ayón, Cecilia (Thesis advisor) / Bacallao, Martica (Committee member) / Segal, Elizabeth (Committee member) / Arizona State University (Publisher)
Created2015
Description
This study uses the ontological lenses of discourse theory to conduct a critical mixed-methods analysis of state statutes related to prostitution and sex trafficking. The primary research question of the study was, "How do state laws communicate and reinforce discourses related to sex trafficking and prostitution and how do these discourses reinforce hegemony and define the role of the state?" A mixed methods approach was used to analyze prostitution and sex trafficking related annotated and Shepardized statutes from all fifty states. The analysis found that not all prostitution related discourses found in the literature were present in state statutes. Instead, statutes could be organized around five different themes: child abuse, exploitation, criminalization, place, and licensing and regulation. A deeper analysis of discourses present across and within each of these themes illustrated an inconsistent understanding of prostitution as a social problem and an inconsistent understanding of the legitimate role of the state in regulating or criminalizing prostitution. The inconsistencies in the law suggest concerns for equal protection under the law based upon a person's perceived deservingness, which often hinges on his or her race, class, gender identity, sexuality, age, ability, and nationality. Implications for the field include insights into a substantive policy area rarely studied by policy and administration scholars, a unique approach to mixed methods research, and the use of a new technique for analyzing vast quantities of unstructured data.
ContributorsMayo, Andrea, Ph.D (Author) / Herbst, Chris M. (Thesis advisor) / Lucio, Joanna (Thesis advisor) / Segal, Elizabeth (Committee member) / Arizona State University (Publisher)
Created2014