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The integration of behavioral health services into primary care in a rapidly evolving innovation that has shown potential to improve access to care, health outcomes, and lower health costs. In an effort to reform healthcare system, integrating behavioral health services become a vital part of the patient-centered medical home (PCMH).

The integration of behavioral health services into primary care in a rapidly evolving innovation that has shown potential to improve access to care, health outcomes, and lower health costs. In an effort to reform healthcare system, integrating behavioral health services become a vital part of the patient-centered medical home (PCMH). As research and developments in integration continue to evolve, there is a need to identify consistencies, discrepancies, and gaps in the field to inform the best ways to move forward. This study is a systematic review seeking to identify trends, gaps, and future directions of research in integrated behavioral health in primary care. Using Google Scholar 171 papers were included, 95 being original research and 76 being reviews, commentary, and editorials. From the results, it is clear that the case for integration has been made, and now it is time to move to the specifics. Both empirical and theoretical evidence supports the benefits of integration to patients and health systems. However, there is a lack of literature that tackles problems that hinder or facilitate integration in independent clinics with unique characteristics. Most notably, specific interventions that are effective and appropriate in primary care, payment reforms that are feasible and sustainable, and the effect of integration on health disparities.
ContributorsDye- Robinson, Amy (Author) / Kessler, Rodger (Thesis director) / McEntee, Mindy (Committee member) / School of Molecular Sciences (Contributor) / School of Mathematical and Statistical Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2019-12
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Family influences are known predictors of adolescent health and well-being trajectories, yet little research has investigated how adolescents’ orientation to family may be associated with their physiological stress responses. Influenced by the strength-based approach to culture, this study evaluated 418 Hispanic adolescents' familism values and perceived life stress in family,

Family influences are known predictors of adolescent health and well-being trajectories, yet little research has investigated how adolescents’ orientation to family may be associated with their physiological stress responses. Influenced by the strength-based approach to culture, this study evaluated 418 Hispanic adolescents' familism values and perceived life stress in family, school, and peer domains to investigate prospective associations with hypothalamic-pituitary-adrenal axis stress responses to the Group Public Speaking Task for Adolescents (GPST-A). Prior growth-mixture modeling on this sample revealed a five-class solution of cortisol responding to the GPST-A that was used here as the dependent variable: one class showed a more pronounced pattern of reactivity, potentially indicative of hyper-responsivity to the stress task; two classes showed evidence of a low to moderate cortisol response, potentially indicative of an adaptive physiological response to the challenge; and two classes showed patterns of non-responsivity, potentially indicative of hypo-responsivity. Results demonstrate that the role of familism is nuanced in the context of stressors, potentially offering both promotive and risk-amplifying effects for the physiological stress response system. This study offered several novel findings in the relation between cultural factors, salient stressors of adolescence, and HPA activity.
ContributorsSmola, Xochitl Arlene (Author) / Gonzales, Nancy (Thesis director) / Presson, Clark (Committee member) / Doane, Leah (Committee member) / Department of Psychology (Contributor) / School of Mathematical and Statistical Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
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Description
In materials science, developing GeSn alloys is major current research interest concerning the production of efficient Group-IV photonics. These alloys are particularly interesting because the development of next-generation semiconductors for ultrafast (terahertz) optoelectronic communication devices could be accomplished through integrating these novel alloys with industry-standard silicon technology. Unfortunately, incorporating a

In materials science, developing GeSn alloys is major current research interest concerning the production of efficient Group-IV photonics. These alloys are particularly interesting because the development of next-generation semiconductors for ultrafast (terahertz) optoelectronic communication devices could be accomplished through integrating these novel alloys with industry-standard silicon technology. Unfortunately, incorporating a maximal amount of Sn into a Ge lattice has been difficult to achieve experimentally. At ambient conditions, pure Ge and Sn adopt cubic (α) and tetragonal (β) structures, respectively, however, to date the relative stability and structure of α and β phase GeSn alloys versus percent composition Sn has not been thoroughly studied. In this research project, computational tools were used to perform state-of-the-art predictive quantum simulations to study the structural, bonding and energetic trends in GeSn alloys in detail over a range of experimentally accessible compositions. Since recent X-Ray and vibrational studies have raised some controversy about the nanostructure of GeSn alloys, the investigation was conducted with ordered, random and clustered alloy models.
By means of optimized geometry analysis, pure Ge and Sn were found to adopt the alpha and beta structures, respectively, as observed experimentally. For all theoretical alloys, the corresponding αphase structure was found to have the lowest energy, for Sn percent compositions up to 90%. However at 50% Sn, the correspondingβ alloy energies are predicted to be only ~70 meV higher. The formation energy of α-phase alloys was found to be positive for all compositions, whereas only two beta formation energies were negative. Bond length distributions were analyzed and dependence on Sn incorporation was found, perhaps surprisingly, not to be directly correlated with cell volume. It is anticipated that the data collected in this project may help to elucidate observed complex vibrational properties in these systems.
ContributorsLiberman-Martin, Zoe Elise (Author) / Chizmeshya, Andrew (Thesis director) / Sayres, Scott (Committee member) / Wolf, George (Committee member) / School of Mathematical and Statistical Sciences (Contributor) / School of Molecular Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Description
There exists a notable gender gap in the field of economics. One explanation for this gap is the low supply of women entering the economics labor market. To understand the shortage of female economics students, I observe students at the undergraduate and graduate level. My data consists of a sample

There exists a notable gender gap in the field of economics. One explanation for this gap is the low supply of women entering the economics labor market. To understand the shortage of female economics students, I observe students at the undergraduate and graduate level. My data consists of a sample of current undergraduate students and a sample of past Ph.D. applicants at Arizona State University. The gender gaps in these samples, both at the undergraduate and graduate level, can largely be explained by the variation in mathematical preparation of the students. The data reveals that undergraduate male economics students are more frequently enrolled in higher level math courses compared to female undergraduate students. Likewise, a higher number of male Ph.D. applicants have stronger mathematical backgrounds relative to female Ph.D. applicants. This common factor might explain the higher supply of male students who apply and get accepted to postgraduate studies in economics, relative to female students, holding all else constant. I conclude with the following recommended interventions: make information regarding postgraduate opportunities in economics more readily available, and increase math requirements for a bachelor’s degree in economics at ASU.
ContributorsZafari, Zorah (Author) / Datta, Manjira (Thesis director) / Zafar, Basit (Committee member) / School of Mathematical and Statistical Sciences (Contributor) / School of Social Transformation (Contributor, Contributor) / Department of Economics (Contributor) / Dean, W.P. Carey School of Business (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Description
AARP estimates that 90% of seniors wish to remain in their homes during retirement. Seniors need assistance as they age, historically they have received assistance from either family members, nursing homes, or Continuing Care Retirement Communities. For seniors not wanting any of these options, there has been very few alternatives.

AARP estimates that 90% of seniors wish to remain in their homes during retirement. Seniors need assistance as they age, historically they have received assistance from either family members, nursing homes, or Continuing Care Retirement Communities. For seniors not wanting any of these options, there has been very few alternatives. Now, the emergence of the continuing care at home program is providing hope for a different method of elder care moving forward. CCaH programs offer services such as: skilled nursing care, care coordination, emergency response systems, aid with personal and health care, and transportation. Such services allow seniors to continue to live in their own home with assistance as their health deteriorates over time. Currently, only 30 CCaH programs exist. With the growth of the elderly population in the coming years, this model seems poised for growth.
ContributorsSturm, Brendan (Author) / Milovanovic, Jelena (Thesis director) / Hassett, Matthew (Committee member) / School of Mathematical and Statistical Sciences (Contributor) / Economics Program in CLAS (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Description
Since Abdulkadiroglu and Sonmez’s influential paper in 2003 that
merges school choice and mechanism design, research in the rapidly
growing school choice literature has been mainly focused on the
design of mechanisms with desirable properties or more realistic
assumptions. However, lab experiments often show that subjects do
not report preferences according to the experimenters’ expectation,
and

Since Abdulkadiroglu and Sonmez’s influential paper in 2003 that
merges school choice and mechanism design, research in the rapidly
growing school choice literature has been mainly focused on the
design of mechanisms with desirable properties or more realistic
assumptions. However, lab experiments often show that subjects do
not report preferences according to the experimenters’ expectation,
and the experiments rarely provide an in-depth analysis of why the
subjects behave in such confounding ways. My thesis formulates
preference reporting in school choice as a game by incorporating a
payoff schedule and proposes mixed strategy Nash equilibrium as a
way to predict preference reporting.
ContributorsHsieh, Yee-Yang (Author) / Foster, William (Thesis director) / Douglas, Kacey (Committee member) / Economics Program in CLAS (Contributor) / School of Mathematical and Statistical Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Description
In this paper, we study the prime factorizations of numbers slightly larger than the factorial function. While these are closely related to the factorial prime, they have more inherent structure, which allows for explicit results as of yet not established on factorial prime. Case in point, the main result of

In this paper, we study the prime factorizations of numbers slightly larger than the factorial function. While these are closely related to the factorial prime, they have more inherent structure, which allows for explicit results as of yet not established on factorial prime. Case in point, the main result of this paper is that these numbers, which are described in concrete terms below, cannot be prime powers outside of a handful of small cases; this is a generalization of a classical result stating they cannot be primes. Minor explicit results and heuristic analysis are then given to further characterize the set.
ContributorsLawson, Liam John (Author) / Jones, John (Thesis director) / Childress, Nancy (Committee member) / School of Mathematical and Statistical Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2019-12
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Schools across the United States have been subject to a rise in violent incidents since 2013. Reading about school shootings, racist acts, and violent demonstrations in schools has unfortunately become commonplace, which is contributing to inequitable outcomes for some student populations. These equity gaps have triggered demands for more equitable

Schools across the United States have been subject to a rise in violent incidents since 2013. Reading about school shootings, racist acts, and violent demonstrations in schools has unfortunately become commonplace, which is contributing to inequitable outcomes for some student populations. These equity gaps have triggered demands for more equitable solutions in schools, a responsibility that falls on the shoulders of stakeholders like school governing boards, principals, and parents.

Chandler Unified School District (CUSD), a large school system in Arizona that serves 45,000 students from preschool through high school, has been unable to escape similar structural and frictional inequities within its schools. One instance of a racially charged student performance at Santan Middle School motivated CUSD to take a more immediate look at equity in the district. It is during this response that our team of New Venture Group consultants engaged with Matt Strom, Assistant Superintendent of CUSD, in analyzing the important question of “how CUSD can take steps towards closing equity gaps within the district?”

CUSD defines an equity gap as any difference in student opportunity, achievement, discipline, attendance, etc. contributable to a student’s ethnicity, gender, or socioeconomic status. Currently, certain student populations in CUSD perform vastly different academically and receive different opportunities within schools, but as was our problem statement, CUSD is aiming to reduce (and eventually close) these gaps.

Our team approached this problem in three phases: (1) diagnosis, (2) solution creation, and (3) prevention. In phase one, we created a dashboard to help principals easily and visually identify gaps by toggling parameters on the dashboard. Phase two focused on the generation of recommendations for closing gaps. To achieve this goal, a knowledge of successful gap-closing strategies will be paired with the dashboard. In our final phase, the team of consultants created a principal scorecard to ensure equity remains a priority for principals.
ContributorsFerrara, Justin Christopher (Co-author) / Lee, Cynthia (Co-author) / Weston, Joshua (Co-author) / Licon, Wendell (Thesis director) / Strom, Matthew (Committee member) / Department of Economics (Contributor) / School of Mathematical and Statistical Sciences (Contributor) / Department of Information Systems (Contributor) / Department of Finance (Contributor) / Barrett, The Honors College (Contributor)
Created2019-12
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Description
This paper presents a study done to gain knowledge on the communication of an object’s relative 3-dimensional position in relation to individuals who are visually impaired and blind. The HapBack, a continuation of the HaptWrap V1.0 (Duarte et al., 2018), focused on the perception of objects and their distances in

This paper presents a study done to gain knowledge on the communication of an object’s relative 3-dimensional position in relation to individuals who are visually impaired and blind. The HapBack, a continuation of the HaptWrap V1.0 (Duarte et al., 2018), focused on the perception of objects and their distances in 3-dimensional space using haptic communication. The HapBack is a device that consists of two elastic bands wrapped horizontally secured around the user’s torso and two backpack straps secured along the user’s back. The backpack straps are embedded with 10 vibrotactile motors evenly positioned along the spine. This device is designed to provide a wearable interface for blind and visually impaired individuals in order to understand how the position of objects in 3-dimensional space are perceived through haptic communication. We were able to analyze the accuracy of the HapBack device through three vectors (1) Two different modes of vibration – absolute and relative (2) the location of the vibrotactile motors when in absolute mode (3) and the location of the vibrotactile motors when in relative mode. The results provided support that the HapBack provided vibrotactile patterns that were intuitively mapped to distances represented in the study. We were able to gain a better understanding on how distance can be perceived through haptic communication in individuals who are blind through analyzing the intuitiveness of the vibro-tactile patterns and the accuracy of the user’s responses.
ContributorsLow, Allison Xin Ming (Author) / McDaniel, Troy (Thesis director) / Duarte, Bryan (Committee member) / School of Mathematical and Statistical Sciences (Contributor) / Computer Science and Engineering Program (Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2019-12
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Description
We consider programmable matter as a collection of simple computational elements (or particles) that self-organize to solve system-wide problems of movement, configuration, and coordination. Here, we focus on the compression problem, in which the particle system gathers as tightly together as possible, as in a sphere or its equivalent in

We consider programmable matter as a collection of simple computational elements (or particles) that self-organize to solve system-wide problems of movement, configuration, and coordination. Here, we focus on the compression problem, in which the particle system gathers as tightly together as possible, as in a sphere or its equivalent in the presence of some underlying geometry. Within this model a configuration of particles can be represented as a unique closed self-avoiding walk on the triangular lattice. In this paper we will examine the bias parameter of a Markov chain based algorithm that solves the compression problem under the geometric amoebot model, for particle systems that begin in a connected configuration with no holes. This bias parameter, $\lambda$, determines the behavior of the algorithm. It has been shown that for $\lambda > 2+\sqrt{2}$, with all but exponentially small probability, the algorithm achieves compression. Additionally the same algorithm can be used for expansion for small values of $\lambda$; in particular, for all $0 < \lambda < \sqrt{\tau}$, where $\lim_{n\to\infty} {(p_n)^{1
}}=\tau$. This research will focus on improving approximations on the lower bound of $\tau$. Toward this end we will examine algorithmic enumeration, and series analysis for self-avoiding polygons.
ContributorsLough, Kevin James (Author) / Richa, Andrea (Thesis director) / Fishel, Susanna (Committee member) / School of Mathematical and Statistical Sciences (Contributor, Contributor) / Computer Science and Engineering Program (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05