Matching Items (29)
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Description
This qualitative study explores communication privacy management processes around disclosing a child’s Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV) status within a pediatric healthcare relationship. The pediatric healthcare relationship is a triadic one composed of providers, parents, and patients. The literature from the fields of medicine, psychology and communication was

This qualitative study explores communication privacy management processes around disclosing a child’s Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV) status within a pediatric healthcare relationship. The pediatric healthcare relationship is a triadic one composed of providers, parents, and patients. The literature from the fields of medicine, psychology and communication was used to explore disclosing HIV status by seropositive positive adults to others and by providers and parents to HIV positive children. Data for this study was collected from a hospital-based clinic using a 3-part protocol that included transcripts and information from a 6 member focus group interview, 42 patient medical charts, and two parent interviews. Datum was analyzed using thematic analysis. The results indicate that both providers and parents consider these adolescent behavioral indicators that disclosure is necessary: question-asking about medications and the need for medical appointments, the initiation of dating and sexual behavior, cognitive maturity, and chronological age. Providers and parents negotiate when and how the disclosure will occur and the providers perceptions of the permeability of the family privacy boundaries influence the negotiations. An adolescent’s failure to properly adhere to the medication regimen and the initiation of and engagement in sexual behavior are catalysts for immediate disclosure. Finally, a clinical tool is proposed to assist providers and parents in their negotiations around disclosing the child’s HIV status.
ContributorsCampbell, Anna Marie N/A (Author) / Alberts, Janet (Thesis advisor) / Mongeau, Paul A. (Committee member) / Berkel, Cady (Committee member) / Arizona State University (Publisher)
Created2021
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Description

We evaluated the cross-sex and -ethnic (Hispanic/Latino, non-Hispanic White) measurement invariance of anxiety symptoms based on the Spence Children’s Anxiety Scale (SCAS) as well as SCAS anxiety symptoms’ correspondence with scores on the 5-item Screen for Child Anxiety Related Emotional Disorders (SCARED) and teacher ratings of child anxiety. Based on

We evaluated the cross-sex and -ethnic (Hispanic/Latino, non-Hispanic White) measurement invariance of anxiety symptoms based on the Spence Children’s Anxiety Scale (SCAS) as well as SCAS anxiety symptoms’ correspondence with scores on the 5-item Screen for Child Anxiety Related Emotional Disorders (SCARED) and teacher ratings of child anxiety. Based on data corresponding to 702 children (M age = 9.65, SD = 0.70; 51.9 % girls; 55 % Hispanic/Latino), findings showed some sex and ethnic variations in SCAS measured anxiety at the item and scale levels. Moreover, SCAS correspondence to the 5-item SCARED was found across ethnicity and sex. SCAS correspondence to teacher ratings was found for non-Hispanic White boys and non-Hispanic White girls, marginally in Hispanic/Latino boys, and poorly in Hispanic/Latino girls.

ContributorsHolly, Lindsay (Author) / Little, Michelle (Author) / Pina, Armando (Author) / Caterino, Linda (Author) / College of Liberal Arts and Sciences (Contributor)
Created2015-02-01
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Description

This study examined the relations between parental socialization of child anxious behaviors (i.e., reinforcement, punishment, modeling, transmission of information) and child anxiety and related problems at varying child sensitivity levels. Data corresponding to 70 clinic-referred children (M age = 9.86 years; 50% girls; 49% Hispanic/Latino, 51% Caucasian) showed that for

This study examined the relations between parental socialization of child anxious behaviors (i.e., reinforcement, punishment, modeling, transmission of information) and child anxiety and related problems at varying child sensitivity levels. Data corresponding to 70 clinic-referred children (M age = 9.86 years; 50% girls; 49% Hispanic/Latino, 51% Caucasian) showed that for children with low (but not high) anxiety sensitivity, anxiety-related parental socialization behaviors were associated with more child anxiety and depression symptoms. Findings also indicated that parental socialization of anxious behaviors and anxiety sensitivity functioned similarly in the prediction of anxiety and depression across Caucasian and Hispanic/Latino children. There were no significant mean level variations across child sociodemographic characteristics in general, but anxiety-promoting parenting behaviors were twice as high in Hispanic/Latino compared to Caucasian families.

ContributorsHolly, Lindsay (Author) / Pina, Armando (Author) / College of Liberal Arts and Sciences (Contributor)
Created2015-06-01
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Description

This study used growth mixture modeling to examine attendance trajectories among 292 Mexican–American primary female caregivers enrolled in a universal preventive intervention and the effects of health beliefs, participation intentions, cultural influences, and intervention group cohesion on trajectory group membership as well as trajectory group differences on a distal outcome,

This study used growth mixture modeling to examine attendance trajectories among 292 Mexican–American primary female caregivers enrolled in a universal preventive intervention and the effects of health beliefs, participation intentions, cultural influences, and intervention group cohesion on trajectory group membership as well as trajectory group differences on a distal outcome, immediate posttest teacher report of child externalizing (T2). Results supported four trajectory groups—early terminators (ET), mid-program terminators (MPT), low-risk persistent attenders (LRPA), and high-risk persistent attenders (HRPA). Compared with LRPAs, caregivers classified as HRPAs had weaker familism values, less parenting efficacy, and higher externalizing children with lower GPAs. Caregivers in the two persistent attender groups reported strong group cohesion and providers rated these caregivers as having strong participation intentions. Children of caregivers in the LRPA group had the lowest T2 child externalizing. Children of caregivers in the MPT group had lower T2 externalizing than did those of the ET group, suggesting partial intervention dosage can benefit families. Despite high levels of attendance, children of caregivers in the HRPA had the highest T2 externalizing, suggesting this high-risk group needed either more intensive services or a longer period for parents to implement program skills to evidence change in child externalizing.

ContributorsMauricio, Anne (Author) / Tein, Jenn-Yun (Author) / Gonzales, Nancy (Author) / Millsap, Roger (Author) / Dumka, Larry (Author) / Berkel, Cady (Author) / College of Liberal Arts and Sciences (Contributor)
Created2014-12-01
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Description
Background: An emerging literature has found associations between food insecurity and disordered eating behaviors. This study was two-fold. First, to replicate the existing literature that food insecurity is associated with disordered eating symptoms including loss of control over eating. Second, to expand the existing literature by examining stigma control theory,

Background: An emerging literature has found associations between food insecurity and disordered eating behaviors. This study was two-fold. First, to replicate the existing literature that food insecurity is associated with disordered eating symptoms including loss of control over eating. Second, to expand the existing literature by examining stigma control theory, which purports that experiences related to food insecurity potentially induce stigma-related shame, with disordered eating behaviors used to cope with the shame. Further, to explore if emotion coping strategies moderate associations between shame and disordered eating. Method: This is a secondary analysis of a cross-sectional study of 582 adults with food insecurity. Participants completed a 20-minute online survey on food insecurity, shame related to food insecurity, coping strategies, and disordered eating behaviors. Analyses: Hierarchical regressions were computed where food insecurity, shame, and emotion focused coping were entered as predictor variables, followed by their interaction terms, and with disordered eating behaviors entered as outcome variables. Results: Regressions suggest that a) internalized shame partially mediated the relationship between food insecurity and global disordered eating, b) internalized shame did not mediate the relationship between food insecurity and loss of control, c) emotion focused coping did not moderate any relationship. Discussion: Internalized shame may be one mechanism in which disordered symptoms arise in food insecure populations, however emotion focused coping does not have any effect on this relationship. Results indicate that coping strategies alone may not reduce eating disorder symptoms, and internalized shame may be an important predictor of disordered eating in food insecure populations.
ContributorsGomez, Francesca (Author) / Perez, Marisol (Thesis advisor) / Berkel, Cady (Committee member) / Luecken, Linda (Committee member) / Arizona State University (Publisher)
Created2022
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Description
Attendance and engagement in available parenting interventions in both research and community settings is often inconsistent. Recent research suggests that varying the delivery modality of the intervention (i.e., in-person, telehealth, or online) has the potential to increase engagement with evidence-based parenting programs. However, while it is known that both facilitator

Attendance and engagement in available parenting interventions in both research and community settings is often inconsistent. Recent research suggests that varying the delivery modality of the intervention (i.e., in-person, telehealth, or online) has the potential to increase engagement with evidence-based parenting programs. However, while it is known that both facilitator and parent characteristics also influence engagement, no study has evaluated whether those characteristics moderate the influence that modality has on engagement. Utilizing data from the randomized controlled comparative effectiveness trial of the After Deployment, Adaptive Parenting Tools intervention, this study aimed to assess whether facilitators’ gender, military background, and competence moderated the effect of modality on parents’ engagement. Results suggested that parents were significantly more likely to have attended when they were randomized to the telehealth condition. Additionally, while there were no moderating relationships, female facilitators and facilitators who were more competent had overall higher attendance. Additionally, in the group format, facilitators with military backgrounds had higher engagement than those who did not. Understanding the effects that delivery modality and facilitators have on parental engagement is critical to continue and amplify implementation efforts in community settings.
ContributorsBasha, Sydni A. J. (Author) / Gewirtz, Abigail H (Thesis advisor) / Berkel, Cady (Committee member) / McNeish, Daniel (Committee member) / Arizona State University (Publisher)
Created2022
Description

Reduce your fear of water with a virtual reality game!

ContributorsFeng, Kiera (Author) / Johnson-Glenberg, Mina (Thesis director) / Pina, Armando (Committee member) / Barrett, The Honors College (Contributor) / Computer Science and Engineering Program (Contributor)
Created2023-05
Description
Families that are discharged from the Neonatal Intensive Care Unit (NICU) oftentimes need additional support which is provided by NICU follow-up home visitation programs. The emergence of the COVID-19 pandemic caused numerous programs to shift to telehealth visitation. Following the pandemic, many of those home visitation programs continue to offer

Families that are discharged from the Neonatal Intensive Care Unit (NICU) oftentimes need additional support which is provided by NICU follow-up home visitation programs. The emergence of the COVID-19 pandemic caused numerous programs to shift to telehealth visitation. Following the pandemic, many of those home visitation programs continue to offer telehealth support while transitioning back to in-person care. This qualitative study aims to analyze parent attitudes toward telehealth and in-person care delivery. Through analysis, 6 main themes were generated: staff support, telehealth challenges, telehealth convenience, telehealth engagement, in-person engagement, and family preferences. The hybrid participants preferred in-person visitation due to better learning and interactions, while the telehealth group leaned toward telehealth visitation for its convenience. Nevertheless, most parents desired a hybrid mode of service delivery. Both groups shared similar thoughts about the effectiveness and convenience of telehealth. Hence, telehealth is an effective method of service delivery for home visitation programs from a parent perspective. However, depending on the family and their needs, in-person services could be encouraged to further develop the learning experience and the parent-provider rapport. For a majority of families, hybrid support provides the most suitable combination of both care models.
ContributorsVirk, Abdullah (Author) / Berkel, Cady (Thesis director) / Harrison, Jennifer (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor)
Created2024-05
Description
If students receive a form of sexual education, it usually occurs in their K-12 years in the United States. This education serves to prepare them for sexual activity as they transition into adulthood. The study sheds light on the importance of comprehensive and inclusive sexual education in reducing stigma and

If students receive a form of sexual education, it usually occurs in their K-12 years in the United States. This education serves to prepare them for sexual activity as they transition into adulthood. The study sheds light on the importance of comprehensive and inclusive sexual education in reducing stigma and promoting healthy decision-making for all students. Our study aims to examine various factors influencing a college student's sexual health, including their sexual identity, religious affiliation, regional differences in K-12, sexual education, students' perceptions of their sexual education, and their comfort in discussing these topics with healthcare providers. A survey was conducted using responses from 200 ASU students, which collected data on their sexual behavior, and their responses were used to assess their level of sexual risk. Additionally, data was collected on topics outlined in our research questions, which explored several factors that can impact sexual health. Independent samples t-tests were conducted to analyze these correlations. The findings suggested a correlation between comprehensive sexual health education and increased positive and healthy behaviors related to sexual health. While some of our hypotheses were supported, the only statistically significant one was the impact of regional K-12 sexual health education on college students' sexual health. Overall, our study highlights the importance of implementing nationwide, comprehensive sexual education to promote healthy lifestyles and prepare adolescents with the knowledge to make informed decisions as they prepare for their transition into adulthood.
ContributorsBrown, Taylor (Author) / Strasser, Maria (Co-author) / Berkel, Cady (Thesis director) / Koskan, Alexis (Committee member) / Beaumont, Sarah (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor) / Hugh Downs School of Human Communication (Contributor)
Created2024-05