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Title: An Examination of the Florida Linking Individuals Needing Care Coordination Program for Racial and Ethnic Minority Females.
Creator: Vance, Michelle, Gryglewicz, Kimberley, Chapple, Reshawna, Lawrence, Shawn, Fisher, Kristina Childs, University of Central Florida
Abstract / Description: Suicide accounts for close to 800,000 deaths each year, making it one of the leading causes of death in the United States. In the state of Florida, suicide is the 10th leading cause of death. Currently, it is the 2nd leading cause of death among young people ages 15-29, claiming more lives than homicide. Among Black and Hispanic youth (10 to 24), it is the 2nd and 3rd leading causes of death. This study aimed to examine the extent to which depression and suicidality outcomes change among...
Show moreSuicide accounts for close to 800,000 deaths each year, making it one of the leading causes of death in the United States. In the state of Florida, suicide is the 10th leading cause of death. Currently, it is the 2nd leading cause of death among young people ages 15-29, claiming more lives than homicide. Among Black and Hispanic youth (10 to 24), it is the 2nd and 3rd leading causes of death. This study aimed to examine the extent to which depression and suicidality outcomes change among racial and ethnic minority females (i.e., Black and African American, Hispanic) who participated in a care coordination intervention. These subpopulations were chosen due to limited suicide prevention research on at-risk racial and ethnic minority females and to address health disparities. To examine these outcomes, the study employed a one-group pretest-posttest design utilizing secondary data from 76 youth participants enrolled in the care coordination program from three crisis stabilization units (CSU) in Florida. Key findings included significant decreases in depression symptomology (54%) and suicidality (82%). Among participants enrolled in the program, 84% did not have a readmission to the CSU. Length of stay was a predictor or readmission in that a one unit (one day) increase lead to a 3% increase in odds of readmission to the CSU. Results of this study can help guide social work and mental health practitioners in designing and implementing community-based suicide prevention programs for racial and ethnic minority females.
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Date Issued: 2019
Identifier: CFE0007548, ucf:52594
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0007548

Title: Emergency Room Utilization Disparities among Older Adults Treated by Rural Health Clinics.
Creator: Bagwell, Matt, Wan, Thomas, Zhang, Ning, Ortiz, Judith, Hofler, Richard, Bushy, Angeline, University of Central Florida
Abstract / Description: Examining the persistence of disparities over time is an important obligation in terms of rectifying, maintaining, and improving community health and social well-being for all. This study analyzed the individual factors of (a) race/ ethnicity and (b) dual eligibility, as a proxy measure of socioeconomic status, as well as the environmental factor of (c) place of residence, and the organizational factor of (d) Rural Health Clinic (RHC) type on emergency room (ER) utilization of older adult...
Show moreExamining the persistence of disparities over time is an important obligation in terms of rectifying, maintaining, and improving community health and social well-being for all. This study analyzed the individual factors of (a) race/ ethnicity and (b) dual eligibility, as a proxy measure of socioeconomic status, as well as the environmental factor of (c) place of residence, and the organizational factor of (d) Rural Health Clinic (RHC) type on emergency room (ER) utilization of older adult Medicare patients treated by RHCs within the Department of Health and Human Services' (DHHS) Region 4. A prospective, multi-level, longitudinal design was employed to analyze potential health disparities or gaps that may exist among RHC Medicare beneficiary patients (+65) using longitudinal, mixed multilevel modeling in SPSS. The years of investigation were 2010 through 2012. R4 has continually lagged behind other Regions in the Nation in having higher Health Disparities and ER Utilization rates related to Race, Poverty, and Rural Isolation. A key question is: Do these disparities persist? This study's findings support that dual eligible RHC patients utilized ER services at higher rates than non-dual eligible, Medicare only RHC patients at: 77%, 80%, and 66%, in 2010, 2011, and 2012, respectively; and above the White reference group, Black RHC Medicare patients utilized ER services at higher rates of: 18%, 20%, and 34%, in 2010, 2011, and 2012, respectively. These findings support that dual Medicare and Medicaid eligibility, as a proxy measure of socioeconomic status, and race continue to influence higher rates of ER utilization in Region 4. In terms of health and utilization disparities, strikingly and persistently, as recent as 2012, Black, dual eligible RHC Medicare beneficiary patients age 65 and over are twice as likely to utilize ER services for health care than their more advantaged counterparts. Health care leaders and policymakers are seeking evidence-based performance measures as tools for detecting gaps in health care and using those subsequent findings as leverage to implement policy change for the purpose of increasing health care delivery performance system-wide while lowering health disparities across various patient populations. Toward that goal, communicating and disseminating the findings of this study contributes to the body of knowledge and enables policy leaders to better make decisions based on empirical evidence in order to strengthen the health care delivery system for older adults in diverse rural contexts. From a health and public affairs policy perspective, crafting in tandem targeted, top-down, population health and bottom-up, community interventions to curb poor health outcomes and high health care utilization would be in the public interest at-large within this region of the Southeastern United States.
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Date Issued: 2016
Identifier: CFE0006259, ucf:51051
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0006259

Title: Preschool Attendance: A Parental and Teacher Perspective of Barriers, Health Behaviors and Practices using Grounded Theory Research.
Creator: Meoli, Anne, Chase, Susan, Anderson, Mindi, Quelly, Susan, Wink, Diane, Sheinberg, Nurit, University of Central Florida
Abstract / Description: Background: Preschool children from single-parent households with lower socioeconomic status (SES) are absent from preschool at rates higher than any other group. Some children are chronically absent, missing more than 10% of the school year. The phenomenon of preschool attendance related to behaviors, practices, and parental decision making associated with health and illness in lower SES households has not been previously studied using grounded theory methodology.Aim: The purpose of this...
Show moreBackground: Preschool children from single-parent households with lower socioeconomic status (SES) are absent from preschool at rates higher than any other group. Some children are chronically absent, missing more than 10% of the school year. The phenomenon of preschool attendance related to behaviors, practices, and parental decision making associated with health and illness in lower SES households has not been previously studied using grounded theory methodology.Aim: The purpose of this study was to explore decision making related to supporting attendance in a preschool of 67 children (aged 3 to 4 years) with primarily low-income, single parents and preschool teachers in South Florida. The decision making process parents and teachers face every day and the environmental supports of preschool attendance facilitated identification of factors encouraging or impeding attendance.Results and Recommendations: Focus groups and interviews with teachers, parents and administrators were conducted, and direct observation of the school attendance process and health/attendance policies were examined. Data analysis was concurrent with data collection to allow for theoretical sampling. The data analysis revealed an underlying process of (")communicating about health: benefitting children's attendance in a preschool environment.(") Supporting this theory were three themes of (a) empowerment: actions to support health, (b) trusting judgment regarding health, and (c) commitment of organization and parents to health and attendance. Recommendations for implementation of practice, policy changes, and opportunities for future research found in this unique setting were discussed to improve attendance.
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Date Issued: 2016
Identifier: CFE0006143, ucf:51186
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0006143

Title: Down in the Mouth: Homelessness and Oral Health.
Creator: Kleinberger, Jessica, Wright, James, Rivera, Fernando, Donley, Amy, University of Central Florida
Abstract / Description: The burden of dental disease in American has been termed a (")silent epidemic,(") affecting the most vulnerable populations in society. Poor oral health has been linked with general health issues, such as diabetes and cardiovascular disease, as well as decreased mental health and impairments in social functioning. This burden weighs particularly heavy on the homeless, who are not only denied access to private systems of care, but are further rejected by an inadequately supported public safety...
Show moreThe burden of dental disease in American has been termed a (")silent epidemic,(") affecting the most vulnerable populations in society. Poor oral health has been linked with general health issues, such as diabetes and cardiovascular disease, as well as decreased mental health and impairments in social functioning. This burden weighs particularly heavy on the homeless, who are not only denied access to private systems of care, but are further rejected by an inadequately supported public safety net. Despite the recognition of social inequalities and the call for further scientific research, oral health care has not been extensively recognized within sociology. The aim of this research was to uncover how Central Florida's homeless adults cope with oral health issues in the face of barriers. This study intends to begin closing the gap by exploring the ways in which structural inequalities are embodied in the teeth of the homeless. Twenty-five semi-structured interviews were conducted with homeless individuals in the Central Florida area in regards to their oral health and coping mechanisms. Results indicate that without conventional access to dental care, homeless are forced to rely on emergency departments, alcohol, illegal drugs, home remedies, and over-the-counter medications. When treatment was received, only emergency services were provided. This led to an extraction-denture treatment model which left many homeless individuals edentulous, with continued complications in their ability to eat, work, and talk.
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Date Issued: 2014
Identifier: CFE0005192, ucf:50640
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0005192

Title: Growing Health: Community Gardens and their Effects on Diet, Physical and Mental Health and Community.
Creator: Hanson, Brittany, Wright, James, Gay, David, Jasinski, Jana, University of Central Florida
Abstract / Description: Recently, research on community gardens and their benefits to health and community has become very popular. However, this influx of research has failed to investigate challenges to successful community gardening. Some articles examine issues between community gardeners and the land owners, but other than these conflicts community garden challenges, like lack of participation and quality leadership, have not been discussed in the literature (Draper and Freedman, 2010). To allow future gardens...
Show moreRecently, research on community gardens and their benefits to health and community has become very popular. However, this influx of research has failed to investigate challenges to successful community gardening. Some articles examine issues between community gardeners and the land owners, but other than these conflicts community garden challenges, like lack of participation and quality leadership, have not been discussed in the literature (Draper and Freedman, 2010). To allow future gardens to be as successful as possible it is important to identify potential obstacles. Additionally, it is just as important to continue to examine possible benefits, for example, physical activity and health benefits of community gardening and the breadth of community issues possibly addressed by community gardeners. Continuing to research on community will allow for more successful gardens and encourage funding for these programs. This study examines how food insecurity, health and community cohesion issues can be affected by community gardens in Central Florida. It also investigates challenges community gardens often face. To do this I conducted structured interviews with community gardeners and semi-structured interviews with community garden leaders at several gardens throughout Orange County, Florida. The results show that community gardens have several benefits including increased consumption of fresh produce, improved physical activity, mental health and community cohesion. However, gardens are not without difficulties. About a third of the gardeners and the majority of the leaders said that lack of participation was a challenge they faced.
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Date Issued: 2012
Identifier: CFE0004382, ucf:49405
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0004382

Title: THE EFFECTS OF RESISTANCE TRAINING FREQUENCY ON MUSCLE HYPERTOHY AND STRENGTH IN HEALTHY TRAINED INDIVIDUALS: LITERATURE REVIEW.
Creator: Boivin, Alexander C., Valdes, Anna, University of Central Florida
Abstract / Description: The purpose of this study is to determine the effects of increased resistance training frequency on strength and hypertrophy in trained individuals. Six Studies were deemed eligible based on the inclusion exclusion criteria. The inclusion criteria for this review were healthy trained individuals. "Trained" refers to over one year of resistance training experience. Exclusion Criteria were study's that examined either untrained or obese individuals as participants. The evidence indicates a dose...
Show moreThe purpose of this study is to determine the effects of increased resistance training frequency on strength and hypertrophy in trained individuals. Six Studies were deemed eligible based on the inclusion exclusion criteria. The inclusion criteria for this review were healthy trained individuals. "Trained" refers to over one year of resistance training experience. Exclusion Criteria were study's that examined either untrained or obese individuals as participants. The evidence indicates a dose-response trend in frequency. Resistance training each muscle group twice a week may be superior compared to once per week. Further more, resistance training each muscle group three times a week may enhance hypertrophy and strength adaptations even more compared to either once or twice a week. Recovery of the muscle may be reached in approximately 72 hours or 3 days. Mechanisms that may correlate to this phenomenon could be related to the more frequent elevations in muscle protein synthesis and physiological anabolic hormones. These results may help develop more specific guidelines in programming for intermediate to advanced athletes as well as lead way to more research on acute training variable manipulation.
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Date Issued: 2016
Identifier: CFH2000109, ucf:45953
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH2000109

Title: HEALTH ATTITUDES, KNOWLEDGE AND LITERACY OF PRIMARY CAREGIVERS WITH ELEMENTARY SCHOOL CHILDREN.
Creator: Stuib, Susan, Sivo, Stephen, University of Central Florida
Abstract / Description: Previous research has indicated that physical activity and healthy eating in elementary school children are the exception rather than the norm. Increased attention to the rising rates of childhood obesity, coupled with the recognition that changes in the school environment are critical to reducing this trend, has intensified the need to adopt better practices in school nutrition, physical activity and physical education. Apart from being physically active, children need to learn fundamental...
Show morePrevious research has indicated that physical activity and healthy eating in elementary school children are the exception rather than the norm. Increased attention to the rising rates of childhood obesity, coupled with the recognition that changes in the school environment are critical to reducing this trend, has intensified the need to adopt better practices in school nutrition, physical activity and physical education. Apart from being physically active, children need to learn fundamental motor skills and develop health related physical fitness (cardiovascular endurance, muscular strength and endurance, flexibility, and body composition). Primary caregivers play an important part in developing and teaching children these things through example and through conversations with their children. The purpose of this study was to examine the level of knowledge primary caregivers have about health and nutritional practices and whether primary caregivers' health practices, health knowledge or health literacy about nutrition and health affects their children's well-being and health practices. Based on the results from the questionnaire in this study targeted at primary caregivers of elementary school-age children, primary caregivers' health literacy, knowledge and attitudes of health were directly linked with their children's health and well-being and children's health practices.
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Date Issued: 2006
Identifier: CFE0001383, ucf:46990
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0001383

Title: REDUCING NON-URGENT UTILIZATION OF THE EMERGENCY DEPARTMENT BY SELF-PAY PATIENTS: ANALYSIS OF THE IMPACT OF A COMMUNITY-WIDE PROVIDER NETWORK.
Creator: van Caulil, Karen, Liberman, Aaron, University of Central Florida
Abstract / Description: The purpose of this study was to determine whether a coordinated and comprehensive system of care for the uninsured changed the behavior of the uninsured by decreasing non-urgent utilization of the emergency departments within a large, urban county. The literature on emergency department trends and interventions designed to decrease "inappropriate" or non-urgent use of the emergency departments was reviewed and links to relevant theoretical concepts were identified. Utilization data from six...
Show moreThe purpose of this study was to determine whether a coordinated and comprehensive system of care for the uninsured changed the behavior of the uninsured by decreasing non-urgent utilization of the emergency departments within a large, urban county. The literature on emergency department trends and interventions designed to decrease "inappropriate" or non-urgent use of the emergency departments was reviewed and links to relevant theoretical concepts were identified. Utilization data from six emergency departments and six federally qualified health centers were evaluated. Secondary data over a three-year time period were abstracted from patient and organizational records at the hospitals and federally qualified health centers. The utilization data from the emergency departments and health centers were compared. The analysis revealed a significant change in the number of non-urgent visits by self-pay patients at the emergency departments when the health centers expanded. A 32.2 percent decrease in utilization of the emergency departments by self-pay patients was found. Non-parametric tests demonstrated significant differences in the population seen at the emergency departments and the clinics over the three-year study period. Regression analysis demonstrated a statistically significant decrease in non-urgent, self-pay visits at the emergency departments as a result of the increase in self-pay visits at the federally qualified health centers. Further analysis includes forecasting the impact of future federally qualified health centers on emergency department utilization. Recommendations for future research include evaluation of the increased numbers of non-urgent transports from the local emergency medical system by self-pay patients as well as the design of a pilot study to look at the effectiveness of transporting these patients to the federally qualified health centers for care instead of to the local emergency departments.
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Date Issued: 2005
Identifier: CFE0000436, ucf:46393
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0000436

Title: THE INFLUENCE OF COUNSELOR EDUCATION PROGRAMS ON COUNSELOR WELLNESS.
Creator: Roach, Leila, Young, Mark, University of Central Florida
Abstract / Description: Counselor education programs strive to promote the personal development and wellness of counselors in addition to cognitive, skill, and professional competencies. The purpose of this study was to examine trends in self-reported levels of wellness of master's level counseling students. The cross-sectional study investigated the influence of time in a counselor education program on the wellness levels of counseling students. Students were surveyed at three points in their counselor education...
Show moreCounselor education programs strive to promote the personal development and wellness of counselors in addition to cognitive, skill, and professional competencies. The purpose of this study was to examine trends in self-reported levels of wellness of master's level counseling students. The cross-sectional study investigated the influence of time in a counselor education program on the wellness levels of counseling students. Students were surveyed at three points in their counselor education training: the beginning, middle, and end. Participants included 204 master's level counseling students enrolled in three CACREP-accredited counselor education programs located in the southeastern United States. Each participant completed the Five Factor Wellness Inventory (5F-Wel) and a demographic questionnaire. A monotonic trend analysis was conducted in SPSS Multivariate Analysis of Variance (MANOVA) to answer the question of whether master's level counseling students report higher levels of wellness as they advance through a counseling program. Additional univariate analyses of variance (ANOVAs) were performed in order to answer questions related to the influence of demographic variables. Results of the study yielded no significant trends in self-reported levels of wellness by students as they progressed through their counselor training. Furthermore, gender, cultural background, and a requirement for personal counseling were not significant in accounting for differences in the wellness levels of students. However, those students who reported that their counselor education program offered a wellness course reported statistically significant higher levels of wellness. Responses to an open ended question on the demographic questionnaire, 'What, if anything, have you learned in your counseling coursework that has helped you develop knowledge and skills regarding your personal wellness?" were included in the discussion to provide insight into the results of the study. The findings suggested that, while counselor education programs may not increase levels of wellness in students, evidence from the demographic questionnaire indicated that personal development and wellness were emphasized. Perhaps systematic procedures for teaching and evaluating student wellness could be implemented in counselor education programs to insure that goals regarding personal development and wellness are being met.
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Date Issued: 2005
Identifier: CFE0000432, ucf:46399
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0000432

Title: PERSPECTIVES OF HEALTH INFORMATION MANAGEMENT FACULTY USE OF AN E-LEARNING LABORATORY AND TECHNOLOGY ACCEPTANCE.
Creator: Meli, Peggy, Sivo, Stephen, University of Central Florida
Abstract / Description: "As the delivery of healthcare has become more sophisticated, scientific, and complex, the need for HIM (Health Information Management) professionals at all levels has increased, and the role and status of those managing these functions has increased accordingly." (AHIMA, September 24, 2007). Studies by the Institute of Medicine and others have found suboptimal technology use throughout the healthcare industry. The American Health Information Management Association (AHIMA) developed the e-HIM...
Show more"As the delivery of healthcare has become more sophisticated, scientific, and complex, the need for HIM (Health Information Management) professionals at all levels has increased, and the role and status of those managing these functions has increased accordingly." (AHIMA, September 24, 2007). Studies by the Institute of Medicine and others have found suboptimal technology use throughout the healthcare industry. The American Health Information Management Association (AHIMA) developed the e-HIM Virtual Lab (V-lab) to train students in the use of new technology applications in response to IOM findings. Faculty are the gatekeepers for use of instructional technology in educational settings. Many disciplines have evaluated instructional technology use by students. There are very few studies on faculty use of instructional technology. There are no published studies of the determinant factors influencing health information management (HIM) faculty use of instructional technology. Therefore, the purpose of this study is to evaluate the faculty's attitude and behavior toward the use of the V-lab instructional technology. A non-random one group pretest posttest design was used to test the hypothetical Instructional Perception -Technology Acceptance Model (IP- TAM) for faculty perceptions regarding system functionality, usability and technology acceptance. The Path Analysis determined the strongest construct indicators for intent to use the V-lab were Perceived Usefulness (PU), Perceived Ease Of Use (PEOU), System Functionality and Usability (SFU). These findings support the recommendation for a collaborative examination of the existing V-lab systems to improve utilization and success.
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Date Issued: 2008
Identifier: CFE0002140, ucf:47500
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0002140

Title: FAMILY SUPPORT AND MENTAL HEALTH CARE QUALITY IN NURSING HOMES SERVING RESIDENTS WITH A MENTAL HEALTH HISTORY.
Creator: Frahm, Kathryn, Gammonley, Denise, University of Central Florida
Abstract / Description: The prevalence of mental health disorders among the nursing home population is well recognized. However, providing adequate mental health services for nursing home residents who need them remains a challenging endeavor. The social support of family has long been recognized as a key resource for older adults with a mental health history and older adults residing in nursing homes. The purpose of this study is to examine the quality of mental health care provided for nursing home residents with...
Show moreThe prevalence of mental health disorders among the nursing home population is well recognized. However, providing adequate mental health services for nursing home residents who need them remains a challenging endeavor. The social support of family has long been recognized as a key resource for older adults with a mental health history and older adults residing in nursing homes. The purpose of this study is to examine the quality of mental health care provided for nursing home residents with a mental health history and to determine if family support influences the quality of their mental health care accounting for other facility resident and facility organizational characteristics. The study utilized a retrospective, cross-sectional design with 2003 national Online Survey Certification and Reporting (OSCAR) facility data merged with the resident-level Minimum Data Set (MDS) resulting in N=2,499 nursing homes. Guided by the convoy model of social support and socioemotional selectivity theory, descriptive statistics and exploratory factor analysis were used to create a profile of facility level data of nursing home residents with a mental health history, explore the role of family support, and determine if items within the OSCAR and MDS databases could respectively be used to measure mental health care quality and family support. Overall, it was found that families have a positive relationship with their relatives and are involved in their lives. Additionally, items within the OSCAR and MDS databases could be used to measure mental health care quality and family support. Finally, facility organizational characteristics explained more variation in the quality of mental health care than did facility resident, family support, or market characteristics. In sum, to enhance the quality of mental health care in nursing homes, partnering with families may be an important tool to meet resident needs.
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Date Issued: 2009
Identifier: CFE0002529, ucf:47670
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0002529

Title: MINORITY PHYSICIAN JOB SATISFACTION: AN ANALYSIS OF EXTRINSICALLY-CONTROLLED ORGANIZATIONAL FACTORS.
Creator: Fletcher, Shaun, Barfield II, Rufus, University of Central Florida
Abstract / Description: Few organizational communication studies examine the organizational aspects influencing career satisfaction specifically among non-white cultures in the medical physician population. This study examines minority physicians' perceptions of extrinsically controlled work environment factors in comparison to their white counterparts. Three research questions were analyzed from a 17-question survey tool to measure: physician satisfaction levels with autonomy over medical decision-making; autonomy...
Show moreFew organizational communication studies examine the organizational aspects influencing career satisfaction specifically among non-white cultures in the medical physician population. This study examines minority physicians' perceptions of extrinsically controlled work environment factors in comparison to their white counterparts. Three research questions were analyzed from a 17-question survey tool to measure: physician satisfaction levels with autonomy over medical decision-making; autonomy over non-medical workplace decisions; and hospital cost containment efforts. These organizational variables have served as major points of discourse within the healthcare arena and they relate to the enigmatic nature of career satisfaction. Determined by the volume of respondents representing each race and ethnicity, five categories were selected for comparison: Asian/Pacific Islander, Indian/Pakistani, White/Non-Hispanic, Hispanic, and Black/African American. Participants that were surveyed included all physicians listed on the medical staff roster of a Southeastern, not-for-profit hospital group, regardless of status and medical specialty. The primary findings indicate that substantial variance exists among racial and ethnic subgroups regarding satisfaction with the dependent measures. Due to low numbers of minority health care physicians, previous studies have commonly measured physician job satisfaction aggregately, failing to differentiate cultural groups. Interestingly, when minority and non-minority groups were aggregately juxtaposed, no significant differences were reported in the data. However, when satisfaction was measured contrasting minority subgroupings with that of non-minority physicians, significant variations emerged from the data set. This study contributes to understanding better the organizational experiences of minority physicians in healthcare and the body of knowledge concerning minority health research as a whole.
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Date Issued: 2005
Identifier: CFE0000502, ucf:46454
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0000502

Title: WATER SANITATION AND WASTE MANAGEMENT IN LATIN AMERICA, COLOMBIA, AND CARTAGENA: A STUDY OF THE RELATIONSHIP BETWEEN ENVIRONMENT, HEALTH, POVERTY, AND POLICY.
Creator: Sullivan, Andrea K, Sadri, Houman A., Bledsoe, Robert, University of Central Florida
Abstract / Description: The objective of this research is to identify the need for stricter environmental standards and regulations in three areas of study. Organized by their level of analysis, these areas are Latin America (at the System-Level-of Analysis), Colombia (at the State-Level-of-Analysis), and the city of Cartagena (at the Sub-National-Level of Analysis). This research was accomplished in two phases. The first involved conducting an exhaustive literature search of sources, germane to the objective,...
Show moreThe objective of this research is to identify the need for stricter environmental standards and regulations in three areas of study. Organized by their level of analysis, these areas are Latin America (at the System-Level-of Analysis), Colombia (at the State-Level-of-Analysis), and the city of Cartagena (at the Sub-National-Level of Analysis). This research was accomplished in two phases. The first involved conducting an exhaustive literature search of sources, germane to the objective, published in Spanish and English. The second featured a site inspection conducted over a 10-day period during the month of May 2016 to Cartagena, Colombia. The purpose of the site inspection was to interview locals and to photographically document waste disposal practices. The results of this research determined that government at all levels (system, state, and subnational) play a significant and sometimes determinant role in managing waste and water pollution that are responsible for health problems primarily among the poor; these health problems are discussed in detail. This research discovered that the lack of government intervention is responsible for reducing the efficacy of waste management and water sanitation services. This research concludes with a discussion of how proactive waste management and water sanitation policies and practices can have a significant benefit not only to improving health but also has significant economic, social and environmental benefits that may reach beyond local levels.
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Date Issued: 2016
Identifier: CFH2000150, ucf:45936
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH2000150

Title: ACCULTURATION, SOCIAL ACCEPTANCE, AND ADJUSTMENT OF EARLY ADOLESCENTS.
Creator: Klein, Jenny, Renk, Kimberly, University of Central Florida
Abstract / Description: A majority of research regarding disruptive behavior disorders in youth has focused primarily upon Caucasian children and adolescents. As a result, more investigation of the unique characteristics of youth from ethnically diverse backgrounds, particularly those from Hispanic American and African American backgrounds, is needed (Balls Organista, Organista, & Kurasaki, 2003). This study investigated the relationships between several characteristics (e.g., ethnic identity, socioeconomic status,...
Show moreA majority of research regarding disruptive behavior disorders in youth has focused primarily upon Caucasian children and adolescents. As a result, more investigation of the unique characteristics of youth from ethnically diverse backgrounds, particularly those from Hispanic American and African American backgrounds, is needed (Balls Organista, Organista, & Kurasaki, 2003). This study investigated the relationships between several characteristics (e.g., ethnic identity, socioeconomic status, social acceptance, and emotional and behavioral symptoms) of early adolescents belonging to diverse ethnic groups. Results suggested that socioeconomic status and degree of early adolescents' social acceptance were important factors in predicting the development of internalizing and externalizing behavior problems in this age group. Additionally, perceived social acceptance moderated significantly the relationships between SES and depression, anxiety, and self-concept. Considering these results, useful treatments may be developed that enhance early adolescents' abilities to assess realistically their own social skills and interact appropriately within different social spheres. Increased self-appraisals of acceptance within social situations may modify negative effects (e.g., higher reports of anxiety and depression) of extreme socioeconomic circumstances, particularly for early adolescents experiencing low-income or poverty conditions within their family and/or their community.
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Date Issued: 2005
Identifier: CFE0000889, ucf:46632
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFE0000889

Title: EXPLORING DIET, PHYSICAL ACTIVITY, AND SELF-REPORTED HEALTH STATUS AMONG INDIVIDUALS IN THE MEDICALLY UNDERSERVED POPULATION.
Creator: Devoe, Kelley R, Valdes, Anna, University of Central Florida
Abstract / Description: The primary purpose of this study is to determine if certain lifestyle and health behaviors (e.g. smoking, physical activity, diet) in the medically underserved population have any influence on particular health statuses. This study also looked to determine if these health behaviors resulted in particular medical aliments being more prevalent or specific to this community. The secondary purpose of this study aims to gain information that may help health care providers practicing in this...
Show moreThe primary purpose of this study is to determine if certain lifestyle and health behaviors (e.g. smoking, physical activity, diet) in the medically underserved population have any influence on particular health statuses. This study also looked to determine if these health behaviors resulted in particular medical aliments being more prevalent or specific to this community. The secondary purpose of this study aims to gain information that may help health care providers practicing in this community to earlier identify risk factors in patients before a medical problem becomes more severe, difficult and expensive to treat. A survey, adapted from the CDC's Behavioral Risk Factor Surveillance System (BRFSS), was created to allow for the collection of descriptive statistical data. The survey contains questions on the various topics of diet, physical activity, chronic diseases, and self-perception of overall health status. The survey was distributed to 20 older adult participants at Hebni Nutrition, LLC, all from disadvantaged backgrounds. Descriptive statistics were used to analyze the data. Of the 20 surveys collected, about half of the respondents reported consuming close to the recommended fruit and vegetable servings and participating in regular physical activity. Furthermore, the participants reported rates of diabetes and hypertension well above average. This study's results were inconclusive as to whether any specific health behaviors among medically underserved individuals influence the prevalence of chronic diseases in this population; more likely a combination of many factors and overall poorer health habits that persist over a lifetime are contributors to chronic diseases among the medically underserved population.
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Date Issued: 2018
Identifier: CFH2000292, ucf:45892
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH2000292

Title: MENTAL HEALTH INTERVENTIONS FOR ADOLESCENT CANCER PATIENTS.
Creator: Faherty, Kelsey A, Loerzel, Victoria, University of Central Florida
Abstract / Description: Background: According to the National Cancer Institute (2017) approximately 15,270 individuals' ages 0 to 19 years would be diagnosed with cancer in 2017. Although pediatric cancer survival rates continue to rise, there are high rates of anxiety, fear, and depression amongst this population. The purpose of this literature review was to explore mental health interventions for adolescent cancer patients. Methodology: A total of 165 articles were found in a literature search. Databases used...
Show moreBackground: According to the National Cancer Institute (2017) approximately 15,270 individuals' ages 0 to 19 years would be diagnosed with cancer in 2017. Although pediatric cancer survival rates continue to rise, there are high rates of anxiety, fear, and depression amongst this population. The purpose of this literature review was to explore mental health interventions for adolescent cancer patients. Methodology: A total of 165 articles were found in a literature search. Databases used include: CINAHL Plus with Full Text, Cochrane Center Register of Controlled Trials, Cochrane Clinical Answers, MEDLINE, and PsycINFO. As results were further narrowed based on relevance and set limiters a total of 7 articles were used for the purpose of this review. Results: Multiple interventions were used in the purpose of this review including therapeutic play, animal-assisted activities, complementary and alternative medicine interventions, and coping and stress reduction interventions. Interventions used significantly decreased anxiety, fear, and depression amongst adolescent cancer patients. Conclusion: One intervention was not more successful than another. Interventions that included participants in their plan of care, promoted normalcy, and were developmentally appropriate were successful at decreasing anxiety, depression, and fear in adolescent cancer patients.
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Date Issued: 2018
Identifier: CFH2000365, ucf:45791
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH2000365

Title: THE EFFECT OF CHEMICAL FRAGRANCES ON CHILD HEALTH AND DEVELOPMENT.
Creator: Gilton, Katie, Waldrop, Julee, University of Central Florida
Abstract / Description: The American public is bombarded with chemically fragranced products every day, typically in combination with each other. These products can include cosmetics, perfumes, detergents, air fresheners, soaps, and deodorants. Contained in these fragranced products are chemicals that can be harmful to child health and development. Many articles have been published examining the chemicals found in fragranced products and the effects that these chemicals can have on the human body. This integrated...
Show moreThe American public is bombarded with chemically fragranced products every day, typically in combination with each other. These products can include cosmetics, perfumes, detergents, air fresheners, soaps, and deodorants. Contained in these fragranced products are chemicals that can be harmful to child health and development. Many articles have been published examining the chemicals found in fragranced products and the effects that these chemicals can have on the human body. This integrated literature review examines empirical evidence related to the health and safety of particular chemicals used in these products. Nurses need to be aware of the actual and potential harms from the chemicals used in the self-regulating cosmetic industry and can advocate for public policies that promote a safer environment, therefore protecting the health and wellbeing of children.
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Date Issued: 2011
Identifier: CFH0003835, ucf:44771
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH0003835

Title: AN EXAMINATION OF PSYCHOLOGICAL DISORDERS, SOCIAL ANXIETY, AND PERFECTIONISM IN HIGH-ACHIEVING UNDERGRADUATE STUDENTS.
Creator: Elliott, Amy, Rovito, Michael, University of Central Florida
Abstract / Description: There is a long-standing debate on whether high-achieving students experience a better or worse psychological well-being than their peers. This retrospective cohort study adds to the current literature by examining the differences in rates of psychological disorders, social anxiety, and perfectionism between high-achieving and typical undergraduate students. A convenience sample of 357 students was gathered from the University of Central Florida (UCF). Participants were asked to fill out a...
Show moreThere is a long-standing debate on whether high-achieving students experience a better or worse psychological well-being than their peers. This retrospective cohort study adds to the current literature by examining the differences in rates of psychological disorders, social anxiety, and perfectionism between high-achieving and typical undergraduate students. A convenience sample of 357 students was gathered from the University of Central Florida (UCF). Participants were asked to fill out a brief survey which included questions about demographics, grade point average (GPA), social anxiety, perfectionism, enrollment in The Burnett Honors College, inclusion in any childhood gifted programs, and diagnosis of psychological disorders. Two groups (a High-Achieving group and a Comparison group) were formed based on GPA scores and enrollment in The Burnett Honors College at UCF. Relative risk and chi-squared analyses were conducted to see if there was a significant relationship between group classification and the incidence of psychological disorders, self-injury, and social anxiety. T-tests were used to compare group means of social anxiety and perfectionism. A statistically significant relationship was found between group classification and the incidence of psychological disorders, self-injury, and social anxiety (p = .033, p = .028, and p < .001). The High-Achieving group scored significantly higher on the SPAI-23 SP Subscale (p = .032), the SPAI-23 Difference Score (p < .001), and the APS-R Standards Subscale (p < 0.001). Altogether, the findings of this study indicate that High-Achieving undergraduate students experience a worse psychological well-being than their typical undergraduate student peers.
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Date Issued: 2013
Identifier: CFH0004408, ucf:45131
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH0004408

Title: LGBT AFFIRMING ENVIRONMENTS IN HOSPICE CARE SETTINGS.
Creator: Gore, Maria, Gammonley , Denise, University of Central Florida
Abstract / Description: Abstract The documented experiences and perceptions of lesbian, gay, bisexual, and transgender (LGBT) patients receiving hospice or palliative care gives merit to the need for the implementation of LGBT affirming environments in hospice care settings. The guidelines for creating these affirming environments are described in this paper. Applying the Donabedian (1988) model of structure, process, and outcome this thesis project analyzes identified interventions relevant to the implementation of...
Show moreAbstract The documented experiences and perceptions of lesbian, gay, bisexual, and transgender (LGBT) patients receiving hospice or palliative care gives merit to the need for the implementation of LGBT affirming environments in hospice care settings. The guidelines for creating these affirming environments are described in this paper. Applying the Donabedian (1988) model of structure, process, and outcome this thesis project analyzes identified interventions relevant to the implementation of LGBT affirming environments in hospice care settings. Utilizing a formal PICO questioning method, a search strategy was devised and studies were identified based on established criteria. The results suggest that there is a paucity of data in relation to the implementation of LGBT affirming environments in hospice care settings. In an effort to assist in identifying existing interventions that have not been studied this project also includes a recommended survey tool to measure the active efforts of hospice organizations to implement LGBT affirming environments.
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Date Issued: 2013
Identifier: CFH0004353, ucf:44986
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH0004353

Title: THE LASTING EFFECTS AND ANALYSIS OF THE SUPREME COURT'S DECISION IN: THE NATIONAL FEDERATION OF INDEPENDENT BUSINESS V. SEBELIUS.
Creator: Esposito, Devin, Wood, Robert, University of Central Florida
Abstract / Description: The purpose of this thesis is to examine the Affordable Care Act through an analysis of the United States Supreme Court's holding in The National Federation of Independent Business v. Sebelius. In order to better understand the Supreme Court's reasoning in that case, this paper will first examine the history and the function of the Supreme Court, which will demonstrate the Court's power to either augment or diminish the power of the states in relation to the federal government. This paper...
Show moreThe purpose of this thesis is to examine the Affordable Care Act through an analysis of the United States Supreme Court's holding in The National Federation of Independent Business v. Sebelius. In order to better understand the Supreme Court's reasoning in that case, this paper will first examine the history and the function of the Supreme Court, which will demonstrate the Court's power to either augment or diminish the power of the states in relation to the federal government. This paper will then discuss the background of the Affordable Care Act, the procedural history of the case, and the majority's analysis supporting its decision. The concurring and dissenting opinions of the other justices will be discussed to present the various viewpoints regarding the proper role of the federal government and the implications this case may have on federal/state conflict. The Supreme Court ruled in favor of the Department of Health and Human Services. The 5-4 decision was extremely close and the opinions given by each Justice highlighted the various flaws and benefits of the Act it was looking to uphold. Further research of Supreme Court cases in our country's history reveal the trend of augmenting and diminishing state's rights. This thesis will examine the constitutionality of the aforementioned decision, the effects it will have on each of the states within the United States, and the impact the citizens will experience.
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Date Issued: 2013
Identifier: CFH0004372, ucf:45012
Format: Document (PDF)
PURL: http://purl.flvc.org/ucf/fd/CFH0004372

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Damage Detection (5)	+ -
gender (5)	+ -

mHealth (5)	+ -
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Mental Health (4)	+ -
depression (4)	+ -
health care (4)	+ -
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mental illness (4)	+ -
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Health (3)	+ -
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alcohol (3)	+ -
counselor education (3)	+ -
education (3)	+ -
health disparities (3)	+ -
health literacy (3)	+ -
public health (3)	+ -
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