Social and Behavioral Sciences Commons^™

Incident Tuberculosis Diagnoses In Children At High Risk For Disease, Milagros Wong, Julia M. Coit, Milagros Mendoza, Silvia S. Chiang, Helen Marin, Jerome T. Galea, Leonid Lecca, Molly F. Franke

Social Work Faculty Publications

We followed 35 children meeting a research definition for unconfirmed tuberculosis (TB) but in whom a pediatric pulmonologist did not diagnose or treat TB. After a median follow-up of 16.4 months, most children were not diagnosed with TB following a comprehensive evaluation. However, 2 were diagnosed with TB, demonstrating high TB risk (6%; exact 95% CI, 1%–19%). In some contexts, researchers may wish to supplement these research definitions with clinical decision data and longitudinal follow-up in order to improve specificity.

Evaluating The Impact Of Incentives On Clinical Trial Participation: Protocol For A Mixed Methods, Community-Engaged Study, Jerome T. Galea, Karah Y. Greene, Brandon Nguyen, Andrea N. Polonijo, Karine Dubé, Jeff Taylor, Christopher Christensen, Zhiwei Zhang, Brandon Brown

Social Work Faculty Publications

Background: Monetary incentives in research are frequently used to support participant recruitment and retention. However, there are scant empirical data regarding how researchers decide upon the type and amount of incentives offered. Likewise, there is little guidance to assist study investigators and institutional review boards (IRBs) in their decision-making on incentives. Monetary incentives, in addition to other factors such as the risk of harm or other intangible benefits, guide individuals’ decisions to enroll in research studies. These factors emphasize the need for evidence-informed guidance for study investigators and IRBs when determining the type and amount of incentives to provide to …

A Non-Specialist Depression Care Pathway For Adolescents Living With Hiv And Transitioning Into Adult Care In Peru: A Nested, Proof Of Concept Pilot Study, Jerome T. Galea, Carmen Contreras, Milagros Wong, Karen Ramos, Valentina Vargas, Hugo Sánchez, Renato A. Errea, Leonid Lecca, Molly F. Franke

Social Work Faculty Publications

Background: Adolescents living with HIV (ALWH) are disproportionally impacted by depression, experiencing worse HIV outcomes. Integrated depression and HIV care may support antiretroviral adherence. This study pilot tested for proof of concept a basic depression care pathway for ALWH to inform depression care integration with HIV services in Peru.

Methods: ALWH were screened for depression with the Patient Health Questionnaire-9 (PHQ-9). Participants with PHQ-9 scores of ⩾10 or suicidal ideation (SI) were eligible for Psychological First Aid (PFA) delivered by non-mental health specialists. Participants with PHQ-9 re-assessments of ⩾20 or SI were referred to specialized services.

Results: Twenty-eight (11 female, …

Identifying Barriers And Facilitators To Implementation Of Community-Based Tuberculosis Active Case Finding With Mobile X-Ray Units In Lima, Peru: A Re-Aim Evaluation, Courtney M. Yuen, Daniela Puma, Ana Karina Millones, Jerome T. Galea, Christine Tzelios, Roger I. Calderon, Meredith B. Brooks, Judith Jimenez, Carmen Contreras, Tim C. Nichols, Tom Nicholson, Leonid Lecca, Mercedes C. Becerra, Salmaan Keshavjee

Social Work Faculty Publications

Objectives: Identify barriers and facilitators to integrating community tuberculosis screening with mobile X-ray units into a health system.

Methods: Reach, effectiveness, adoption, implementation and maintenance evaluation.

Setting: 3-district region of Lima, Peru.

Participants: 63 899 people attended the mobile units from 7 February 2019 to 6 February 2020.

Interventions: Participants were screened by chest radiography, which was scored for abnormality by computer-aided detection. People with abnormal X-rays were evaluated clinically and by GeneXpert MTB/RIF (Xpert) sputum testing. People diagnosed with tuberculosis at the mobile unit were accompanied to health facilities for treatment initiation.

Primary and secondary outcome measures: Reach was …

Closing Delivery Gaps In The Treatment Of Tuberculosis Infection: Lessons From Implementation Research In Peru, Courtney M. Yuen, Ana Karina Millones, Daniela Puma, Judith Jimenez, Jerome T. Galea, Roger Calderon, Gabriela S. Pages, Meredith B. Brooks, Leonid Lecca, Tom Nicholson, Mercedes C. Becerra, Salmaan Keshavjee

Social Work Faculty Publications

Background: Targeted testing and treatment of TB infection to prevent disease is a pillar of TB elimination. Despite recent global commitments to greatly expand access to preventive treatment for TB infection, there remains a lack of research on how best to expand preventive treatment programs in settings with high TB burdens.

Methods: We conducted implementation research in Lima, Peru, around a multifaceted intervention to deliver TB preventive treatment to close contacts of all ages, health care workers, and people in congregate settings. Key interventions included use of the interferon gamma release assay (IGRA), specialist support for generalist physicians at primary-level …

Toward Patient-Centered Tuberculosis Preventive Treatment: Preferences For Regimens And Formulations In Lima, Peru, Courtney M. Yuen, Ana K. Millones, Jerome T. Galea, Daniela Puma, Judith Jimenez, Leonid Lecca, Mercedes C. Becerra, Salmaan Keshavjee

Social Work Faculty Publications

Background: To ensure patient-centered tuberculosis preventive treatment, it is important to consider factors that make it easier for patients to complete treatment. However, there is little published literature about patient preferences for different preventive treatment regimen options, particularly from countries with high tuberculosis burdens.

Methods: We conducted a qualitative research study using a framework analysis approach to understand tuberculosis preventive treatment preferences among household contacts. We conducted three focus group discussions with 16 members of families affected by tuberculosis in Lima, Peru. Participants were asked to vote for preferred preventive treatment regimens and discuss the reasons behind their choices. Coding …

Impact Of The Sars-Cov-2 Pandemic On Adolescents Living With Hiv In Lima, Peru, Renato A. Errea, Milagros Wong, Liz Senador, Alicia Ramos, Karen Ramos, Jerome T. Galea, Leonid Lecca, Hugo Sánchez, Carlos Benites, Molly F. Franke

Social Work Faculty Publications

Adolescents living with HIV (ALWH) have lower rates of virologic suppression and higher rates of immunologic decline compared to their older counterparts, potentially placing them at high-risk for developing severe SARS-CoV-2 disease. ALWH who are transitioning to adult care face additional challenges to remaining in care and adhering to treatment. In this special section we report the experiences of ALWH in the process of transitioning to adult HIV services during the COVID-19 pandemic. In first place, the government-mandated stay-at-home order has substantially limited access to full HIV care by restricting public transportation, HIV medication stock-outs, and the suspension of routine …

A Review Investigating The Relationship Between Cannabis Use And Adolescent Cognitive Functioning, Elena Cyrus, Makella S. Coudray, Sandra Kiplagat, Yandra Mariano, Ines Noel, Jerome T. Galea, Dexter Hadley, Jessy G. Dévieux, Eric Wagner

Social Work Faculty Publications

No abstract provided.

Parents Of Non-Binary Children: Stories Of Understanding And Support, Brooks Bull

Antioch University Dissertations & Theses

Parents of non-binary children undergo profound changes as they learn to first understand and then support their child. In order to provide family therapists with a foundation from which to work with these families, a thorough review of the literature is provided as well as a narrative research study. Chapter one provides an introduction to the topic of non-binary gender and transgender identities, defines the terms non-binary, transgender, and transsexual, and clarifies the conceptual frameworks at use in the dissertation: social constructionism and transfeminism. Chapter two is a review of peer-reviewed literature on therapy with children and adolescents who identify …

Relational Engagement At The Intersection Of Personal And Professional Identities: A Phenomenological Exploration Of The Experience Of Christian Therapists, Aaron Smith

Theses and Dissertations (Comprehensive)

Though Christian spirituality and therapeutic relationships are unique subjects, commonly found throughout literature pertaining to each topic is an emphasis on how people ought to approach and participate in relationship with one another. In other words, each subject represents a unique tradition of relational engagement. For therapists who practice Christian spirituality, it is possible, if not likely, that both traditions impact how they go about engaging with clients. Despite this, there is a lack of material exploring the experience of relational engagement when these traditions intersect. For this reason, I set out to explore what this experience is like for …

“We’Re More Than A Daycare”: Reported Roles And Settings For Early Childhood Professionals And Implications For Professionalizing The Field, Rachel E. Schachter, Qingyu Jiang, Shayne B. Piasta, Erin E. Flynn

School of Social Work Faculty Publications and Presentations

In the US, recent efforts have focused on professionalizing the field of early childhood. One way to indicate professionalism is through the terms used to describe both the field and the workers. However, few have examined how practitioners or researchers describe early childhood professionals’ work. Using multiple data sources and analytic strategies, we examined the ways that those working with young children described their role and setting, as well as how these were described in research and practitioner journals. “Teacher” was the preferred term for both journals and professionals, and terms for setting reflected traditional K-12 school structures. Professionals linked …

Who Is The Stranger Really? A Reluctant Autoethnography Of The Strange Situation Procedure, Tara Yazdani

Theses and Dissertations (Comprehensive)

This paper aims to review the cross-cultural application of attachment theory as a western model of thought and practice. That is, this research aimed to recognize and question how embedded attachment theory has become in programming and education within North American academic and practical arenas. In applying the Strange Situation Procedure (SSP) to a limited sample of Eritrean dyads, important considerations and questions arose regarding the cross-cultural application of this protocol. The aims of this research shifted toward further exploring these considerations and questions, due to the global COVID-19 pandemic. Specifically, the new research aim emphasized how to inform future …

Unpredictable Paths Into Care: Examining Hiv And Ms Care Relationships In Southern Ontario, Melissa Popiel

Theses and Dissertations (Comprehensive)

In Canada, we often speak of caring for others as more than a social obligation; it is part of how we conceptualize ourselves and our humanity. Family/friend relationships can become strained, however, when providing care and support for people with complex and unpredictable chronic episodic illnesses, here termed episodic care. Relational impacts may be understood as influences and impacts directly related to the relationship between the carer and family member/friend. The purpose of this study is to create a middle-range grounded theory of episodic caring based on the relational impacts of carers for people living with HIV and MS. …

Disclosing Mental Health: The Experience Of Post Secondary Students Transitioning Into A Career/Experiential Learning Environment, Jennifer Mei

Theses and Dissertations (Comprehensive)

The stigma associated with mental health and underrepresentation of students with disabilities in higher education is well documented (Barnard-Brak, Lechtenberger, and Tan 2010, p. 411). This presents a disclosure problem for post-secondary students with mental health challenges who are transitioning into a career or experiential learning environment. If students require workplace accommodations, they may find themselves faced with a decision to disclose mental health challenges to a faculty supervisor, career services practitioner or potential employer. Difficulties with mental health can be experienced because of a diagnosed mental health disability or be a symptom of another diagnosable disability.

The research begins …

An Examination Of Factors Associated With Lgbtq+ College Students' Adoption Of Post-Exposure Prophylaxis (Pep) As An Hiv Prevention Method, Shayna Forgetta

Electronic Theses and Dissertations, 2020-2023

Post-exposure prophylaxis (PEP) is an effective human immunodeficiency virus (HIV) prevention medication taken after exposure, yet it is not widely used in the lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) community. Understanding its acceptability is vital, given this population's increased risk for contracting HIV. Drawing from the Health Literacy Skills Framework and the Theory of Planned Behavior, this study provides an examination of PEP-related awareness and knowledge, as well as intention to request and use PEP. Using a cross-sectional survey design, a convenience sample of 131 LGBTQ+ college students from a Southeastern university was recruited through email and social media. …

Editorial Vol. 12 Issue 1, Kristy L. Archuleta, Sarah D. Asebedo

Journal of Financial Therapy

We have exciting news to share with you in the Editorial Vol. 12 Issue 1! First we have an upcoming special issue on Diversity, Inclusion, and Equity that is slated to be published in December 2022. Second, but for the first time in JFT history, we are officially transitioning editors. We are excited for the future of the Journal of Financial Therapy. We hope you enjoy this issue.

Perceptions Of A Partner's Spending And Saving Behavior And Financial Satisfaction, John Grable, Michelle Kruger, Jamie Lynn Byram, Eun Jin Kwak

Journal of Financial Therapy

The purpose of this study was multifaceted. The first purpose was to test a relatively new scale—the Spender-Saver Perception Scale (Kruger, 2019)—to determine if perceptions of one’s marriage or cohabitation partner’s spending and saving behavior can be used to describe the subjective financial satisfaction of the one making the appraisal. The second purpose was to determine in an exploratory manner whether perceptions of spending and saving differ by the gender of someone in a marital or committed cohabitating relationship. Data for the study were obtained from an online survey of 313 adults. Partner perceptions were evaluated using a scale developed …

Older Adults’ Life Satisfaction: The Roles Of Seeking Financial Advice And Personality Traits, Swarn Chatterjee, Lu Fan

Journal of Financial Therapy

This paper uses 1,237 respondents from the Health and Retirement Study dataset to examine the relationships among personality, financial advice-seeking, and life satisfaction of U.S. older adults. The results indicate that extraversion is negatively associated with seeking professional financial advice, while conscientiousness and openness were associated positively with seeking professional financial advice. Individuals with a neurotic personality trait were positively associated with seeking financial advice from families and friends. Additionally, seeking professional financial advice, and being extraverted and conscientious, were positively associated with life satisfaction among older adults. The implications for financial therapists and counselors include suggestions for implementation of …

Financial Anxiety Among Caregiving Parents Of Adult Children With A Substance Use Disorder, Rachel R. Tambling, Carissa D'Aniello, Beth Russell

Journal of Financial Therapy

Substance use is a growing concern in the United States, with widespread harms, including substantial costs to individuals, families, and societies, poor outcomes for the substance user, and deleterious impacts on the family and community. When a young adult develops a substance use disorder, a parent or other loved one often assumes a caregiving role, and experiences burdens associated with this role including impacts to emotional well-being and financial stability. The present study examined experiences of financial anxiety in a sample (n = 172) of caregivers of adults with a substance use disorder recruited from online and in person …

When Your Partner Cheats: Financial Infidelity In Committed Couples, Michael D. Mong, Hans Stadthagen, Kenji Noguchi, Michelle Jeanfreau

Journal of Financial Therapy

The present study evaluated the affective, behavioral, and cognitive responses of 203 participants who were queried about their romantic partners’ potential financial infidelity as well as their own. Results were analyzed through the lens of the ABC model (affect, behavior, cognition) and indicated that participants would be much more upset and less accepting if their romantic partner: filed for bankruptcy without their partner’s knowledge, gambled away money without telling their partner, lied to cover up a debt, kept a secret account, took out savings without consulting their partner, spent money on pornographic material without telling their partners, hid credit card …

Book Review: The Healthy Love And Money Way: How The Four Attachment Styles Impact Your Financial Well-Being, Renee L. Earwood, Brandon D. Ratzlaff

Journal of Financial Therapy

Book Review: The Healthy Love and Money Way: How the Four Attachment Styles Impact Your Financial Well-Being

Researcher Profile Interview: Ashley Lebaron-Black, Ashley Lebaron-Black

Journal of Financial Therapy

This profile features researcher, Dr. Ashley LeBaron-Black, from Brigham Young University.

Practitioner Profile Interview: Erika Wasserman, Erika Wasserman

Journal of Financial Therapy

This profile features Erika Wasserman, a financial therapist from Florida.

A Promising Approach In Home Visiting To Support Families Affected By Maternal Substance Use., Donna M. O'Malley, Danielle F. Chiang, Emily Siedlik, Katharine Ragon, Marcia Dutcher, Oneta Templeton

Manuscripts, Articles, Book Chapters and Other Papers

INTRODUCTION: Many factors influence women's use of alcohol and other drugs while pregnant and postpartum. Substance use impacts the maternal-child relationship during the critical neonatal period. The first days and months of human development lay the foundation for health and well-being across the lifespan, making this period an important window of opportunity to interrupt the transmission of trauma and stress to the next generation. Pregnant and postpartum women with a history of substance use require specialized support services.

METHODS: The Team for Infants Exposed to Substance abuse (TIES) Program provides a holistic, multi-disciplinary, community-based model to address the complex needs …

Editorial Vol. 12 Issue 2, Sarah D. Asebedo

Journal of Financial Therapy

This issue features the award-winning Best Paper from the Financial Therapy Association 2021 Annual Conference amongst other notable papers covering various topics including money and grief, attachment styles, money and sex, money scripts and investment advice, financial biases, and the connection between financial threat and health. Be sure to check out the book review of Silver Spoon Kids: How Successful Parents Raise Responsible Children, and the researcher and practitioner profiles introducing Dr. Derek J. Sensenig and Derek Hagen, respectively. We hope you enjoy this issue!

When Money Can’T Be Avoided: Helping Money Avoidant Widows Using The Changes And Grief Model (Fta Best Paper Award), Deb Finnegan Biever, Nipa Patel, Ashley Agnew, Daniel Kopp, Jodi Krausman, Megan A. Mccoy

Journal of Financial Therapy

Widows represent one of the fastest-growing demographics due to the global COVID-19 pandemic. Many widows also lost their family’s financial manager because more men hold the role of household financial manager. When their spouse dies, the widow can experience unhealthy attitudes towards finances and financial anxiety. The Changes and Grief Model for Financial Guidance pairs financial therapy techniques and inquiry methods, such as The Work of Byron Katie®, with the grief process and the change cycle. Using this model enables financial practitioners, mental health practitioners, and financial therapists to recognize the stage of grief the widow is experiencing and use …

The Budget And The Bedroom: Associations Between Financial Management Behaviors, Perceptions Of Economic Pressure, And Sexual Satisfaction, Matthew T. Saxey, Chelom E. Leavitt, Jeffrey P. Dew, Jeremy B. Yorgason, Erin K. Holmes, Ashley B. Lebaron-Black

Journal of Financial Therapy

Although money and sex are both salient to romantic relationships, previous literature has rarely examined the association between the two. In the current study, we evaluate associations between financial management behaviors, perceptions of economic pressure, and sexual satisfaction. We used nationally representative opposite-sex newlywed dyadic data (N = 1,447 couples) and an actor-partner interdependent structural equation model to test these associations. Results indicate that as financial therapists aid opposite-sex newlywed clients in their financial management, they may also be lessening perceptions of economic pressure. For wives, this lessening of perceptions of economic pressure may benefit husbands’ and wives’ sexual satisfaction. …

Practitioner Profile: An Interview With Derek Hagen, Derek Hagen

Journal of Financial Therapy

This profile features Derek Hagen, a practitioner from Minnesota.

Researcher Profile: An Interview With Derek J. Sensenig, Derek Sensenig

Journal of Financial Therapy

This profile features researcher, Dr. Derek J. Sensenig, from Encompass Advisory Services, LLC.

A Review Of "Silver Spoon Kids: How Successful Parents Raise Responsible Children", Marian Betz-Krulac

Journal of Financial Therapy

Book Review of "Silver Spoon Kids: How Successful Parents Raise Responsible Children"