Browsing by Author "Yerby, Lea"

Now showing 1 - 6 of 6
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    Associations Between Ethical Climate and Job Satisfaction Among Physical Therapists
    (University of Alabama Libraries, 2022) Cox, Christopher Paul; Higginbotham, John; University of Alabama Tuscaloosa
    Physical therapy requires clinicians to have interpersonal relationships with patients while managing productivity standards. Such dynamics demand special attention to rules, regulations, as well as personal and organizational ethics. If the organization's ethical climate is not in line with the clinician's, then stress may occur. Ethic stress is caused by related issues that are found in an organizational setting due to the emotional, physical, and psychosocial consequences of moral distress (Ulrich C, O'donnell et al.; 2007). Ultimately, ethic stress is induced by the organization's ethical climate(Ulrich C, O'donnell P, Taylor C, Farrar A, Danis M, & Grady C; 2007). Conse-quences of such stress may cause a decrease in job satisfaction(Ulrich C, O'donnell P, Taylor C, Farrar A, Danis M, & Grady C; 2007).Low job satisfaction is associated with increased stress and subsequent clinician illness, absenteeism, musculoskeletal injury, and burnout (Escriba-aguir, 2006., Hakanen, 2007., De Croon, 2004., Kivimaki, 2006. Vitell SJ, & Davis DL; 1990). The purpose of this study is to examine associations between ethics or ethical climate and job satisfaction of physical therapists. To date, there are no such studies in the literature.
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    Bringing Community and Academic Scholars Together to Facilitate and Conduct Authentic Community Based Participatory Research: Project UNITED
    (MDPI, 2016) Lewis, Dwight, Jr.; Yerby, Lea; Tucker, Melanie; Foster, Pamela Payne; Hamilton, Kara C.; Fifolt, Matthew M.; Hites, Lisle; Shreves, Mary Katherine; Page, Susan B.; Bissell, Kimberly L.; Lucky, Felecia L.; Higginbotham, John C.; University of Alabama Tuscaloosa; University of Alabama Birmingham
    Cultural competency, trust, and research literacy can affect the planning and implementation of sustainable community-based participatory research (CBPR). The purpose of this manuscript is to highlight: (1) the development of a CBPR pilot grant request for application; and (2) a comprehensive program supporting CBPR obesity-related grant proposals facilitated by activities designed to promote scholarly collaborations between academic researchers and the community. After a competitive application process, academic researchers and non-academic community leaders were selected to participate in activities where the final culminating project was the submission of a collaborative obesity-related CBPR grant application. Teams were comprised of a mix of academic researchers and non-academic community leaders, and each team submitted an application addressing obesity-disparities among rural predominantly African American communities in the US Deep South. Among four collaborative teams, three (75%) successfully submitted a grant application to fund an intervention addressing rural and minority obesity disparities. Among the three submitted grant applications, one was successfully funded by an internal CBPR grant, and another was funded by an institutional seed funding grant. Preliminary findings suggest that the collaborative activities were successful in developing productive scholarly relationships between researchers and community leaders. Future research will seek to understand the full-context of our findings.
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    Examining Specialty Healthcare Access in a Rural Population; Experiences from Oneida County, New York
    (University of Alabama Libraries, 2023) Burr, Makenna; Morales-Aleman, Mercedes
    There are multiple barriers and facilitators present for rural populations when accessing specialty healthcare. Telehealth can be a challenge depending on the population's internet access and comfort level with receiving care in this way. Distance and travel concerns can also be reasons for missing or rescheduling appointments or avoiding preventive medical appointments. When addressing older adult populations, there are also barriers to consider such as mobility concerns and lack of travel resources and assistance. This research delved deeper into a rural Upstate New York County and interviewed participants in a qualitative method to better understand the patient perspective of the challenges and advantages of specialty healthcare in older adult populations.
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    Geospatial Analysis of Predictor Factors in Early Intervention Autism Screenings in Alabama
    (University of Alabama Libraries, 2023) Dooley, Grace; Hay-HaYutcheon, Marcia
    Screening for autism is an important first step to accessing early intervention services (Scarpa, et. al 2013). Identifying what demographic populations are more likely to pass or fail screeners can provide more information on barriers to diagnoses and services. This study focused on demographic factors that are usually included when studying socioeconomic status. Access to healthcare services in Alabama has been found to be more difficult in rural areas (Croft, et. al 2016), however, autism has not been specifically studied in the state of Alabama. Data was collected for demographic factors (gender, race, county, age of screening and insurance type) in an ongoing MCHAT-R screening study for autism in partnership with the Alabama Early Intervention System. Data was analyzed using descriptive and predictive analyses. Medicaid and ALL Kids insurance holders were 2.5 times more like to have a failed MCHAT-R score. Race, gender, age of screening, and county type (rural/urban) were not predictors of a failed MCHAT-R. Findings on gender and race contrast the historical bias that exists in autism screenings. Rural and urban classifications were a limitation in this study, where county level data was collected instead of a more accurate descriptor of rurality at the zip code level. Medicaid being predictive of a failed screening reflects the need for better mental health services in the state, where currently every county is classified as a Mental Health Profession Shortage Area. This information is useful for policy makers in Alabama to understand areas in need of better funding for accessible autism services.
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    Informing Best Practice for the Comprehensive Community Dental Care of Adults with Developmental Disabilities: a Grounded Theory Study
    (University of Alabama Libraries, 2021) Tupea, Casey Renee; Morales-Aleman, Mercedes; University of Alabama Tuscaloosa
    Background: Dental care for the persons with Intellectual Disabilities/Developmental Disabilities (ID/DD) is an underdeveloped specialty within the field of Dental Healthcare. There are no consistent and agreed upon training or licensing guidelines. Patients with ID/DD are 13% less likely to receive a routine dental appointment one time per year compared to young adults without a disability. Further, patients’ negative experiences with dental care can affect the overall success of dental appointments and likelihood that the patient will engage in continuing care. To address this gap in the literature, this study sought to, take the first steps toward establishing a set of core competencies for a patient centered dental care provision among patients with DDs utilizing a grounded theory approachMethods and procedures: In 2020, semi-structured qualitative interviews were conducted with 13 dental care professionals including 8 Dentists and 5 Dental Hygienists. There were 6 female participants and 7 male participants. NVivo software was used to conduct thematic data analyses. A grounded theory research approach was utilized to integrate the findings into some preliminary theories. Outcomes and Results: Three main themes emerged from the analyses: Perceptions of dental care providers regarding best practices for inclusive practice: Techniques and provider characteristics; Barriers to inclusive practice and Facilitators to inclusive practice. Many of the participants had personal relationships with at least one person with developmental disabilities which influenced their decision to specialize in that type of dentistry. Providers mentioned empathy and patience as key qualities among those conducting comprehensive dental care in the community setting. Some of the significant barriers to comprehensive community care were the lack of formal education in patient centered ID/DD dental care provision, lack of practice preparation of dental providers, and a lack of dental funding. Conclusions and implications: Most providers had no formal knowledge of PCC and the majority of the clinicians interviewed had no formal training on the dental care of persons with DDs. Dental programs should increase the availability of training that facilitates PC community care for this population (e.g. sedation methods). More structured educational programs are needed in order for both medical and dental providers to feel better prepared for comprehensive care of persons with DDs in the community setting. Further, future research should examine the perspectives of ID/DD patients and their caregivers with regard to dental care to better address their specific needs.
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    Predicting COVID-19 Compliance Behaviors in College Students Using the Health Belief Model
    (University of Alabama Libraries, 2022) Thomas, Courtney J.; Bradley, Lilanta; University of Alabama Tuscaloosa
    Concerns of transmission of the COVID-19 virus through college students has been a concern since the beginning of the pandemic. The purpose of this study was to explore beliefs that influenced compliance behaviors among college students based on the health belief model. A survey was distributed to a convenient sample of students in a southern state using Qualtrics software and data was analyzed using SAS statistical software. The results showed that participants were compliant with COVID-19 regulations and that the HBM construct threat perception (perceived severity and susceptibility) was the strongest predictor of compliance. Gender, classification, and institution type were also significant predictors of compliance.