Improving Actigraphy Specificity to Better Inform Insomnia Diagnosis and Treatment Decisions

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Accurate assessment of sleep-wake patterns is important for sleep researchers and clinicians. Actigraphs are low-cost, non-intrusive, wrist-worn activity detectors used to estimate sleep-wake patterns in a natural environment for several nights. Although actigraphy shows good sensitivity (sleep detection), it has consistently demonstrated poor specificity (wakefulness detection while lying in bed relatively motionless). Because insomnia is characterized by wakefulness in bed, actigraphy may not be a valid objective measure of wakefulness for this group. It is possible that refinement of actigraphy software settings for sleep/wake algorithms might improve specificity. The current studies investigated this hypothesis by comparing wake parameters from 48 combinations of actigraphy settings to determine which sleep/wake algorithms best inform insomnia diagnosis and treatment. In the first study, none of the 48 actigraphy setting combinations consistently discriminated between adults with insomnia (n = 69) and non-insomnia (n = 80) on all three wake parameters, and no setting clearly discriminated between groups for the composite variable, total wake time. Similarly, in the second study, no setting combinations consistently discriminated between adults treated for insomnia (n = 18) and controls with untreated insomnia (n = 26) on all three wake parameters. Although two setting combinations discriminated between groups for the composite …
Date: August 2019
Creator: Francetich, Jade Marie
System: The UNT Digital Library

The Effects of the IAM Workshop on Preservice Teachers' Perceptions and Attitudes on Integrating Art and Mathematics In Saudi Arabia

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This mixed-methods dissertation used an explanatory sequential design to examine art and mathematics preservice teachers' perceptions and attitudes towards integrating art and mathematics (IAM) after an IAM workshop. The conceptual framework of this study has its basis in three theoretical sources: constructivism, multiple intelligence theory, and semiotics. Each of these sources provides a conceptual lens to examine art integration in the curriculum and the teacher's role in facilitating this instructional process. Participants of this study included two sub-groups at a large university in Saudi Arabia. The first sub-group was preservice teachers of art education. The second sub-group was preservice teachers of mathematics. Quantitative and qualitative results indicated that the IAM workshop had positive impacts on art and mathematics preservice teachers' attitudes and perceptions of IAM. Participants attributed more value to art, were more willing to apply IAM, and felt that there was less barriers for applying IAM. The study also indicated differences between art and mathematics preservice teachers' attitudes towards IAM. The differences were due more to art value than willingness or barriers. After the IAM workshop, mathematics preservice teachers put more emphasis on the importance of art to mathematics, especially with respect to making mathematics a more enjoyable subject.
Date: August 2019
Creator: Mereie, Iman Ali
System: The UNT Digital Library

Modeling Marijuana Use Willingness and Problems as a Function of Social Rejection and Social Anxiety

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Marijuana is the second most commonly used substance in the US. A growing literature suggests that socially anxious individuals use marijuana to manage their symptoms in social situations, which may explain why they are also more likely to experience problems. Unfortunately, the majority of the literature is based on research conducted with adult samples or the co-occurrence of diagnoses in adolescent samples. The proposed study sought to test the link between social anxiety (SA) and proxies for ‘real-time' marijuana use behaviors (i.e., use willingness) as well as use-related problems among adolescents. Participants were 69 adolescents (15-17; 55% female) recruited from the community reporting any lifetime marijuana use. Participants were randomly assigned to a novel social rejection or neutral laboratory task and completed measures of SA, marijuana use frequency, and related problems. Consistent with adult findings, main effects of SA and experimental condition on marijuana use willingness were expected to be qualified by an interaction in which the greatest marijuana use willingness would occur among high SA youth post-rejection (H1), SA would be positively related to marijuana use problems (H2), and among adolescents in the rejection condition, marijuana use willingness would be positively correlated with use problems (H3). Only H2 was …
Date: May 2019
Creator: Cloutier, Renee
System: The UNT Digital Library

Independence of Mania and Depression across 4 Years in Bipolar Disorder

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If mania and depression are part of the same pathological processes, one would predict that episodes of one prospectively increase the odds of episodes of the other. The aim of the present study was to test this hypothesis. For comparison purposes, their relationship was contrasted to the relationship between mania and periods of psychosis. Exploratory analyses also tested the degree to which episodes of each occur with greater frequency over time (i.e., kindling). Participants for the present study came from the Suffolk County Mental Health Project (N = 628), a study of first-admission patients with psychosis. Of these participants, 144 met diagnostic criteria for bipolar I disorder and were analyzed for the current study. Results indicated that mania in a given month predicted depression the following month, even after controlling for other symptoms. The reverse, however, was not the case. Mania and psychosis, in contrast, were found to be robust predictors of one another from month to month. Effects were not due to treatment or demographic differences. These findings provide evidence that mania and depression are weakly related. In contrast, mania and psychosis are more closely linked. Findings are consistent with suggestions that psychiatric nosology regroup mania more closely with …
Date: May 2019
Creator: Bennett, Charles B.
System: The UNT Digital Library

Decision Making in Alternative Modes of Transportation: Two Essays on Ridesharing and Self-Driving Vehicles

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This manuscript includes an investigation of decision making in alternative modes of transportation in order to understand consumers' decision in different contexts. In essay 1 of this study, the motives for participation in situated ridesharing is investigated. The study proposes a theoretical model that includes economic benefits, time benefits, transportation anxiety, trust, and reciprocity either as direct antecedents of ridesharing participation intention, or mediated through attitude towards ridesharing. Essay 2 of this study, focuses on self-driving vehicles as one of the recent innovations in transportation industry. Using a survey approach, the study develops a conceptual model of consumers' anticipated motives. Both essays use partial least square- structural equation modeling for assessing the proposed theoretical models.
Date: May 2019
Creator: Amirkiaee, Seyede Yasaman
System: The UNT Digital Library

An Exploration of Professional Training and Professional Practice: Title IX Administrators and Meaning Making

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Federal law requires institutions to designate campus-based administrators to oversee Title IX processes and investigations, but little is known about how these have been professionally prepared for their roles. The purpose of this study was to understand the professional preparation, educational experiences, and professional training of Title IX administrators and to understand their independence in decision-making in those roles. This study utilized qualitative content analysis and a social constructionist approach to analyze data generated from interviews and document analysis. Sixteen current and former Title IX administrators (investigators, deputy coordinators, coordinators) provided their perspectives on their professional training and development. Using frameworks of work/professional socialization and professions theory, findings illustrated complex systems for knowledge acquisition, professional preparation, and professional socialization based on factors including resources, institutional context, and role prioritization. Participants' formal education, formative experiences, position-specific training, and professional organizations training all served as preparation for their roles. Discussion focused on implications for graduate programs, training and trainers, institutions and supervisors, the field of higher education, and current Title IX practitioners regarding professional preparation for these roles.
Date: December 2019
Creator: Razo, Demesia
System: The UNT Digital Library