Graduating competent healthcare providers to meet increasing demands of the United States leads to interest in graduate health science student success. In this study, I explored the relationship between self-regulated learning strategies and licensing exam readiness among Doctor of Chiropractic students. Two research questions asked (1) how self-regulated learning strategies vary by gender and year of study, and (2) how self-regulated learning strategies relate to licensing exam readiness. One hundred thirty-three students from five chiropractic institutions were surveyed with questions from the Motivated Strategies for Learning Questionnaire (MSLQ) and exam readiness items. A series of t-tests, one-way analyses of variance, Kruskal-Wallis H tests, and ordinary least squares (OLS) regression addressed the research questions. Results indicated (1) self-regulated learning strategies do vary by gender and year of study, and (2) self-regulation is related to licensing exam readiness, particularly in Parts I and II of the exam. Chiropractic institutions and policymakers should focus efforts on introducing and reinforcing self-regulated learning strategies throughout the curriculum and explore licensing exam implications. Future research should continue expanding the literature on chiropractic education by considering actual licensing exam performance and determining appropriateness of the MSLQ for chiropractic students.

The purpose of this phenomenological study was to explore the lived experiences of adult first-generation students through their college journey. With a conceptual framework based on student involvement and social and cultural capital theories that contribute to student persistence, retention, and graduation, this study was guided by three research questions: (1) What were the expectations and motivations of adult first-generation students when pursuing postsecondary studies after the age of 25? (2) What were the main challenges experienced by this population during their journey through college? and (3) What strategies did these students use to cope with those challenges? Five first-generation participants who started or resumed their college careers when they were 27, 34, 47, and 50 years old were interviewed in-depth. Results indicated that all participants had to search for their inner strength to pursue higher education studies and required the support of their family and social network to succeed. As a result of their rich lived experiences, these adult first-generation students showed how their strong social and cultural capital enabled them to juggle family and work responsibilities and overcome the challenges of their college experiences.

Reports from the World Health Organization (WHO) indicate tremendous advancement in the fight against HIV/AIDS infection through prevention, provision of high-quality treatment options, and psychosocial services to infected and affected individuals and communities. However, there is still a considerable number of new infections occurring among children, especially in sub-Saharan Africa. Researchers highlight the benefits of HIV status disclosure to children. Yet, there is limited research concerning the ways counselors navigate the process of status disclosure to children with an HIV diagnosis. The purpose of this study was to examine the experiences of counselors regarding status disclosure to children living with HIV in Uganda, and to determine their self-identified training needs. I utilized a phenomenological qualitative research method and conducted individual interviews using a semi-structured interview protocol with 10 counselors from three HIV care centers in the central region of Uganda. Findings indicated six overarching themes including: (1) counselors' roles and responsibilities, (2) impact of age in the disclosure process, (3) motivations for disclosure, (4) challenges and barriers, (5) counselor preparations and trainings for disclosure, (6) and post-disclosure interventions. Study results highlight the critical role played by counselors during the HIV status disclosure process and the need for additional training and …

In this study, I examined the impact of child-centered play therapy (CCPT) on the social and emotional functioning and mindful expressions of preschoolers in Head Start preschool programs. Participants were 23 children from two Head Start preschool programs in the southwestern U.S. who qualified for free or reduced lunch and were referred by school personnel for behavioral or academic concerns (18 males, 5 females; ages 3-5, mean age = 3.74). The sample consisted of 1 (4.3%) African American, 5 (21.7%) Caucasian, 14 (60.9%) Latino, and 3 (13%) multiracial children. Participants were randomly assigned to eight weeks of twice-weekly CCPT experimental groups (n = 11) or a waitlist control group (n = 12). Results of the independent samples t-tests revealed statistically significant improvement in preschool children's empathy and responsibility for children who participated in CCPT on the Social Emotional Assets and Resiliency Scale for Preschool. Practically significant findings revealed that CCPT may influence specific mindful expressions including curiosity and openness as well as overall social-emotional competence, emotional knowledge and expression, and empathy and responsibility in Head Start preschool children. Results of this study support the effectiveness of CCPT with disadvantaged preschool children.

Vietnam currently faces a social skills deficit among college graduates. This lack of sufficient social skills significantly affects Vietnam's economy where it is one of the main factors that drives higher unemployment in Vietnam. Research has shown that although social skills have been increasingly perceived by employers as one of the most important factors for graduate employability and career success, the absence of social skills training in colleges and universities have caused graduates to be ill-prepared for the workplace, which lead to dissatisfactions among employers and complications when seeking for potential hires in Vietnam. Therefore, this study aims to examine and compare perceptions of Vietnamese college graduates and employers on graduates' social skill performance. Given the objectives of this study, an online survey was distributed to potential participants across Ho Chi Minh City, Vietnam. Analysis of the responses not only demonstrated a disconnect of perceptions between employers and newly hired graduates (NHGs) on how these two groups rated graduates' performance of interpersonal skills but also revealed a mismatch in the perceptions of the comparing groups on how they perceive the importance of social skills in graduate employment. As a result, it is recommended that Vietnam need to promote and support …

This study aimed at filling in the gap in the literature by examining the organizational identity (OI) of a group of private not-for-profit liberal arts colleges (LACs) and their change and/or stability over time. The OIs were investigated by employing a qualitative content analysis for the strategic plans of eleven LACs over time. The selected colleges represented the distinctive characteristics of a LAC though they have made a critical organizational change by adding vocational programs to their curriculum. Findings indicated that the colleges have developed more complex dynamic OIs over time where both change and stability were interacting. Internal and external pressures shaped the organizational identities of the colleges. The colleges could remain some of their distinctive features while other markers of distinctiveness were less pronounced. OI, as a means to combine insights from the classic and new versions of institutional theory, could offer a fruitful link between the normative and the intraorganizational elements of this theory.

In the U.S., an estimated 61 million people identify as having a disability, making up 26% of all adults. The occurrence of a disability for one person within a couple impacts the physical, social, psychological, and emotional state of the person who acquired a disability, forcing changes to quality of life. Interabled couples, defined as one partner having a physical disability and the other partner identifying as nondisabled, navigate various systems of care as they respond to the needs of the partner with the disability. Emotionally focused therapy (EFT) has shown benefits in reducing relationship stress and increasing security within couples. In this study, the researcher explored the experiences of 10 EFT therapists who served at least one interabled couple in couple therapy. Participants completed a semi-structured interview designed to explore how EFT therapists make sense of their lived experiences serving interabled couples. The researcher utilized interpretative phenomenological analysis to understand how EFT therapists made meaning from their experiences serving interabled couples. Findings included four super-ordinate themes that emerged from the data including (a) ableism, (b) self-of-the-therapist, (c) relationship dynamics of interabled couples, and (d) the "fit" of EFT approach with interabled couples. The themes demonstrate a need to further …

Administrators and coaches in universities and colleges have focused on their students' moral development since the beginning of the higher education system. Students who participate in sports activities have acknowledged that they develop many life skills, including ethical behaviors, that can translate to non-sport environments, such as the classroom. Students who participate in organized sports programs in college often acknowledge their coach as a significant source of their development, due to the amount of time athletes and coaches spend with each other. Recently, instances of cheating have become widespread throughout American higher education. In this dissertation, I seek to evaluate the role that coaches, and overall sports participation has on the development of students' ethical behaviors both within sports and outside of the sport environment. I conducted three quantitative studies to evaluate the role that coaches play in the development of ethical behaviors in sports (as measured through sportsmanship), the similarities and differences in sportsmanship between participation in varsity or club sports, and the role that sports participation has on self-reported instances of cheating. I find that coaching behaviors that instill sportsmanship behaviors are similar to behaviors identified in youth sports and that the coaching behaviors are more predictive of …

Foster care alumni are a unique subset of college students who enter post-secondary education having faced significant socio-economic challenges and emotional trauma. These students often understand how attending post-secondary education can help create a more stable life. However, the graduation of this population is extremely low. The purpose of this qualitative study was to understand formerly fostered youths' perspectives of the needs and stressors students face while attending post-secondary education. Specifically, the researcher wanted to understand what characteristics influence former foster care youth to enroll in college and what characteristics help former foster care youth persist in higher education until graduation. The study utilized both student departure theory and resilience theory to frame each research question conceptually. The results illuminated the resilience of former fostered youth attending post-secondary education and their characteristics for continued enrollment.

The demands on teachers have been further amplified both personal and professional in response to the COVID-19 pandemic, the level of stress teachers face is unsustainable. Stress can have negative outcomes for the teacher student relationship. Increasing teachers' social-emotional competence can lead to a more supportive classroom environment and improved teacher and student outcomes. Researchers have determined mindfulness-based interventions are conducive to increasing teachers' social-emotional competence. School counselors can assist and equip teachers with these vital skills through consultation services. To date, there are no studies that investigate the effects of a combined mindfulness and social-emotional learning-based school counselor consultation approach. In this study, I sought to explore the results of that approach. Teacher participants reported their racial identity as 22% Black (n = 7), 46% Caucasian (n = 15), 25% Hispanic (n = 8), 3% multi-racial (n = 1), and 3% Asian (n = 1) and self-reported gender as follows 38% male (n = 12) and 62% female (n = 20). Participants received 5 weeks of a combined mindfulness and social-emotional learning school counselor consultation. Results of hierarchical linear regressions revealed statistically significant improvement in the mindfulness disposition of acting with awareness, and practical significance of decreased perceived stress …

Professional counseling associations and ethical accrediting bodies mandate that counseling programs, counselor educators, and leaders in the counseling field uphold a commitment to the recruitment, employment, and retention of ethnically and culturally diverse faculty. Despite written standards and growth in the profession, faculty of color in counselor education programs continue to be significantly underrepresented at the assistant professor, associate professor, and full professor ranks. Additionally, the overall percentage of faculty of color decreases as academic rank increases, which suggests issues related to retention and promotion. Mentorship has been recommended as an important and necessary strategy to retain and promote historically marginalized people. However, little is known about how mentoring is used as a retention strategy for faculty of color in counselor education. The purpose of this phenomenological study was to examine the perspectives of faculty of color in counselor education programs accredited by CACREP, and their perception of mentorship, retention, and promotion. The primary researcher utilized a social constructivism paradigm, transcendental phenomenological approach, and responsive interviewing approach to semi-structured interviews. Fifteen participants employed at CACREP-accredited universities across the U.S. participated in this study. Four major themes were identified: perception of cultural climate, structural elements of mentorship, perceptions of mentorship experiences, …

The purpose of this research was to determine what preferences exist for full- and part-time community college faculty for institutional communication and if institutional communication predicts faculty perception of an academic integrity culture. The sample is nationally representative, consisting of institutional representation from five of the six accreditation regions nationally, a relativity equal distribution of three Carnegie Classifications (higher career & technical, high transfer, and mixed transfer/career & technical) and three Census Bureau defined population areas (urbanized area, urban cluster, and rural area). The survey, completed by 328 faculty from eight community colleges, was a modified version of three widely used instruments: the International Center for Academic Integrity Academic Integrity Faculty Survey, the International Communication Association Audit, and the Organizational Communication Development Audit Questionnaire. Chi-square, independent samples t-test, and hierarchical regression analysis were each used to explore the relationship between the perception of communication, channels of communication, and perceived culture of academic integrity. The results suggest that face-to-face and electronic communication channels are both preferred channels of communication among full- and part-time faculty and that the communication through these two channels is predictive and interactional. In collaboration with a positive perception of communication, both worked to predict a perceived culture …

This study aimed to explore the ability to capture the theoretical constructs of Adlerian crucial Cs (capable, connect, count, and courage) through creation of a self-report instrument for children. After following a four-phase process to develop the Crucial Cs Self Report (CCSR), including use of an expert panel, field reviews, preliminary testing, and final administration, the researcher utilized a series of exploratory factor analyses to explore the internal factor structure and relationships between items and resulting factors. The final EFA sample consisted of 112 children between the ages of 8 and 12 years recruited from various settings including three elementary schools, two mental health counseling clinics, and one private practice mental health agency. Exploratory factor analysis revealed a three-factor structure with 14 items. Refined model identified three factors later named count/significance, connect/belonging, and capable/striving. This initial exploration into the constructs of the Crucial Cs provides increased understanding of the widely used concepts. Further exploration and validation of the CCSR can help support parents and teachers in their efforts to foster healthy development of children as well as allow professionals and researchers to conceptualize progress and measure effectiveness of counseling intervention more accurately.

Undocumented students in the United States continue to face unique barriers to postsecondary success. One way that community colleges and 4-year institutions are providing support for undocumented students is establishing undocumented student resource centers (USRCs). These emerging identity-based centers are dedicated spaces of support and provide customized, comprehensive resources for undocumented college students. A multipronged theoretical framework that included undocu-competence, the institutionalization process, and critical theory, was used as a lens to examine how USRC professionals and affiliates understand the development, role, and function of a USRC on a California community college campus. Qualitative single case study methods, including in-depth semistructured interviews, observations, and document analysis, were utilized to meet the purpose of the study. The findings revealed three primary themes. First, the institutionalization process of the USRC at the center of this study was complex, imperfect, and ongoing. Second, there are strengths and limitations respective to the USRC's capacity to operationalize support and safety. Finally, the compounded impact of the current socio-political moment cannot be evaded with respect to the USRC's function. Subsequently, three primary points of discussion are explored, including critiquing the process of USRC institutionalization, complicating the notion of safe spaces on campuses, and calling for inside-outside …

The purpose of this transcendental phenomenological inquiry was to explore the experiences of adoptive parents who have Black transracially adopted children. More specifically, I sought to understand how the parents perceived their child's cultural and racial identity development and how they perceived the child-parent relationship. Therefore, I used the cultural-racial identity model created for transracial adoptees as a theoretical framework to answer the following questions: What are Black transracially adoptive parents' perceptions of their child's racial/cultural identity development? What are Black transracially adoptive parents' perceptions of the parent-child relationship? Upon approval from the Institutional Review Board, six transracially adoptive parents with Black transracially adopted children participated in this study. Participants engaged in a 60-minute interview that was transcribed and coded to develop themes consistent with other participants. There were six themes identified from the data: (a) experience of the child-parent relationship, (b) impact of trauma, (c) becoming a transracially adoptive parent, (d) cultural, racial, ethnic, identity development process (CREID), (e) encounters with microaggressions, and (f) cultural socialization practices. Implications and conclusions drawn from the themes were identified for transracially adoptive parents, counselors, counselor education programs, and transracial adoption researchers to inform culturally responsive practices when working within the adoption kinship …

The purpose of this participatory action research study was to explore queer womxn of color's experiences of microaggressions in therapy. Due to the multifaceted and complex experiences of queer womxn of color, this study was informed by intersectionality theory and utilized photovoice methodology to answer the following question: How do queer womxn of color experience microaggressions in therapy? The seven queer womxn of color who participated in this study provided vivid, honest, and courageous portrayals of their experience of microaggressions in therapy. Six major themes were prominent in their photographs and narratives: (a) collective and pervasive experiences of oppression, (b) therapy as a tool of oppression, (c) impact of oppression in therapy, (d) strategies for survival, (e) healing for queer womxn of color, and (f) the power of sharing mi historia. Overall, co-researchers provided insight into their experiences of oppression in therapy, while highlighting clinical and research practices that may be healing and liberatory for queer womxn of color. Additionally, implications and conclusions drawn from the experiences of co-researchers provide recommendations for mental health professionals, educational programs, and researchers to consider when working with queer womxn of color.

The purpose of this transcendental phenomenological study was to explore Black transgender men's experiences navigating systems of racism and transphobia. To this end, I utilized a critical race theory and intersectionality theory framework to answer the following question: What are Black transgender men's experiences with power, privilege, and oppression? The ten Black transgender men and transmasculine people who participated in this study provided detailed and moving accounts of their experiences with systems of oppression. Six major themes were prominent throughout participant narratives: (1) developing an empowered view of self, (2) navigating double consciousness, (3) having a target on your back, (4) strategies of resilience, (5) culture of silence, and (6) finding quality care. Overall, participants offered insight and keen awareness of their intersecting racial and gender identities, as well as speaking intimately about how the shift from societal perceptions and identification as a Black woman to a Black man impacted their sense of self and views of the world. Additionally, implications and conclusions drawn from the stories of participants offer recommendations for counselors, mental health professionals, practitioners, and programs to consider implementing to provide culturally responsive and competent care to Black transgender men.

This study sought to observe the trends in physical therapy faculty members over time and to understand how those trends correlated with changes in program outcomes. Accreditation data from 231 programs between 2008 and 2017 was used in a panel analysis using fixed effects and random effects models to estimate the effects that faculty characteristics, program characteristics, and program budgets have on graduation rates, first-time licensure examination pass rates, and the percentage of graduates of color that a program produced. Results show that for a 1% increase in faculty time devoted to scholarship, a program could expect graduation rates to rise by 0.17%. For a one percentage point increase in grant-funded faculty, a program could expect a 1.7% increase in graduation rates. Results also indicated a negative linear relationship between the number of publications and graduation rates. First-time licensure exam pass rates had an association with different variables. For a 1% increase in part-time faculty, a program could expect a 6.4% decline in first-time licensure examination pass rates. Similarly, a 1% increase in tenured faculty was associated with a 1.2% decline in first-time licensure examination pass rates. A 1% increase in faculty of color was associated with an increase in …

In this qualitative study, I explored the lived experiences of eight early childhood educators implementing a play-based teacher professional development intervention, child teacher relationship training (CTRT), in an affluent Christian based preschool. Through the building of relationships, CTRT provided the teachers a person-centered approach to develop skills to establish relationships and to attend to the intentional emotional and relational development of young children. The research questions addressed the impact on teachers with children exhibiting challenging behaviors utilizing CTRT experienced before, during, and after the implementation of the play-based consultation intervention. Thematic analysis of the pre-intervention interviews, observation journals, reflexive journal, and post-intervention interviews revealed two clusters and seven distinct themes. The first cluster described the learning experiences of teachers while implementing CTRT with four identified themes: (a) changes in their views about children; (b) changes in their views about their personal abilities and performance; (c) a deeper understanding of theory (Reggio Emilia and CTRT); and (d) teacher skill development. The second cluster concerned the impact of CTRT before, during, and after the implementation of CTRT with three identified themes: (a) relationships; (b) support systems; and (c) the transfer of CTRT skills outside the classroom. The emerging themes indicated that the …

This non-experimental field study examined the relationship between participant reported experiences of relational depth (RD) with their individual counselors in substance use disorder (SUD) treatment and participant reported motivation to change substance use. Participants in the study were clients enrolled in inpatient and outpatient levels of substance use disorder treatment. A total of 78 clients (aged 18-77, with mean age 35.97, 80.1% Caucasian, 11.5% African-American, 3.8% Hispanic, 1.3% Asian, 1.3% multiracial, 1.3% other) with SUDs participated in the study. Results demonstrated that treatment process variables explained approximately 42% of the variance in participant recognition scores. Specifically, substance abuse community support involvement (β = .598, rs2 = .908, p < .001) and relational depth (β = .184, rs2 = .178, p = .045) were found to be significant predictors of participant recognition of a substance use problem. From these results, one may tentatively conclude that community support and the development of relational depth in SUD treatment are valuable additions to standard SUD treatment. Extended results are described and summarized using text, tables, and figures. The study has practical and clinical implications for counselors working with clients in substance use disorder treatment particularly concerning the length of individual counseling.

Adverse childhood experiences (ACEs) are a certain set of abuse household dysfunction experiences that many children in the United States experience. Children who experience multiple ACEs are more likely to have negative mental and physical health issues as they grow older. These outcomes include ADHD, depression, cancer, heart disease, and early death. In this study, I examined the effectiveness of child centered play therapy (CCPT), a developmentally appropriate treatment modality, with children who have experienced two or more ACEs and who are also demonstrating inattention and impulsivity symptoms. Participants were 34 students from five Title 1 elementary schools in the southwest United States (28 males and 6 females; age range 5-8 years old with a mean age of 6.12). In the sample, participants were comprised of 29.4% African American (n = 10), 38.2% Caucasian (n = 13), 17.6% Hispanic/Latino (n = 6), and 14.7% identified as biracial (n = 5). Participants were randomly assigned to a treatment group that received 16 CCPT 30-minute sessions twice a week (n = 17) or a waitlist control group (n = 17) that received treatment at the conclusion of the study. Using a factorial ANOVA, results indicated statistically significant improvement of CCPT treatment group …

Business and higher education are two different worlds with different missions, values and priorities. Privatized student housing partnerships have brought these two worlds together with little information on how they work and the challenges they face. Research indicated that through collaboration, skilled leadership and an understanding of students, healthy relationships could exist. The purpose of this study was to provide awareness of these existing partnerships and the current perceptions from leaders from both higher education and business working within present collaborations. It sought to uncover and bring awareness to the challenges experienced in order to create a dialogue around them. Feedback obtained from 30 professionals working within public-private partnerships from both the business and higher education worlds provided insight into existing perceptions and challenges. Semi-structured interviews where utilized and customized using eight open-ended questions that were different for each group. A purposeful sampling approach was used to select the participants based on their existing partnership with a privatized student housing company. Out of the thirty participants, twenty were chief officers within higher education and ten business officers. Analysis of the thirty interviews depicted three major themes: the two worlds: business and higher education, the bridge: leader of the village and …

The purpose of this study was to explore the role and impact of adventure therapy (AT) on student development and to identify the greatest challenges to the implementation of AT in schools. The Delphi method was used to generate consensus of opinion within a group of experts in the field of adventure therapy and school counseling. Purposive sampling was used to identify the members of the expert panel and the definition of consensus was set at 80% for each item. Content and descriptive analysis were used to develop representative statements from participant responses between rounds. Ten Caucasian respondents, 6 men and 4 women, having met at least one of the expert criteria for the study, completed three rounds of participation which resulted in the attainment of consensus on 36 items addressing the role of adventure therapy in school counseling and the impact of AT in the areas of academic/career and social/emotional development. Twelve challenges to the implementation of AT in schools were identified and put in rank order. According to the results, experts believe adventure therapy has the greatest impact on social connectedness, problem solving, and student engagement in schools. Access to appropriate training in AT, administrative support, and funding …

The purpose of this study was to better understand student learning in asynchronous computer-conference discourse (ASD) for non-native speakers of English in India through the Community of Inquiry (COI) framework. The study looked at ASD from an online course taught in the fall of 2015 to 25 students in a seminary in South India. All but one of the students were non-native speakers of English. The class consisted of 22 men and 3 women. Eight students spoke languages from the Dravidian family of languages (Malayalam, Tamil, Telegu and Kannada). Eight students were from the Northeastern states of Manipur, Nagaland and Tripura, where most languages are from the Sino-Tibetan family. Three students were native speakers of Indo-Aryan languages (Odiya and Assamese). Five students were from Myanmar representing several Sino-Tibetan languages. The COI is a framework used to understand learning in ASD, often used in online learning. To study the ASD of this group, critical discourse analysis (CDA) was used with the COI to capture the unique socio-cultural and linguistic conditions of this group. The study revealed that non-native speakers of English often reach the Exploration phase of learning but rarely show evidence of reaching the Resolution phase. This phenomenon was also …