Browsing by Author "Adamek, Margaret E."
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Item Adolescents with Cancer: Social Support, Family Environment, and Coping(2010-08-05T19:07:04Z) Decker, Carol L.; Daley, James G.; Adamek, Margaret E.; Black, Carolyn; Haase, Joan E.Research has shown that adolescents with cancer (AWC) face treatment that is complex, invasive, and onerous. Coming during a time with major developmental changes, it brings the potential of making high demands on the coping capacity of these adolescents. Using the theoretical frameworks of stress and coping, life-span development and Haase's (1996) Adolescent Resilience Model (ARM), this study explored the influences of social support and family environment on coping for AWC.Item Bennett Expansion to the International Trauma Questionnaire: Results of Thematic Analysis and Psychometric Testing(2024-08) Bennett, Lindsay Michelle; Pierce, Barbara J.; Adamek, Margaret E.; Fukui, Sadaaki; Bigatti, Silvia M.Complex Post Traumatic Stress Disorder (C-PTSD) is distinct from Post Traumatic Stress Disorder based on genesis of trauma type leading to disorder and resulting symptomatology. Currently, C-PTSD is not included as an official diagnosis in American mental healthcare systems but is recognized worldwide by the International Classification of Diseases. Lack of awareness and recognition of this disorder has resulted in few behavioral health scales available to evaluate symptoms experienced by survivors of complex trauma. This study is a mixed methods approach to scale development and builds on the International Trauma Questionnaire (ITQ). This ITQ is currently available to the public as a brief diagnostic tool for C-PTSD. In this study, thematic analysis was used following qualitative interviews to generate items for the Bennett-Expansion to the International Trauma Questionnaire. Themes emerged from qualitative analysis of affect regulation, physical symptoms, self-concept, interpersonal relationships, systemic influence and injustice and contextual triggers. These themes and codes provided language to capture C-PTSD symptoms more robustly. Results of exploratory factor analysis show six subscales named “Self-concept and interpersonal relationships,” “PTSD symptoms,” “Self-awareness,” “Physical symptoms,” “Affect regulation,” and “Conflict avoidance”. Internal consistency ranged from “acceptable” to “very good” in the subscales, with the total scale being “very good”. The BE-ITQ could be used in therapeutic practice to evaluate the efficacy of interventions with populations experiencing C-PTSD.Item Cancer: The Lived Experience of the Older Adult(2010-08-05T18:46:41Z) Pentz, Marty; Adamek, Margaret E.; Barton, William H., 1949-; Moller, David Wendell; Chang, Valerie NashHalf of those who are diagnosed with cancer in any given year are over age 65. Approximately 3.1 million males and 2.3 million females over age 65 became ill with cancer in 2000. The purpose of this study was to investigate the psychosocial experience of the older adult with cancer to enable social workers to better serve this population. It is not clear from previous research whether their lived experience in adapting to cancer is different from that of younger persons. Thirteen older adults with cancer were interviewed in-depth along with a focus group of three oncology social workers.Item Challenges and Assets of Older Adults in Sub-Saharan Africa: Perspectives of Gerontology Scholars(Taylor & Francis, 2022) Adamek, Margaret E.; Gebremariam Kotecho, Messay; Chane, Samson; Gebeyaw, Getachew; School of Social WorkLife expectancy is increasing globally, with the biggest gains expected in sub-Saharan Africa. Using an online survey, we investigated the perspectives of gerontology scholars on the challenges of aging in sub-Saharan Africa as well as the assets of older adults. Respondents (n = 72) from 17 countries, primarily in Africa, and representing 16 disciplines, identified the top issues facing African older adults as: poverty, lack of trained geriatric professionals, food insecurity, disability/health issues, and long-term care. Older adults' unique strengths were noted as indigenous knowledge systems, being holders of cultural heritage, and their contributions to development. Respondents' biggest concerns about older adults in sub-Saharan Africa were the lack of government attention to aging issues (63%) and a lack of social services targeted to older adults' needs (57%). Government funding (77.8%) and international partnerships (38.9%) were noted as resources needed to support aging research in sub-Saharan Africa. The response or non-response of governments in sub-Saharan Africa will determine whether the growing number of older adults will increasingly experience unmet needs and whether their assets will be considered in development efforts. Establishing professional networks of gerontology scholars in the region will help to document the challenges faced by older adults, to plan for the coming demographic shift, and to empower older adults to thrive as valued community members.Item Child Abuse Prevention By Home Visitors: A Study of Outstanding Home Visitors Using Mixed Methods(2010-03-03T17:32:01Z) Schaefer, Jaylene Krieg; Adamek, Margaret E.; Hostetter, Carol; Folaron, Gail M.; McBride, Angela BarronChild abuse remains a serious health problem in the U.S. Yet, there are preventative programs that can significantly improve the parenting experienced by very young children and result in lower incidence of maltreatment. Home visitation is the most prevalent and successful form of primary prevention. These programs are staffed by home visitors who empower parents and are the lynchpin of home visitation programs. What makes some home visitors excel at this work is the focus of this research. A small, non-random, purposive sample of excellent home visitors and their administrators was used to learn about the personal characteristics of outstanding home visitors. The mixed methods design of this research included qualitative interviews, home visiting situational vignettes, and quantitative tests of personality attributes. The results indicated that this group of outstanding home visitors possessed important similarities. First, the home visitors were effective at forming and maintaining empathic relationships. The variables that facilitate the formation of the therapeutic relationships between home visitor and client include: (a) “good enough empathy” (need not be extraordinarily empathic but at least averagely so), (b) positive regard (showing respect to the families and recognizing that the parent is the expert on their child), and (c) congruence. Secondly, the home visitors possessed self-awareness allowing for reflective practice and forming and maintaining better client relationships. Thirdly, the excellent home visitors possessed an attitude of lifelong learning. Fourthly, the home visitors strongly believed in the ability of their clients to change. This was accomplished by focusing on client strengths. Finally, in order for the home visitors to assist parents in therapeutic change, they had a belief in and understanding of systems theory and the impact that the environment can or has had on those clients. Without an ecological approach, home visitors are likely to blame the families with which they work for their unfortunate situations such as poverty. Each of the five characteristics can be taught and improved, but entrenched beliefs are less easily manipulated. The five characteristics are ordered with the first (effective at forming relationships) the most amenable to change and the last (an ecological approach) the least.Item Child labor: a critical discourse analysis(2016-03-23) Karikari, Isaac; Khaja, Khadija; Adamek, Margaret E.; Reza, Hasan; Seybold, PeterChild labor is a complex global phenomenon. Though poverty is widely accepted as the primary cause of child labor, there are many dimensions of the phenomenon that still remain to be explored. Very little attention has been given to the policies that drive efforts to address child labor and how they are framed. Of particular interest is how we determine who is a child, and the notions of childhood underpinning these policies. Less attention has been given to the relationships and power dynamics underlying the policy-making process that surrounds this discourse. A qualitative method, namely, critical discourse analysis (CDA) was used to examine the discursive construction of children and childhood in child labor discourse. Underlying power dynamics through the analysis of diverse child labor-related policies at the global (ILO), regional (OAU/AU), sub-regional (ECOWAS), global/sub-regional (Harkin-Engel Protocol), and local (Ghana) levels was explored. Findings revealed that homogenized and hegemonic trends are visible in child labor discourse. While the ILO's discourse on child labor was either reproduced or referenced in the other policies, there was generally a homogenized definition of children based on Western social constructions and views of children. Child labor policies were not fully cognizant or sensitive to local constructions and conceptions of how we define children and what we determine are appropriate roles at various ages. In particular reference to Ghana, the Government of Ghana's child labor policies did not reflect the sociological and cultural realities of the nation. Findings of the study also suggest that for some organizations and countries, especially in the Global South, political and economic considerations influenced whose voices were included in child labor policy creation. Critical discourse implications for social work education, policy analysis, practice and research are discussed.Item Death Attitudes Among Middle-Aged Koreans: Role of End-of-Life Care Planning and Death Experiences(Sage, 2018-01) Hong, Michin; Hong, Seunghye; Adamek, Margaret E.; Kim, Mee Hye; School of Social WorkThe purpose of this study was to examine factors affecting death attitudes among middle-aged Koreans. In addition, the study explored the interaction effect between knowledge about end-of-life care planning and the experience of death of family or friends on death attitudes. The sample was obtained from a national survey with middle-aged adults in South Korea (n = 2,026). Multivariate regression analysis revealed significant main effects and an interaction effect between knowledge about end-of-life care planning and the experience of death on death attitudes. Greater knowledge of end-of-life care planning was associated with more positive attitudes toward death; however, the effect was stronger for those who had not experienced the death of family or friends. Being older and having greater life satisfaction were also associated with more positive attitudes toward death. This study suggests that end-of-life education can help middle-aged adults embrace the final stage of life and prepare for their own death.Item Decolonizing Benevolence: Can Faith Leaders Move the Mark Toward Equity to Create an Alternative to the White Savior Complex?(2024-05) Anglade, Anita Jean; Badertscher, Katherine; Konrath, Sara; Adamek, Margaret E.; Hayes, Cleveland; Hall, TedThis ethnographic research project identifies and explores the limiting ideology of the White Savior Complex to open pathways to develop and promote improved practices at individual, relational, and organizational levels. This qualitative research advances the narratives on how organizational leaders can identify, recognize, and dismantle systems of oppression by decolonizing benevolence assistance to individuals and communities seeking philanthropic support. Faith leaders were interviewed from two separate case study sites, both located in a midwestern city. This dissertation examines some of the language, themes, and conceptual frameworks behind how leaders can dismantle White Supremacy and hierarchical power structures in Christian benevolence assistance. By using grounded theory, this project contributes to scholarship on the development of new tools and strategies for how leaders undo racism, promote justice, and co-create equitable practices. At the individual level, findings suggest WSC is not unique to those who identify as White. Whiteness is a mindset that prescribes to toxic ideologies that reinforce power differentials. BIPOC can also find themselves maintaining hierarchical helping relationships that reinforce toxic charitable models. Racial deconstruction requires the development of new paradigms, ideas, and language. Transformative leaders must commit to the continuous development of critical consciousness by challenging dominant norms and power structures. At a relational level, findings suggest leaders are not bound to a role, therefore, transformational leaders must be willing to move outside of hierarchical structures to consciously shift and share power with others. Collaborative approaches to social service delivery, such as collaborative notetaking, can enhance ways to build trust and transparency. Effective liberatory leadership also requires an intersectional lens, which looks at people as individuals and uses person-centered language. At an organizational level, findings suggest the mission and values can compete with economic value. Organizational support networks build collective wisdom, rather than relying on one person to be a “savior.” Liberatory practices require intersectional analysis that trickles up and down power structures. The results of the study contributed to the development of a model that can be used as best practices for decolonizing work across all levels. This research adds to both theory and practice for scholars and practitioners.Item Deliberate Self-Harm in Young Children(2020-08) Lewis, Lisa McConnell; Adamek, Margaret E.; Vernon, Robert; Aalsma, Matthew C.; Walton, BettyWhile deliberate self-harm (DSH) in adolescents and adults has been established as a reliable predictor of future suicidal behavior and attempts, whether the same is true for younger children has rarely been studied. Two separate articles will address issues regarding intentional self-injury in young children. The first identified describes the demographic profile of young children who engage in NSSI and evaluated whether predictors of adolescent NSSI are also associated with NSSI in children. The second manuscript analyzed NSSI behaviors to see if they can be correctly predicted from knowledge of a child's history of maltreatment to identify which trauma variables are central in prediction of NSSI status. A Chi-square and logistic regression were run on data from 16,271 records of children ages 5-9 years who received services from the IDMHA in 2018. NSSI was significantly (p < .000) associated with trauma history (x2 = 75.54, df = 1), anxiety (x2 = 107.59, df = 1), depression (x2 = 217.011, df = 1), suicide risk (x2= 993, df = 1), and impulsivity (x2 = 122.49, df = 1. Presence of a caregiver mental health problem (x2 =38.29, df = 1), age (x2 = 14.18, df = 4), being male (x2 = 11.59, df = 1), and being Caucasian (x2 = 23.29, df = 6) at p < .05. Regression results indicated the overall model of seven predictors (sexual abuse [OR 1.14], physical abuse [OR 1.26], emotional abuse [OR1.3], neglect [OR .895], medical trauma [OR 1.34], exposure to natural disaster [OR 1.81] and victim of a crime [1.14] was statistically reliable in distinguishing between children who self-injure and those who do not. [-2 Log Likelihood = 6228.78, x2(6) = 105.416, p < .000]. NSSI does occur in preadolescent children and while there is some indication that the risk factors and co-variates are like those of adolescents, there are some differences which need further study. Training clinicians to inquire about self-injury during assessment of younger children is a simple step. The variables of age and sex throughout development as well as identifying protective as well as risk factors with children should be studied.Item Developing the organizational competencies to promote American elders' civic engagement(2017-07-28) Chen, Haiping; Adamek, Margaret E.; Gentle-Genitty, Carolyn S.; Huber, Lesa L.; Vernon, Robert, 1947-The U.S. is now experiencing an unprecedented growth in its older population. In order to reduce the adverse effects of population aging, older adults’ civic engagement has been a recent focus in the field of aging. A considerable body of literature has documented the significance, current status, positive outcomes, and influencing factors of American elders’ civic engagement. However, there are very few studies, if any, that adopt an organizational competency perspective to explore the promotion of older adults’ participation in civic activities. To fill the current research gap, the dissertation aims to help formal organizations identify and develop necessary competencies to better engage American elders through two inquiries. The first inquiry is a mixed methods systematic literature review which included 19 quantitative studies, two qualitative studies, and one mixed methods study. Through meta-summary, six themes and 28 factors related to American elders’ civic engagement were generated. These themes encompassed socio-demographic factors (eight factors), health status (four factors), program characteristics (four factors), engagement opportunities (three factors), engagement outcomes (five factors), and social capital (four factors). Formal organizations are advised to develop relevant competencies to capture the beneficial influences of facilitating factors and minimize the adverse impact of obstructive factors. The second inquiry aims to develop and validate an Organizational Competency Scale (OCS) for elder civic engagement programs. 32 formal organizations and pertinent programs in the State of Texas participated in the pilot study. Factor analyses of the data collected from these organizations revealed a seven-factor solution for the OCS. These factors included client discovery with support, client-centered planning and management, client assessment and training, integration of diverse groups, promotion of adaptation between groups, integration of resources to address the structural constraints, and promotion of social recognition and social justice. As a reliable and valid scale, the OCS can serve as both an assessment tool and practice guidelines for formal organizations to evaluate and develop their competencies to increase American elders’ civic engagement.