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Browsing by Author "Fortney, Sarah K."
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Item Hope and Optimism as Predictors of Academic Performance and Subjective Well-Being in College Students(Elsevier, 2020-07) Rand, Kevin L.; Shanahan, Mackenzie L.; Fischer, Ian C.; Fortney, Sarah K.; Psychology, School of ScienceObjective Snyder's (1994) hope and Scheier and Carver's (1985) optimism have been shown to independently predict academic performance and changes in subjective well-being. This study seeks to clarify their unique associations. Method An undergraduate class (N = 334, 59.6% female, 75.7% Caucasian, M = 19.89 years) was studied at two time points in a semester. Students predicted their expected grade in the course and completed measures of hope, optimism, and subjective well-being (i.e., positive affect, negative affect, and life satisfaction) the first week of classes. The final week of classes, students completed subjective well-being measures and final grades were obtained from the instructor. Results Path analysis showed that hope, but not optimism, predicted grade expectancy. Grade expectancy, in turn, predicted final grades, even after controlling for previous academic achievement. Hope did not directly predict final course grade, but had a significant indirect effect through grade expectancy. Path analysis showed that hope significantly predicted increases in positive affect and life satisfaction over the semester; whereas, optimism predicted decreases in negative affect. Conclusion These findings extend previous research demonstrating that hope and optimism, while conceptually similar, have differential longitudinal associations with academic performance and subjective well-being among college students. Implications for screening for at-risk college students and employing targeted interventions are discussed.Item Patients’ and caregivers’ perspectives on healthcare navigation in Central Indiana, USA after brain injury(Wiley, 2022-05) Eliacin, Johanne; Fortney, Sarah K.; Rattray, Nicholas A.; Kean, Jacob; Psychiatry, School of MedicineLittle research has documented the experiences of patients with traumatic brain injury (TBI) and their caregivers in navigating health systems for TBI care. In this qualitative study, we conducted semi-structured interviews with 62 participants (34 patients with moderate or severe TBI and 28 caregivers) from Central Indiana. Data were collected from January to September 2016 and analysed using a constructivist grounded theory approach. Participants discussed three significant challenges about navigating health services for TBI care: lack of support for care navigation, financial barriers, and communication barriers. Participants described how navigating outpatient healthcare services for TBI remains complex and emphasised the need for ongoing care navigation support throughout the care continuum. They detailed the long-term financial burden of TBI including high treatment costs, limited insurance coverage, and the emotional toll that financial stress has on their ability to navigate healthcare services for ongoing TBI-related needs. They also discussed how ineffective patient–provider communication and lack of reliable, timely and comprehensive health information about TBI limited their engagement in and navigation of TBI health services. Findings suggest that persons with TBI and their caregivers need ongoing support to manage the long-term impacts of TBI. Efforts to provide care coordination and navigation to patients with TBI and their families are urgently needed to facilitate greater access to care, effective healthcare navigation and improved health outcomes.