Browsing by Author "Fukui, Sadaaki"

Now showing 1 - 10 of 40
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    American Muslim Well-Being in the Era of Rising Islamophobia: Mediation Analysis of Muslim American Social Capital and Health
    (2023-04) Miller, Keith Matthew; Kondrat, David; Khaja, Khadija; Fukui, Sadaaki; Latham-Mintus, Kenzie
    This study aims to examine American Muslim well-being and social capital in the face of Islamophobia. Ecological frameworks and social capital theory were synthesized to provide an approach for research, analysis, and social work practice. A mediation analysis was conducted to test the mediating effect of cognitive social capital on the relationship between structural social capital and distress. The paths of structural social capital, cognitive social capital, and distress were conceptualized using the ecological framework of Berkman and colleagues. Special attention was paid to how experiences of Islamophobic discrimination affect cognitive social capital and distress. Structural social capital was operationalized as the number of active memberships in civic organizations; Cognitive social capital was operationalized as trust in major institutions such as schools and the local police and Distress was operationalized using the Kessler Distress Scale. It was hypothesized that an increase in structural social capital would show a decrease in distress with cognitive social capital mediating the path. Results showed that cognitive social capital mediates the relationship between structural social capital and distress. However, an inconsistent mediation was found where an increase in cognitive social capital shows a decrease in distress, but higher levels of structural social capital show an increase in distress. Lastly, the results of the analysis were interpreted to inform current interventions with the American Muslim community through a social work lens.
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    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.
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    Burnout and Self-Reported Quality of Care in Community Mental Health
    (2014) Salyers, Michelle P.; Fukui, Sadaaki; Rollins, Angela L.; Firmin, Ruth; Gearhart, Timothy; Noll, James P.; Williams, Stacy; Davis, C.J.
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    Burnout and self-reported quality of care in community mental health
    (Springer, 2015-01) Salyers, Michelle P.; Fukui, Sadaaki; Rollins, Angela L.; Firmin, Ruth; Gearhart, Timothy; Noll, James P.; Williams, Stacy; Davis, C.J.; Department of Psychology, School of Science
    Staff burnout is widely believed to be problematic in mental healthcare, but few studies have linked burnout directly with quality of care. The purpose of this study was to examine the relationship between burnout and a newly developed scale for quality of care in a sample of community mental health workers (N=113). The Self-Reported Quality of Care scale had three distinct factors (Client-Centered Care, General Work Conscientiousness, and Low Errors), with good internal consistency. Burnout, particularly personal accomplishment, and to a lesser extent depersonalization, were predictive of overall self-rated Quality of Care, over and above background variables.
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    Characteristics and Job Stressors Associated With Turnover and Turnover Intention Among Community Mental Health Providers
    (APA, 2020-03) Fukui, Sadaaki; Rollins, Angela L.; Salyers, Michelle P.; School of Social Work
    Objective: This study aimed to examine the provider characteristics and job stressors that are related to turnover intention and actual turnover among community mental health providers. Methods: Secondary analyses were conducted with data collected from 186 community mental health providers from two agencies. Self-reported provider characteristics, job stressors, and turnover intention data were collected with the baseline survey, and actual turnover data were obtained from the agencies 12 months later. Bivariate analyses were conducted to examine factors associated with each turnover variable. Results: Turnover intention and actual turnover were correlated, yet a distinct set of variables was associated with each outcome. Namely, job stressors were related to turnover intention, while provider characteristics were related to actual turnover. Conclusions: Given that both turnover intention and actual turnover have important implications for both providers and agencies, it is critical to consider differential factors associated with each.
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    A Coding System to Measure Elements of Shared Decision Making During Psychiatric Visits
    (2012-08) Salyers, Michelle P.; Matthias, Marianne S.; Fukui, Sadaaki; Holter, Mark C.; Collins, Linda; Rose, Nichole; Thompson, John; Coffman, Melinda; Torrey, William C.
    Objective: Shared decision making is widely recognized to facilitate effective health care. The purpose of this study was to assess the applicability and usefulness of a scale to measure the presence and extent of shared decision making in clinical decisions in psychiatric practice. Methods: A coding scheme assessing shared decision making in general medical settings was adapted to mental health settings, and a manual for using the scheme was created. Trained raters used the adapted scale to analyze 170 audio-recordings of medication check-up visits with either psychiatrists or nurse practitioners. The scale assessed the level of shared decision making based on the presence of nine specific elements. Interrater reliability was examined, and the frequency with which elements of shared decision making were observed was documented. The association between visit length and extent of shared decision making was also examined. Results: Interrater reliability among three raters on a subset of 20 recordings ranged from 67% to 100% agreement for the presence of each of the nine elements of shared decision making and 100% for the agreement between provider and consumer on decisions made. Of the 170 sessions, 128 (75%) included a clinical decision. Just over half of the decisions (53%) met minimum criteria for shared decision making. Shared decision making was not related to visit length after the analysis controlled for the complexity of the decision. Conclusions: The rating scale appears to reliably assess shared decision making in psychiatric practice and could be helpful for future research, training, and implementation efforts.
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    Cognitive and Affective Empathy as Indirect Paths Between Heterogeneous Depression Symptoms on Default Mode and Salience Network Connectivity in Adolescents
    (Springer, 2023) Winters, Drew E.; Pruitt, Patrick J.; Gambin, Malgorzata; Fukui, Sadaaki; Cyders, Melissa A.; Pierce, Barbara J.; Lay, Kathy; Damoiseaux, Jessica S.; School of Social Work
    Depression amongst adolescents is a prevalent disorder consisting of heterogeneous emotional and functional symptoms-often involving impairments in social domains such as empathy. Cognitive and affective components of empathy as well as their associated neural networks (default mode network for cognitive empathy and salience network for affective empathy) are affected by depression. Depression commonly onsets during adolescence, a critical period for brain development underlying empathy. However, the available research in this area conceptualizes depression as a homogenous construct, and thereby miss to represent the full spectrum of symptoms. The present study aims to extend previous literature by testing whether cognitive and affective empathy indirectly account for associations between brain network connectivity and heterogeneous depression symptoms in adolescents. Heterogeneous functional and emotional symptoms of depression were measured using the child depression inventory. Our results indicate that cognitive empathy mediates the association between default mode network functional connectivity and emotional symptoms of depression. More specifically, that adolescents with a stronger positive association between the default mode network and cognitive empathy show lower emotional depression symptoms. This finding highlights the importance of cognitive empathy in the relationship between brain function and depression symptoms, which may be an important consideration for existing models of depression in adolescents.
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    Combining Proration and Full Information Maximum Likelihood in Handling Missing Data in Likert Scale Items: A Hybrid Approach
    (2020-10-10) Wu, Wei; Gu, Fei; Fukui, Sadaaki
    This is example SAS code for a manuscript entitled “Combining Proration and Full Information Maximum Likelihood in Handling Missing Data in Likert Scale Items: A Hybrid Approach" coauthored by Wei Wu, Fei Gu, and Sadaaki Fukui.
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    The Comparative Effectiveness of a Model of Job Development versus Treatment as Usual
    (2018) Carlson, Linda; Smith, Galen; Rapp, Charles A.; Mariscal, E. Susana; Holter, Mark C.; Ko, Eunjeong; Kukla, Marina; Fukui, Sadaaki; School of Social Work
    Job development is critical to assisting people with serious disabilities to obtain jobs, but little is known about the actual methods that make job development effective. Using a post-only quasi-experimental design, this study examined the effects of the Conceptual Selling® method on the number of job development contacts and number of job placements. By controlling for employment specialists' characteristics (age, length of time in current position, years of human service experience, and years of business experience), the authors determined that the employment specialists trained in the Conceptual Selling® method had more job development contacts per employer, leading to more effective job placements for employers contacted, than the control group.
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    A Comparative Effectiveness Trial to Reduce Burnout and Improve Quality of Care
    (Springer, 2019-03) Salyers, Michelle P.; Garabrant, Jennifer M.; Luther, Lauren; Henry, Nancy; Fukui, Sadaaki; Shimp, Dawn; Wu, Wei; Gearhart, Tim; Morse, Gary; York, Mary M.; Rollins, Angela L.; Psychology, School of Science
    Clinician burnout is presumed to negatively impact healthcare quality; yet scant research has rigorously addressed this hypothesis. Using a mixed-methods, randomized, comparative effectiveness design, we tested two competing approaches to improve care—one addressing clinician burnout and the other addressing how clinicians interact with consumers—with 192 clinicians and 469 consumers at two community mental health centers. Although qualitative reports were promising, we found no comparative effectiveness for either intervention on burnout, patient-centered processes, or other outcomes. Discussion includes identifying ways to strengthen approaches to clinician burnout.