Browsing by Author "Pike, Cathy K."

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    DEVELOPMENT AND VALIDATION OF THE ACCULTURATIVE STRESS SCALE FOR CHINESE COLLEGE STUDENTS IN THE UNITED STATES (ASSCS)
    (2012-12-21) Bai, Jieru; Adamek, Margaret E.; Pike, Cathy K.; Daley, James G.; Rand, Kevin L.; Chan, Cecilia L. W.
    Chinese students are the biggest ethnic group of international students in the United States. Previous studies have identified many unique problems of Chinese students during their acculturation process and a higher level of acculturative stress than international students from other countries. A systematic review of instruments that assess acculturative stress revealed that none of the existing scales apply to Chinese students in the United States, either because of language issues or validity problems. Thus, this study aims to develop a reliable and valid scale to accurately measure the acculturative stress of Chinese students in the United States. A 72-item pool was generated by interviewing eight Chinese students and borrowing items from existing literature and scales. The item pool was sent online to 607 Chinese students and 267 of them completed the survey. Exploratory Factor Analysis was conducted to empirically derive the factor structure of the Acculturative Stress Scale for Chinese Students (ASSCS). The results produced a 32-item scale in five dimensions, which were Language Insufficiency, Social Isolation, Perceived Discrimination, Academic Pressure, and Guilt toward Family. The ASSCS demonstrated high reliability (Cronbach’s alpha = 0.939) and initial validity by predicting depression (Beta = 0.490, p<.001) and life satisfaction (Beta = -0.505, p<.001). It was the first Chinese scale of acculturative stress developed and validated among a Chinese student sample in the United States. Further studies need to be conducted to provide empirical support and confirm the validity for the scale. In the future, the scale can be used as diagnosing tool and self-assessment tool.
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    Gregory Research Beliefs Scale: Factor Structure and Psychometric Properties
    (2009-06-23T21:31:07Z) Gregory, Virgil L., Jr; Pike, Cathy K.; Adamek, Margaret E.; Kim, Hea-Won; Appleby, Drew C.
    GREGORY RESEARCH BELIEFS SCALE: FACTOR STRUCTURE AND PSYCHOMETRIC PROPERTIES The study at hand involves developing the Gregory Research Beliefs Scale (GRBS) to reliably and validly measure social work students’ beliefs about the function of research in social work practice. Research has considerable actual and potential benefits for practice. Social work students’ beliefs about this construct are vital. A description of the advantages of using research to inform practice is given. Additionally, the Council on Social Work Education and National Association of Social Workers’ policies that mandate the merger of research and practice are also provided to further justify the need for adequate psychometric evaluation of the construct. Details of the literature search strategy are described and critical evaluations of the empirical articles are conducted. Based on critical evaluations of instruments which have previously measured the same construct, a number of psychometric shortcomings are outlined to validate the need for further scale development of the construct. The present study’s objectives were to develop a scale which has an empirically and theoretically supported factor structure, acceptable coefficient alpha levels, empirically supported discriminant (divergent) validity, concurrent criterion validity, and known–groups criterion validity. Steps for developing the GRBS’s items, response format, sample, research design, and statistical tests are specified and conducted to determine the factor structure and psychometric properties. Finally, the strengths, limitations, and areas for future research are discussed.
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    RACIAL DISPARITIES IN SELF REPORTED HEALTH AND HEALTH CARE UTILIZATION. DOES PRIMARY CARE MATTER?
    (2012-10-29) Deka, Ankita; Adamek, Margaret E.; Pike, Cathy K.; Lay, Kathy; Wright, Eric R.; Vernon, Robert, 1947-
    A significant body of literature has accumulated in the last decade that provides evidence of the growing health care disparities among racial and ethnic groups in the United States. The literature suggests that Black adults share a disproportionate burden in death, disability, and disease. In 2002, the Institute of Medicine report, Unequal Treatment, showed that racial-ethnic disparities in health cannot be entirely attributed to problems of health care access, clinical performance, or patients’ personal characteristics. Many studies have shown that institutional and individual level discrimination that Blacks face in the health care system impacts their health status. This study used secondary data analysis to examine how primary care experience impacts self-reported health status and health care utilization among Black adults. Data were from the Medical Expenditure Panel Survey (MEPS) implemented by the Agency for Healthcare Research and Quality (AHRQ). Specifically, MEPS Panel 10 (2005-2006) and Panel 11 (2006-2007) data were used in the analyses. The final sample comprised of N=15,295 respondents ages 18 and over. Logistic regression analyses were carried out using Stata Statistical Software, version 11. The study results reflect the disparities among Blacks and Whites on self-reported health and health care utilization. Blacks were 15% less likely to report good health status compared to Whites and had 0.11 less expected office-based doctor visits. Respondents who had better primary care experience had 0.05 times higher expected office-based doctor visits than respondents who did not have good primary care experience. Health care Social Workers should advocate for structural changes in health policy that will take into account the historical marginalization and contemporary inequities that continue to encompass the lives of many Black Americans.