http://repository.arizona.edu:80 The DSpace digital repository system captures, stores, indexes, preserves, and distributes digital research material. 2026-03-13T12:58:11Z http://hdl.handle.net/10150/679762 Family Systems and Family Relationships: Family Subsystems Across Diverse Families Curran, Melissa A.; Li, Xiaomin; Russell, Luke T.; Kopystynska, Olena We examine family systems and family relationships. Using family systems theory (Cox & Paley, 1997, 2003; Minuchin, 1985), we focus on how families are viewed as a hierarchically organized system, comprised of smaller relationships (i.e., subsystems) such as parent–child relationships, embedded within larger systems such as extended families and their broader social ties. We organized the discussion of subsystems as follows: (a) Core subsystems, including relationships of romantic partners, coparenting alliance, parent–children, and siblings; and (b) Subsystems with broader social ties, in the form of extended family and/or intergenerational ties, including coparenting alliances in post-divorce or foster families as well as parents and parents-in-law relationships. We also consider these various subsystems within and across diverse families and family contexts, attending to aspects of gender, family structures, income, sexual orientation, race/ethnicity, cultures, and national origins. We end with suggestions for future research (e.g., combining the lenses of family systems with intersectionality). 2026-02-09T00:00:00Z http://hdl.handle.net/10150/679761 Tracking the burden, distribution, and impact of Post-COVID conditions in diverse populations for children, adolescents, and adults (Track PCC): passive and active surveillance protocols Jones, Resa M.; Andrews, Jennifer G.; Dalton, Alexandra F.; Dixon, Brian E.; Dzomba, Bari J.; Fernando, Shane I.; Pogreba-Brown, Kristen M.; Ortiz, Miguel Reina; Sharma, Vinita; Simmons, Nicole; Saydah, Sharon H.; Slen, Joshua; Smith, Lillian; McComack, Joanna; McCullough, Mac; Young, Brian; Arora, Megha Khatri; Epstein, Rebekah; Figueroa, Ralph; Mahotiere, Terry; Miller, Kathryn; Barrett, Lori; Dahlquist, McKenna; Busch, Dolores; Edinger, Tracy; Garcia, Pablo; Gibson, Richard; Hallvik, Sara; Sim, Emily; Flessner, Christian; Forsythe, Navina; Johnson, Maria; McLelland, Ryan; Sorenson, Joseph; Ayllon, Fatima; Feiler, Marina Oktapodas; Fukuhara, Matthew; Mishkin, Aaron; Phan, Thanh T. D.; Rajaeebaygi, Mehdi; Sinha, Radhika; Turella, John; Wang, Weiting; Wiedefeld, Lucie; Yucel, Recai; Robinson, Susan; Benavides, Argelia; Bessey, Kate; Brady, Shane; Catalfamo, Collin; Carr, Dametreea; Collins, Clancey; Cordova-Marks, Felina; Ernst, Kacey; Farland, Leslie; Gracia-Filion, Pamela; Frost, Scott; Heslin, Kelly; Jacobs, Elizabeth; Lauro, Priscilla; Nuno, Velia; Pettygrove, Sydney; Pilling, Vern; Robinson, Susan; Shilen, Alexandra; Subbian, Vignesh; Grannis, Shaun; Allen, Katie; Buelow, Lauren; Buck, Aaron; Duszynski, Tom; Fadel, William; Franks, Zamal; Griffith, Ashley; Myers, Laura J.; Price, John; Wiensch, Ashley; Xu, Hiping; Agedew, Abe; Edwards, Deja; Koumas, Emily; Slaughter, Douglas; Sullivan, Elizabeth; Wyche, Tracy; Brinkley, Jason; Brummer, Tana; Desale, Sameer; Devlin, Rebecca; Harpole, Charles; Hunt, Danielle Rentz; Jeddy, Zuha; Poe, Brandon; Pickett, Steve; Sewell, Erica; Sokol, Brian; Stein, Karen; Thomas, Joseph Background: Track PCC includes five geographic surveillance sites to conduct standardized population-based surveillance to estimate and track Post-COVID Conditions (PCC) by age, sex, race/ethnicity, geographic area, severity of initial infection, and risk factors among persons with evidence of SARS-CoV-2 infection (based on the Council of State and Territorial Epidemiologist [CSTE] case definitions for confirmed cases or laboratory-confirmed evidence of infection). Methods: The study will estimate the incidence, prevalence, including temporal trends, and duration and severity of PCC symptoms, among children, adolescents, and adults. PCCs include a broad range of symptoms and conditions that continue or develop after acute SARS-CoV-2 infection or COVID-19 illness. Surveillance includes both passive and active components for diverse populations in Arizona, Indiana, and Utah as well as the Bronx Borough, NY, and part of Philadelphia County, PA. Passive surveillance will utilize electronic health records and health information exchanges within each site catchment area to longitudinally follow persons with COVID-19 to estimate PCC occurring at least 30 days after acute COVID-19 illness. Active surveillance will utilize self-report of PCCs from detailed surveys of persons ages 7 years and older with evidence of SARS-CoV-2 infection in the past 3 months. Respondents will complete follow-up surveys at 6-, 12- and 18-months post-infection. Discussion: These data can help identify which groups are most affected by PCC, and what health differences among demographic groups exist, as well as indicate potential barriers to care. These additional levels of granularity can inform public health action and help direct needed clinical care for patients. 2024-08-29T00:00:00Z http://hdl.handle.net/10150/679760 BEST PRACTICE RECOMMENDATIONS TO REDUCE COMMUNICATION DIFFICULTIES IN HEALTHCARE FOR DEAF PATIENTS Wesson, Stella This thesis explores research on deaf patients and how they view their experiences in a hospital setting and proposes evidence based recommendations for interventions such as providing interpretation accommodations and education to healthcare professionals. Over 50 million people in the United States have a hearing disability where people are either hard of hearing or completely deaf (James et al., 2022). Evidence based recommendations enable healthcare professionals to provide patients with the highest quality of care. The recommendations for caring for deaf patients include providing proper interpretation accommodations upon admission to the hospital and throughout all aspects of care to ensure effective communication and understanding. Additional recommendations call for the implementation of an electronic order set to create a structured outline to follow during care and incentivizing the continuing education of providers and nurses to become familiar with American sign language. These interventions aim to increase patient satisfaction and understanding and decrease the communication gap deaf populations struggle with within the healthcare field. The final chapter includes the implementation proposal using the Plan-Do-Study-Act cycle to evaluate and refine the intervention. Nurses should remain committed to continuing educational efforts by staying current on research to provide the greatest care for all patients. 2025-01-01T00:00:00Z http://hdl.handle.net/10150/679759 A Review and Policy Analysis of the Causes and Impact of the Lack of Medical Research for Minority Groups Weaver, Symone Olivia Medical practices are backed by research to guarantee that patients receive the best care possible to get better. This research is found through clinical trials and require human participants in many cases to see how to best treat patients. The majority of participants in clinical trials do not represent all skin tones and economic classes. This leads to inaccurate results and poor treatment of diverse patients. It is known that people who participate in clinical trials have better health outcomes because more is known about how to treat them. It is unfair to minority groups who do not feel comfortable participating in research and who are unable to due to external circumstances. There have been policies put in place to combat this problem by requiring clinical trials to include women and minority groups, but it does not rectify the issues that are prohibiting these groups from volunteering. A lack of trust in healthcare workers that has built up over time from past experiences needs to be addressed. There are also cultural and language barriers that may not be understood. A literature review and policy analysis has been conducted in order to better understand the barriers surrounding the lack of diversity in clinical trials as well as ways to improve diversity. 2025-01-01T00:00:00Z