Elizabeth Heather Modeling 192

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Tommye Hope

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Jul 15, 2024, 5:41:52 AM7/15/24
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I aim to translate my research into policies that encourage appropriate use of treatments and technology. I do this through complex quantitative methods of analyzing large, population-based data, and through mathematical modeling, using decision and cost-effectiveness analysis. I also use qualitative methods to explore physician and patient decision-making experiences. With this unique, multimethod approach, I aim to identify and evaluate the health and economic implications of socioeconomic and geographic variations in healthcare use and adoption and the diffusion of new healthcare interventions.

Elizabeth Heather Modeling 192


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My research centers combines field work, GIS, and ecologial modeling to explore questions related to urban ecosystems. To this end, my research interests are highly interdisciplinary, integrating the natural and social sciences to understand human-environment interactions with a particular focus on the utilization of spatial models and analysis techniques to better understand the relationships between urban human well-being, biodiversity, ecosystem structure and function, and land use. Through this research I seek to identify fundamental aspects of urban social-ecological systems that can effectively be applied to produce cities that support both environmental functioning and human quality-of-life.

Using confirmatory factor analysis and multi-faceted Rasch modeling, the researcher found that the measure demonstrated reliable model fit and was invariant across a grouping variable designed to examine the relationship of the number of marginalized identities and social support. The 3-factor model fit indices indicated that the model had an excellent fit (χ2 (374) = 833.77, p< .001, RMSEA = 0.069, CFI = 0.911, AIC = 955.77) and the factor loadings were all above the .70 cutoff, whereas the 1-factor model indices did not meet either of the suggested fit indices thresholds (χ2 (378) = 3057.51, p < .001, RMSEA= 0.165, CFI = 0.472, AIC = 3171.51). The results were further supported by running a χ2 difference test (χ2 (4) = 2223.74, p < .001). MFRM results indicated that there was not a significant difference between the groups in logit position for the family factor (χ2 (2) = 4.8, p = .09, SD = .07, Separation = 1.23, Strata = 1.97, Reliability = .60) or the friend/classmate factor (χ2 (2) = 4.6, p = .10, SD = .04, Separation = .64, Strata = 1.19, Reliability = .29). However, there was a significant difference between the groups for the faculty factor (χ2 (2) = 7.1, p = .03, SD = .07, Separation = 1.24, Strata = 1.98, Reliability = .60).

Background. Communication campaigns offer a viable mechanism to promote suicide prevention and reinforce mental health for U.S. veterans in midlife, a group with a high suicide burden. However, little empirical investigation of this type of messaging has been conducted, with formative campaign research conspicuously missing from the limited literature. Aims. Using the theory of planned behavior as a guide, formative research was conducted to inform the design of suicide prevention messaging by (a) describing and measuring several theoretical constructs among our audience and (b) modeling associations between constructs and intentions to seek help for suicidal behaviors and mental health more broadly. Methods. Telephone-based cross-sectional surveys were collected between 2014 and 2016 from a nationally representative sample of veterans with analyses restricted to those aged between 44 and 65 years (n = 809). Multiple logistic regression was used to identify significant factors associated with intentions to seek help for either suicidal behaviors or mental health. Results. Perceived behavioral control was one of the largest predictors of intentions to seek help for both suicidal behaviors and mental health concerns. Descriptive norms were also significantly associated with suicide-related intentions. Data further suggest several types of attitudes (i.e., discordant beliefs, stereotypes) to consider when designing messages for this group. Discussion. This study represents one of the first efforts to document and describe theoretical constructs and their influence on intentions among veterans in midlife to contribute to the development of evidence-based messaging for veterans informed by a conceptual framework. Conclusion. Findings have important implications as the use of communication strategies for suicide prevention grows increasingly popular.

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