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Examining Cognitive Functioning and Digital Technology Engagement
Full text linkUsing technology to complete instrumental activities of daily living (T-IADLs) reflects adaptive technology use, while absentminded smartphone use (AMSU) reflects maladaptive technology use. Examining the link between cognitive functioning and distinct forms of technology use can inform clinical strategies for optimizing technology use for individuals with cognitive difficulties and assist in digital design recommendations that align with diverse cognitive needs. This study examined associations between cognitive functioning (objective and subjective) and distinct forms of technology behaviors (T-IADLs and AMSU) within a sample of 93 adults (Mage = 52.6, SD = 16.93; 62% female) recruited from neuropsychology private practice clinics in the Pacific Northwest. The moderating effects of age and affective distress on the relationship between cognitive functioning and technology behaviors were also explored.Consistent with hypotheses, subjective cognitive concern (SCC) predicted higher difficulty completing T-IADLs (b = -0.32, SE = 0.11, p \u3c .01), and AMSU (b = 0.33, SE = 0.11, p \u3c .01). Objective cognitive performance did not predict ICT behaviors. However, higher memory functioning predicted higher AMSU among older adults. All other moderation effects were non-significant. Age was a significant predictor of AMSU b = -0.40, SE = 0.10, p \u3c .01), but not T-IADLs. In contrast, affective distress predicted lower T-IADLs (b = -0.45, SE = 0.12, p \u3c .01), but not AMSU. Results contribute to the growing literature on cognitive functioning and ubiquitous technology engagement while also highlighting the complexity of the phenomena and warranting further researc
Booked or Buried in Texas: Risk Factors for Prebooking Suicide and Homicide Deaths of Individuals with Sex Offenses
Full text linkPreventable deaths during law enforcement encounters, particularly those violent in nature, such as suicide and homicide deaths, are of considerable public concern. Prebooking, the law enforcement custody stage that includes arrest, serving warrants, wellness checks, traffic stops is often the most dangerous and fatal stage of custody. Despite being the most potentially dangerous and unpredictable of any custody stage, prebooking remains grossly understudied in comparison to jail and prison research, underscoring the need for focused research. To address this gap, the present study examines risk factors for suicide and homicide deaths among individuals with sex-related offenses during prebooking custody. Individuals with sex-related offenses are also an understudied population, particularly within the context of prebooking custody. Using decedent records from the Texas Justice Initiative, a hierarchical binary logistic regression was conducted with two models conducted: Suicide vs. Other Manners of Death Model and Homicide vs. Other Manners of Death. The models examined risk for suicide and homicide deaths versus all other manners of death (natural, accidental, undetermined). Age was included as a covariate in Block 1, with Race (White, Black, Hispanic/Latine, Other) and Offense Type (Sex Offenses, Non-Sex Offenses) added in Block 2. Block 3 included the interaction effect Offense Type*Race. Results for the Suicide v. Other Model indicated a 5 times increased risk for suicide death for individuals with sex offenses (OR: 5.515) versus individuals with non-sex offenses. White individuals demonstrated this highest risk (OR: 1.87 compared to Black; 2.10 compared to Hispanic/Latine) for suicide deaths. Age, included as a covariate to control for potential confounding effects was significant in Homicide v. Other model but non-significant when predictors were added in Suicide v. Other Manners of Death Model. In Homicide vs. Other model, only Hispanic/Latine compared to White individuals and Other race/ethnicity compared to Black race/ethnicity was associated with significantly increased risk for homicide death versus other manners of death (White-Ref: OR: 1.29; Black-Ref: OR: 1.34). Offense type was not significant in Homicide vs. Other model and interaction effects were non-significant in both models. Last, data extraction revealed patterns indicating White males with child-victim offenses were most associated with suicide death, while Black and Hispanic/Latine individuals most associated with adult-victim offenses were homicide death. Violent, serious offenses predominated the sex offending population
Exploring the Mediating Role of Individual Performance in the Relationship Between Work-Life Balance and Attrition
Full text linkExtensive research has established a relationship between work-life balance and employee attrition. However, limited attention has been given to the potential mediating role of individual performance within this dynamic. The present study aims to address this gap by examining whether individual performance mediates the relationship between work-life balance and attrition. It is hypothesized that higher work-life balance will be associated with lower attrition rates, partially explained by improved individual performance. Data will be collected via employee surveys and analyzed using mediation analysis. Anticipated results may provide organizations with a quantifiable, performance-based justification for investing in work-life balance initiatives
Ladies Hall with students
No full textA group of female students standing on the front porch and steps of Ladies Hall.https://digitalcommons.spu.edu/archives_images_seminary/1045/thumbnail.jp
Social Media and Belonging
No full textSocial media platforms are becoming increasingly attractive to younger generations. Our current ongoing study will hopefully reveal how belonging is affected by social media use. This relationship has not been extensively researched. We’d like to narrow down the list of measures in our preliminary survey to those that most efficiently and accurately measure our constructs of interest. Previous research suggests that there is a negative correlation between social media and a student\u27s academic achievement, school connectedness, and psychosocial maladjustment. Engaging on social media platforms could be a plausible predictor of students’ sense of belonging
Mental health resources and suicide rates: Testing the moderating role of cultural orientation
No full textThis study investigated whether cultural orientation moderates the relationship between mental health resources and suicide rates. Using 2016 cross-national data, it tested if the individualism score of a country influenced the association between psychiatrists per capita and suicide rates. Results showed that individualism did not significantly moderate this relationship. However, both the number of psychiatrists and individualism scores independently predicted higher suicide rates. Together, these variables explained 44% of the variance in suicide rates. These findings challenge the assumption that increasing psychiatrists reduces suicide. Suicide prevention efforts should consider cultural and systemic factors influencing mental health service access
Resilience in the face of family conflict: Investigating anxiety outcomes and extracurricular involvement
No full textThis study examines whether interparental conflict in the first three years of life predicts internalizing symptoms, specifically anxiety, at age 15 and explores whether extracurricular involvement serves as a moderator. Drawing on the risk protective factor model within resilience theory and using longitudinal data from the Future of Family and Wellbeing Study, a moderation analysis was conducted. Prior research highlights the benefit of extracurricular involvement, but few have explored moderating effects against exposure to family conflict. Anxiety outcomes (p = .62) were not significant. This study builds on existing parental conflict literature by examining potential long-term psychological impacts of conflict
The Effectiveness of Solution-Focused Brief Therapy for Children of Color
No full textWhen many therapy models were created, the target audiences for effectiveness were adults who were predominantly White and did not have success with therapy in the past. White adults are not the only group of people needing mental health services and a gap has been created in the research. This proposal pushes for research to be done related to the effectiveness of solution-focused brief therapy on children of color. To measure this, children receiving services from a community mental health site that range in age from 3-17 will be included. They will be given pre and post assessments of the PSC-17, PHQ-9, and GAD-7. Based on previous research, it is indicated that solution-focused brief therapy works well for children and different cultures. Based on this the expected results would show that this model works well for children of color as well
Video game integration: Narrative therapy and It Takes Two as it effects relational satisfaction
No full textThis study explores the bridge between the video game It Takes Two with Narrative Therapy in enhancing couples\u27 satisfaction. It Takes Two , a game designed to promote positive couple interactions through various themes, including conflict resolution, communication and understanding, collaboration, and perspective and empathy, paired with Narrative Therapy, which encourages the exploration of stories and preferred narratives. This approach seeks to create an engaging environment for couples to draw awareness towards and strengthen their interpersonal relationship dynamics. Through the integration of video games and the therapeutic process, this study aims to provide an immersive experience for couples that can help foster growth in a unique way. The research can provide large contributions to playful approaches around relationship dynamics, while also highlighting narrative therapy’s potential effectiveness with relationship outcomes
Improving Self-Reported Hydration Using Refillable Bottles and Clean Water Access
Full text linkIn Washington State, around 18.5% of individuals aged 12 and older, about 1.4 million people, struggle with substance use each year (Substance Abuse and Mental Health Services Administration, 2023). Many also face housing instability and limited access to basic health needs like clean drinking water. Our agency supports Seattle residents in recovery, and during our initial assessment, we identified inadequate hydration as a common concern. As a team of seven nursing students, we developed a community health project to improve self-reported hydration among this population. This paper outlines our process from assessment to intervention and our efforts to support healthier hydration habits in a vulnerable community.
Background
Access to drinking water involves more than just its physical presence, as it also depends on the time and effort required to obtain it. Research shows that when individuals spend more time and energy collecting water, their overall consumption decreases (Cassivi et al., 2018). In contrast, when clean water is readily accessible through public fountains, rest stops, or other community resources, people are more likely to stay adequately hydrated (Cassivi et al., 2018). Water is vital to human health, playing a key role in regulating body temperature, aiding digestion, transporting nutrients, and supporting cellular function (Liska et al., 2019). Even mild dehydration can impair cognition, cause fatigue, and lower alertness. Adults are advised to consume 2-3 liters of fluids daily, depending on activity level and climate (Taylor & Tripathi, 2025). All of these factors contributed to why we believe it would be important for our group to focus on improving hydration.
Assessment
We conducted our assessment using two complementary methods: a windshield survey and a written survey distributed to agency members. The windshield survey identified the Urban Rest Stop as a key community asset, a facility offering clean, safe hygiene services like restrooms, showers, and laundry for unsheltered individuals and families. Just a four-minute walk from our agency, it plays a vital role in supporting vulnerable populations. We also recognized that for our intervention to be effective, building rapport, trust, and strong relationships with agency members and staff was essential. Through ongoing engagement and open communication, we successfully established these connections, laying a strong foundation for our work. The written survey revealed a clear gap between hydration awareness and actual intake. Of the 28 respondents, 22 reported drinking fewer than five cups of water per day, with seven consuming only zero to two cups daily. This is concerning compared to the recommended 11 cups for women and 15 for men (Mayo Clinic, 2022). While 91% of members acknowledged the importance of water for health, 63% admitted they don’t drink enough. Notably, 53% said that having a reusable water bottle would help increase their intake, highlighting a clear opportunity for targeted intervention.
Planning and Outcomes Identification
Guided by our community assessment and the identified nursing diagnoses, the intervention was designed to improve water intake among agency members by focusing on education, accessibility, and motivation. Our objectives included increasing awareness of recommended hydration levels, improving access to clean drinking water, and encouraging consistent use of reusable water bottles. Short-term outcomes focused on members\u27 ability to locate free water refill stations and report increased water intake. Long-term outcomes aimed to promote sustained hydration behaviors, such as meeting or approaching recommended daily water consumption, maintaining awareness of hydration needs, and routinely using reusable water bottles. These outcomes were chosen to support lasting behavioral change and self-management, ultimately promoting health and well-being in a population experiencing systemic barriers.
Implementation
To address the hydration gap identified during the assessment phase, we implemented a multi-component intervention focused on education, accessibility, and behavioral support. We created an informative pamphlet that included the recommended daily water intake, situations when to increase intake, and mapped out water refill stations offering free, clean water in the Seattle area. We distributed these pamphlets to the members at our agency and directly engaged with them all to discuss the importance of drinking enough water for overall health and well-being, and to answer any hydration-related questions. To reduce barriers and encourage sustained hydration habits, we provided free reusable water bottles along with decorative stickers, allowing individuals to personalize their bottles and increase engagement. We chose to implement the use of reusable water bottles as a practical and sustainable strategy to improve self-reported hydration within this community. Many community members face barriers to consistent hydration, including limited access to clean drinking water and a lack of personal water containers. By distributing reusable water bottles, we aimed to reduce these barriers, promote daily water intake, and encourage healthy hydration habits.
Evaluation
Based on 20 post-survey responses, we found that members of the agency who participated in the education and water bottle program increased their fluid intake by 65%. Notably, nearly 80% of respondents reported drinking more than six cups of water per day, a significant improvement compared to the pre-survey, in which only about 15% met that level of hydration. Additionally, 90% of participants stated that having a water bottle helped them drink more water throughout the day. While there was only a modest 10% increase in the number of members who believed they drank enough water daily, 75% of respondents indicated that water was their primary source of hydration, with the remaining 25% citing coffee or soda as their main fluids.
Conclusion
Overall, our project successfully met its primary goal of increasing water intake among agency members through the distribution of reusable water bottles and hydration education. While the project had a strong impact, one limitation we faced was the inability to collect post-survey responses from all members who received a water bottle. This was primarily due to limited time spent at the agency site and inconsistent member attendance, which affected follow-up participation. Through our implementation, we found that this program could be sustainable, observing the effectiveness of reusable water bottles on daily hydration levels. Looking ahead, future projects could build on this foundation by incorporating hydration tracking tools, interactive educational activities, and stronger follow-up methods to improve participation and sustain engagement.
References
Cassivi, A., Johnston, R., Waygood, E. O. D., & Dorea, C. C. (2018). Access to drinking water: Time matters. Journal of Water and Health, 16(4), 661- 666. https://doi.org/10.2166/wh.2018.009
Lawman, H. G., Grossman, S., Lofton, X., Tasian, G., & Patel, A. I. (2020). Hydrate philly: An intervention to increase water access and appeal in recreation centers. Preventing Chronic Disease, 17, E15. https://doi.org/10.5888/pcd17.190277
Liska, D., Mah, E., Brisbois, T., Barrios, P. L., Baker, L. B., & Spriet, L. L. (2019). Narrative review of hydration and selected health outcomes in the general population. Nutrients, 11(1), 70. https://www.mdpi.com/2072-6643/11/1/70
Mayo Foundation for Medical Education and Research. (2022). How much water do you need to stay healthy?. Mayo Clinic. https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/water/art-20044256
Substance Abuse and Mental Health Services Administration. (2023). National Survey on Drug Use and Health: Model-based prevalence estimates (50 states and the District of Columbia). U.S. Department of Health and Human Services. https://www.samhsa.gov/data/sites/default/files/reports/rpt56188/2023-nsduh-sae-state-tables_0/2023-nsduh-sae-state-tabs-washington.pdf
Taylor, K., & Tripathi, A. K. (2025). Adult dehydration. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK555956