Graduate Theses & Dissertations

An Emergent Model of the Return to Learn Process for Adolescents with Prolonged Concussion
Current literature on concussion management focuses primarily on the return to physical activity, while the return to learn process is less clearly understood. This knowledge gap is particularly problematic for adolescents, whose primary responsibility is academics. The present study sought to develop a more in-depth understanding of the return to learn process through the perspectives of adolescents who had sustained a concussion and their parents in in-person, semi-structured interviews. A substantive grounded theory of the return to learn process for adolescents that emerged from the data is provided. The basic model is consistent with many speculative, non-empirically based concussion management protocols, but extends these models by emphasizing the central role of parents in managing their child’s recovery process, highlighting the importance of role fulfillment within the concussion management network, and identifying the impact of the adolescent’s capacity and readiness for help-seeking. The results also highlight the vulnerability of concussed adolescents to losing their support structure as they move through key school transitions. Implications for educators, medical professionals, parents, and adolescents in the return to learn process are also discussed. Author Keywords: Adolescent, Concussion, Concussion Management, Multidisciplinary Management, Return to Learn, Return to School
To Sext or Not to Sext
The risks and benefits of sexting within an intimate relationship were explored. The present study focused on sexual gratification, relationship benefits, and sexual communication as benefits and risky sexual behaviour, unethical forwarding, and infidelity as risks. A cross-sectional online survey of both undergraduate students and a community sample was used. Results indicated that sexual gratification, relationship benefits (sexual and relationship satisfaction, relationship quality, and commitment), and sexual communication are related to sexting. It appears that risky sexual behaviour is not associated with sexting, instead those who sext frequently engage in more safer sex behaviours than those who sext infrequently. Unethical forwarding does not appear to happen very often in the context of intimate relationships. Lastly, the current research indicates that some participants are sexting secondary partners, and many consider sexting secondary partners infidelity. These results show that there are both risks and benefits of sexting, which can be used to develop sext education and therapeutic programs. Author Keywords: infidelity, relationship benefits, Sexting, sexual behaviour, sexual communication, sexual gratification
Thinking Ahead
The present thesis entails a qualitative investigation of the unique notion to transition media change from the current paper-based system to the potential use of information technology innovation for communication between health care providers and employers during return to work. Stakeholder perspectives on relevant communication phenomena were gathered from workers, employers, and health care providers with experience in return to work. Methods for analysis involved critical realist grounded theory, as well as the use of a prototype innovation, named the Return to Work Expert App, as a platform for participant evaluation and discourse. The study’s findings provided comprehensive and in-depth understanding of return to work communication, beyond its empirical regularities. The generative mechanisms of common communication problems that were discovered included situated reasoning, media as information (“the medium is the message”), epistemological disjuncture, egoism-altruism-collectivism quandary, and perspective taking. A novel theoretical framework based on ecological psychology was also advanced to offer a coherent and systematic understanding of the situated nature of health care providers’ reasoning and information development. Media change via the Return to Work Expert App was argued to be limited in handling and resolving many of the communication problems that can occur. However, the app had perceptible value and benefits to prospective users that suggested a distinct advantage over current paper-based practices. Opportunities for further development and research exist to address relevant challenges, most notable of all being the need to address the app’s burden of proof. For the interested reader, this thesis advances research and knowledge of provider-employer communication to a state that is truly fitting of the importance acknowledged of it in the field of return to work. Author Keywords: critical realism, ecological psychology, media change, return to work, stakeholder communication, technological acceptance
How Do We Let the Players Play and Keep Them Safe? The Issue of Problematic Beliefs in the Prevention of Concussion Injury
Athletes’ concussion risk is part of a complex system of personal and contextual factors. This study differentiated athletes based on attitudes and intentions towards protective behaviours. A cross-sectional survey design was used to sample varsity athletes. Three intention response subgroups (indifferent, reactive, and proactive) were identified. The indifferent group (28%) reported little-to-no intent to engage in risk reduction behaviours. These athletes reported lower belief in the efficacy of concussion management behaviours and greater risk acceptance attitudes. The proactive group (32%) reported intent to actively reduce personal concussion risk through engaging in behaviours such as confronting aggressive opponents about the risk they pose to others. The reactive group (40%) only reported intent to engage in concussion management behaviours. Indifferent athletes had the highest likelihood of concussion exposure followed by reactive athletes. The proactive athletes had the lowest likelihood. Concussion programs must address beliefs and intentions towards protective behaviours to improve effectiveness. Author Keywords: Athlete, Attitudes, Concussion, Injury Prevention, Intentions, Risk
Marital Satisfaction Throughout the Journey of Weight-Loss Surgery
A mixed-methods’ approach was designed to explore the marital impacts following weight-loss surgery (WLS). In Phase 1, ten individual interviews with spouses of five couples were conducted; two of the couples had the wives preparing for WLS, two of the couples consisted of wives who had WLS, and one couple had both received the surgery. Interviews were transcribed and analyzed using a combination of interpretive phenomenological and grounded theory techniques. Findings demonstrated that WLS does have impacts on marriage regardless of where couples are in their journey. All couples discussed food as a possible source of conflict in their relationship. Interviews also reveled that self-esteem is a major factor contributing to their relationship and support is necessary throughout. In Phase 2 an online survey was developed to quantitatively explore the important constructs deemed important from the participants in Phase 1. Relationships between relationship satisfaction, sexual conflict, self-esteem, depression and body image were examined in 54 participants. Results demonstrate that higher levels of support and self-esteem and lower sexual conflict relate to a more satisfactory relationship in individuals post- WLS. Author Keywords: marital satsifaction, mixed-methods, qualitative, relationship satisfaction, weight-loss, Weight-loss surgery
This research project focused on the positive behaviour changes in First Nations youth as a result of participation in a community-based recreation program. The study was a secondary analysis based on a qualitative data set. Both adults and youth were interviewed in one-on-one and focus group settings in 12 First Nations communities across Ontario. The data was analyzed using a grounded theory approach and a substantive model was formed based on the themes that emerged from the data. The most significant of these themes were the job of the role model, self-esteem and self-efficacy. The issue of overcoming shyness and peer mentoring are also discussed. Author Keywords:
Application of the Sexual Self-Control Model and the Two-Dimensional Sexual Double Standard Scale to Heterosexual Undergraduate Men and Women
This thesis examined the applicability of the sexual self-control model to men, which resulted in the creation and analysis of a new two-dimensional sexual double standard scale. In Study 1, a sample of 124 men completed the Self-Control Schedule assessing general learned resourcefulness, the Sexual Resourcefulness Inventory, Sexual Self-efficacy Scale, Reasons for Consenting to Unwanted Sexual Advances Scale, and the Sexual Giving-in Experiences Survey. Contrary to expectations based on female samples, lower sexual resourcefulness was not a unique predictor of consenting to unwanted sexual advances in men. Instead, a mediation model was supported whereby men having more reasons for consenting to unwanted sexual advances were more likely to comply despite having higher levels of sexual resourcefulness skills. Concurrent with Study 1, 11 men were interviewed in Study 2 to further examine their giving-in to unwanted sexual advances, reasons for consenting, and sexual resourcefulness, but men shifted the conversation toward the sexual double standard despite scoring neutral to a quantitative sexual double standard measure in the survey of Study 1. Therefore, a new sexual double standard scale was created based on the content of the interviews. Study 3 examined the new scale's psychometric properties and its association with sexual consenting. The findings revealed that the new scale was best represented by two dimensions: personal attitudes and peer responses. Neither of these two subscales uniquely predicted giving-in to unwanted sexual advances, but were significantly associated with several key variables differentially. Author Keywords: learned resourcefulness, sexual double standard, sexual health, sexual resourcefulness, sexual script theory, unwanted sex

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