The rate of HIV/AIDS infections among African American men who have sex with men (MSM) is alarming. There has been a challenge in reducing HIV/AIDS among the African American MSM population due to internal and external factors that affect their decision making. The theory of social support and reasoned action were applied to gain knowledge on the lived experiences and perceptions of African American MSM as related to social support and seeking health care, which can help fight the heavy impact HIV/AIDS has placed on this population. Data was collected from 14 African American men who openly identified as MSM. Following the in-depth face-to-face interviews, themes were developed using Miles and Huberman's 6-step analytical process to gather a better understanding from this population's perspective. The participants' responses yielded that, although they felt support should come from family, most judgement came daily from family. Participants indicated that judgement tended to cause them to shy away and hide their sexuality from family and turn to people who were more like themselves whom they could trust. Social support has an impact on positive behaviors and choices as related to health among the African American MSM population. Social support can encourage regular testing among this population as well as provide comfort in discussing risky behaviors to ones' health. Knowing ones' health status helps promote HIV/AIDS awareness which helps decrease the prevalence of HIV/AIDS within the African American MSM population as a whole.

This study investigated the relationship between social support and stress in 572 families of disabled children in various parts of the United States. To utilize multidimensional models such as Dunst's ecological model and the Double ABCX model of stress, additional variables were investigated; these included family characteristics and recent life events (FILE). A regression design was used, with family characteristics, recent life events (FILE), perceived helpfulness of social support (FSS), and perceived adequacy of resources (FRS) as independent variables, and parental stress (PSI) as the dependent variable (PSI). Helpfulness of social support, recent life events, and family characteristics all predicted parental stress, though only to a small extent. Perceived adequacy of resources was by far the most significant predictor, accounting for 21% of the total variance in the highest predicting equation. Discussion focuses on perceived family needs and resources within cooperative interventions.

Indiana University-Purdue University Indianapolis (IUPUI) / Difficulties caring for people living with dementia (PWD) contribute to their family caregivers’ diverse unmet needs and adverse outcomes in health and well-being. This dissertation research explored the influence of macro systems on individual caregivers' well-being reflecting on the prevalence of online use among caregivers. Caregivers have migrated to online platforms to seek support. However, there is limited understanding of how online social support [OnSS] compares to offline support [OffSS] in terms of caregivers’ well-being. The first study examined the associations of OnSS and OffSS with the psychological well-being [MH] of caregivers. A subsample of the Health Information National Trends Survey (HINTS) from 2017 to 2018 (n=264) was analyzed. The data indicate that OnSS supplemented rather than replaced OffSS. Emotional support delivered offline had a positive direct association with MH, while OnSS did not. OffSS interacted with caregiving stressors while OnSS interacted with life stressors. Caregivers who are in less favorable situations, such as working part-time while caring for a PWD, living with economic hardship, and being unhealthy, tended to be significantly affected by OnSS. The results suggest that practitioners need to incorporate caregivers’ OffSS into OnSS to maximize the available support resources, specifically for those who are in less favorable conditions. There is limited understanding of caregivers’ experiences within the complex health care system, especially after the significant policy changes brought about by the Affordable Care Act (ACA). The second study analyzed caregivers’ perceptions of and experiences with the ACA using national online forum data posted in 2011-2017 (n=514 posts). Text-mining thematic analysis method was used to analyze the posts. Three overall themes emerged: (a) concern about cost implications of placement decisions for care recipients, (b) skepticism about government and healthcare system support of their caregiving roles, and (c) caregivers’ own well-being and concerns about health insurance. Efforts are needed to enhance clear and effective communication among policymakers and health professionals serving service users, including caregivers of PWD. The present dissertation provides preliminary evidence to increase understanding of the complex contexts that affect the overall well-being of caregivers. Implications and suggestions for practitioners, policymakers, and researchers are discussed.

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Student Number : 0102295F - MA research dissertation - School of Psychology - Faculty of Arts / A review of trauma literature indicated that in comparison to PTSD there is very little research into the effects of secondary trauma, especially with regards to trauma workers. The present study explored the psychological impact of trauma workers who work with victims of violent crimes. Both Figley’s (1995) trauma transmission model and Dutton and Rubenstein (1995) ecological model were used to develop a refined trauma model for trauma workers in South Africa, which formed the theoretical basis for the current research. This model looked at the relationships between specific key variables (level of exposure to traumatic material, empathy, and level of perceived social support) and secondary traumatic stress, and their interrelationship. In the present study relevant information was gathered from volunteer trauma workers (N=64) using self-report measures. Data was analysed using the following statistical techniques: Descriptive statistics, Pearson’s Correlation Coefficients, Two Independent Sample T-Test, and a Moderated Multiple Regression. Results indicated that the trauma workers, to some extent, experienced symptoms of secondary traumatic stress. In addition, it was found that previous exposure to traumatic material, level of empathy, and level of perceived social support have a significant relationship with secondary traumatic stress. Social support was not found to have a moderating effect, but empathy emerged as a consistent moderator between the trauma workers previous exposure to traumatic material and secondary traumatic stress. Results also revealed that ones qualification made no difference in the development of secondary traumatic stress. In summary, this study expanded on knowledge into the effects of criminal violence in South Africa, particularly with concern to trauma workers, a population often ignored. This study was considered to be a contribution to trauma literature as it provides much needed empirical evidence.

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