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    – ## Chapter_011.rtf – 20251017_233347.jpg **## Chapter_011.rtf** 11-6 Audio Chapter Summaries Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies. Copyright © 2025 by Elsevier Inc. All rights reserved, including t…

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    **## Chapter_011.rtf**

    11-6

    Audio Chapter Summaries

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    **Patton: Structure & Function of the Body, 17th Edition**

    **Chapter 11: Endocrine System**

    ****Audio Chapter Summaries****

    ****Welcome to the audio review of Chapter 11: Endocrine System.****

    **Endocrine glands are ductless glands that secrete chemicals called hormones into the blood.**
    **_Note that exocrine glands are ducted glands and are not included in the endocrine system._**

    **_Endocrine glands are numerous and widespread in the body._**

    **_Diseases result from abnormal secretion of hormones: Hypersecretion is oversecretion of a hormone and hyposecretion is undersecretion of a hormone._**

    **_Hormones perform general functions of communication and control, but a slower, longer-lasting type of control than that provided by nerve impulses._**

    **_Cells that respond to hormones are called_**
    **__target cells_._**
    **__These cells have specific receptors for a particular hormone_; organs containing target cells are thus_**
    **__target organs.__**

    **_The mechanisms of hormone action differ for nonsteroid and steroid hormones._**

    **_Nonsteroid hormones (also known as first messengers) bind to receptors on the target cell membrane, triggering intracellular second messengers such as cyclic AMP to affect the cell’s activities._**

    **_The primary effects produced by a steroid hormone occur by its binding to receptors within the target cell nucleus and influencing cell activity by acting on DNA—a slower process than nonsteroid action._**

    **_Secondary effects may occur when steroid hormones bind to membrane receptors to rapidly trigger functional changes in the target cell._**

    **_Hormone secretion is controlled by homeostatic feedback._**

    **_Negative feedback mechanisms reverse the direction of a change in a physiological system._**

    **_Positive feedback mechanisms amplify physiological changes; positive feedback is uncommon._**

    **_Endocrine regulation of body function usually operates at multiple levels of control at the same time for better efficiency and precision._**

    **_Prostaglandins, often called_**
    **__tissue hormones_ or_**
    **__paracrine_ agents, are powerful lipid substances found in a wide variety of body tissues; prostaglandins are modified fatty acids._**

    **_Prostaglandins are typically produced in a tissue and diffuse only a short distance to act on cells in that tissue._**

    **_Several classes of prostaglandins include prostaglandin A (PGA), prostaglandin E (PGE), and prostaglandin F (PGF)._**

    **_Prostaglandins influence many body functions, including respiration, blood pressure, gastrointestinal secretions, and reproduction._**

    **_Now we’ll review specific endocrine glands._**

    **_The pituitary gland is located in a bony depression called the sella turcica of the sphenoid bone in the skull; it is connected to the hypothalamus by a pituitary stalk. The pituitary gland is divided into anterior and posterior regions. The anterior pituitary—also called the_**
    **__adenohypophysis_; is made up of glandular epithelium. The posterior pituitary—also called the_**
    **__neurohypophysis_; is made up of nervous tissue._**

    **_The anterior pituitary gland secretes these major hormones:_**

    **_Thyroid-stimulating hormone (TSH);_**

    **_Adrenocorticotropic hormone (ACTH);_**

    **_Follicle-stimulating hormone (FSH);_**

    **_Luteinizing hormone (LH);_**

    **_Growth hormone (GH); and_**

    **_Prolactin, also called lactogenic hormone, abbreviated PRL._**

    **_Now we’ll review the functions of the major hormones of the adenohypophysis:_**

    **_Thyroid-stimulating hormone stimulates growth of the thyroid gland and it also stimulates the thyroid gland to secrete thyroid hormone_**

    **_Adrenocorticotropic hormone stimulates growth of the adrenal cortex and stimulates it to secrete glucocorticoids (mainly cortisol)._**

    **_Follicle-stimulating hormone initiates growth of ovarian follicles each month in the ovary and stimulates one or more follicles to develop to the stage of maturity and ovulation; FSH also stimulates estrogen secretion by developing follicles; and stimulates sperm production in the male._**

    **_Luteinizing hormone acts with follicle-stimulating hormone to stimulate estrogen secretion and follicle growth to maturity; LH causes ovulation, causes luteinization of the ruptured follicle; stimulates progesterone secretion by the corpus luteum; and causes interstitial cells in the testes to secrete testosterone in the male._**

    **_Growth hormone stimulates growth by accelerating protein anabolism; it also accelerates fat catabolism and slows glucose catabolism; by slowing glucose catabolism, it tends to increase blood glucose to a higher than typical level, called hyperglycemia._**

    **_Prolactin, or lactogenic hormone, stimulates breast development during pregnancy and secretion of milk after delivery of the baby._**

    **_The posterior pituitary gland (also called the neurohypophysis) secretes just two hormones: antidiuretic hormone (ADH) and oxytocin (abbreviated OT)._**

    **_Antidiuretic hormone accelerates water reabsorption from urine in the kidney tubules into the blood, thereby decreasing urine secretion._**

    **_Oxytocin stimulates the pregnant uterus to contract; may initiate labor; causes glandular cells of the breast to release milk into ducts; and enhances social bonding._**

    **_The hypothalamus produces the posterior pituitary hormones ADH and oxytocin_**

    **_After production in the hypothalamus, hormones pass along axons into the pituitary gland._**

    **_The secretion and release of posterior pituitary hormones is controlled by nervous stimulation; hence the name “neurohypophysis.”_**

    **_The hypothalamus also regulates anterior pituitary secretion._**

    **_Releasing hormones and inhibiting hormones from the hypothalamus control secretion by the anterior pituitary; they reach the anterior pituitary through a direct capillary connection._**

    **_The hypothalamus controls many body functions related to homeostasis, including temperature, appetite, and thirst._**

    **_The thyroid gland is located in the neck, just inferior to the larynx._**

    **_Its tissue is made up of thyroid follicles filled with colloid._**

    **_Hormones produced by the thyroid gland include thyroxine (T4) and triiodothyronine (T3); they are produced by follicle cells and stored in the colloid of follicles._**

    **_The hormone calcitonin is made by cells outside the follicle walls._**

    **_Thyroid hormones accelerate catabolism and energy production, thereby increasing the body’s metabolic rate._**

    **_Calcitonin decreases the blood calcium concentration by inhibiting breakdown of bone, which would otherwise release calcium into the blood._**

    **_The parathyroid glands are small lumps of glandular tissue located on the posterior surface of thyroid._**

    **_They release parathyroid hormone, abbreviated PTH._**

    **_PTH increases blood calcium concentration by increasing the breakdown of bone with the release of calcium into the blood._**

    **_Parathyroid hormone and calcitonin have antagonistic effects that help maintain stable blood calcium concentrations needed for good health._**

    **_The adrenal glands are located on the superior surface of each kidney; their outer region—the cortex—is glandular and their inner region—the medulla—is secretory nervous tissue. Hormones produced by the adrenal cortex include mineralocorticoids—chiefly aldosterone—and glucocorticoids—chiefly cortisol (also called hydrocortisone)._**

    **_The adrenal cortex also secretes small amounts of male hormones (or androgens) in both sexes._**

    **_The adrenal cortex has three cell layers or zones: an outer layer, an inner layer, and a middle layer._**

    **_The_**
    **_outer layer secretes mineralocorticoids. These hormones increase blood sodium and decrease blood potassium concentrations by accelerating kidney tubule reabsorption of sodium and excretion of potassium._**

    **_The inner layer of both men and women’s adrenal glands secretes male androgens, which are sex hormones similar to testosterone; they have a role in reproductive development._**

    **_The middle layer secretes glucocorticoids. Cortisol is the main glucocorticoid. Glucocorticoids have many functions. They help maintain normal blood glucose concentration by increasing gluconeogenesis—the formation of “new” glucose from amino acids produced by the breakdown of proteins, mainly those in muscle tissue cells; they also affect the conversion to glucose of fatty acids produced by the breakdown of fats stored in adipose tissue cells._**

    **_Glucocorticoids play an essential part in maintaining normal blood pressure. They make it possible for epinephrine and norepinephrine to maintain a normal degree of vasoconstriction, a condition necessary for maintaining normal blood pressure._**

    **_They act with epinephrine and norepinephrine to produce an anti-inflammatory effect, to bring about normal recovery from inflammations of various kinds, and they produce an anti-immunity, antiallergy effect; bringing about a decrease in the number of lymphocytes and plasma cells and therefore a decrease in the number of antibodies formed._**

    **_The secretion of glucocorticoid quickly increases when the body is thrown into a condition of stress; high blood concentration of glucocorticoids, in turn, brings about many other stress responses._**

    **_Note that chronic stress can disturb the body’s balance of metabolic and immune functions._**

    **_Now that we’ve reviewed the hormones of the adrenal cortex, the next hormones to review are those of the adrenal medulla: epinephrine, or adrenaline, and norepinephrine._**

    **_Hormones of the adrenal medulla help the body resist stress by intensifying and prolonging the effects of sympathetic stimulation. Increased epinephrine secretion is the first endocrine response to stress._**

    **_Next turn your attention to the pancreas, which is actually both an endocrine and exocrine gland._**

    **_Islands of endocrine tissue are scattered within the exocrine tissue of the pancreas, a digestive gland near the junction of the stomach and small intestine._**

    **_Hormones secreted by the pancreas include glucagon, secreted by alpha cells, and insulin, secreted by beta cells._**

    **_Glucagon increases the blood glucose level by accelerating liver glycogenolysis, the conversion of glycogen to glucose._**

    **_Insulin decreases the blood glucose by accelerating the movement of glucose out of the blood into cells, which increases glucose metabolism by cells._**

    **_Next we’ll discuss hormones of the sex glands._**

    **_The female sex glands, the ovaries, contain two structures that secrete hormones—the ovarian follicles and the corpus luteum._**

    **_Estrogen (the feminizing hormone) affects the development and maturation of breasts and external genitals, as well as the development of adult female body contours._**

    **_Estrogen also initiates the menstrual cycle._**

    **_The interstitial cells of the male sex glands, the testes, secrete the male hormone testosterone._**

    **_Testosterone (the masculinizing hormone) affects maturation of the external genitals, beard growth, voice changes at puberty, and development of musculature and body contours typical of the male._**

    **_Just three more endocrine glands to review: the thymus, placenta, and pineal gland._**

    **_The thymus secretes the hormone thymosin, which is actually a group of related hormones. Thymosin plays an important role in the development and function of T cells, which are agents of the body’s immune system._**

    **_The placenta functions as a temporary endocrine gland during pregnancy. Hormones of the placenta include chorionic gonadotropins, estrogens, and progesterone. Placental hormones help establish and maintain pregnancy._**

    **_The pineal gland is a small gland near the roof of the third ventricle of the brain. Glandular tissue predominates in pineal glands of children and young adults. It becomes fibrous and calcified with age. It is sometimes called the third eye because its influence on secretory activity is related to the amount of light entering the eyes. The pineal gland secretes melatonin, which inhibits ovarian activity and regulates the body’s internal clock._**

    **_Now that you’ve reviewed the individual endocrine glands, consider that there are additional endocrine functions throughout the body._**

    **_Many organs, such as the stomach, intestines, and kidney, produce endocrine hormones._**

    **_The stomach lining produces ghrelin, which affects appetite and metabolism._**

    **_The atrial wall of the heart secretes atrial natriuretic hormone, which stimulates sodium loss from the kidneys._**

    **_Fat-storing cells secrete leptin, which controls how full or hungry we feel._**

    **_Hormone actions occur in every organ of the body and will be discussed in later chapters as well._**

    **_This concludes the audio review of chapter 11._**

    **20251017_233347.jpg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/20251017-233347-jpg)

    **20251017_233347.jpg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/20251017-233347-jpg)

    **## Chapter_011.rtf**

    11-6

    Audio Chapter Summaries

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    **Patton: Structure & Function of the Body, 17th Edition**

    **Chapter 11: Endocrine System**

    ****Audio Chapter Summaries****

    ****Welcome to the audio review of Chapter 11: Endocrine System.****

    **Endocrine glands are ductless glands that secrete chemicals called hormones into the blood.**
    **_Note that exocrine glands are ducted glands and are not included in the endocrine system._**

    **_Endocrine glands are numerous and widespread in the body._**

    **_Diseases result from abnormal secretion of hormones: Hypersecretion is oversecretion of a hormone and hyposecretion is undersecretion of a hormone._**

    **_Hormones perform general functions of communication and control, but a slower, longer-lasting type of control than that provided by nerve impulses._**

    **_Cells that respond to hormones are called_**
    **__target cells_._**
    **__These cells have specific receptors for a particular hormone_; organs containing target cells are thus_**
    **__target organs.__**

    **_The mechanisms of hormone action differ for nonsteroid and steroid hormones._**

    **_Nonsteroid hormones (also known as first messengers) bind to receptors on the target cell membrane, triggering intracellular second messengers such as cyclic AMP to affect the cell’s activities._**

    **_The primary effects produced by a steroid hormone occur by its binding to receptors within the target cell nucleus and influencing cell activity by acting on DNA—a slower process than nonsteroid action._**

    **_Secondary effects may occur when steroid hormones bind to membrane receptors to rapidly trigger functional changes in the target cell._**

    **_Hormone secretion is controlled by homeostatic feedback._**

    **_Negative feedback mechanisms reverse the direction of a change in a physiological system._**

    **_Positive feedback mechanisms amplify physiological changes; positive feedback is uncommon._**

    **_Endocrine regulation of body function usually operates at multiple levels of control at the same time for better efficiency and precision._**

    **_Prostaglandins, often called_**
    **__tissue hormones_ or_**
    **__paracrine_ agents, are powerful lipid substances found in a wide variety of body tissues; prostaglandins are modified fatty acids._**

    **_Prostaglandins are typically produced in a tissue and diffuse only a short distance to act on cells in that tissue._**

    **_Several classes of prostaglandins include prostaglandin A (PGA), prostaglandin E (PGE), and prostaglandin F (PGF)._**

    **_Prostaglandins influence many body functions, including respiration, blood pressure, gastrointestinal secretions, and reproduction._**

    **_Now we’ll review specific endocrine glands._**

    **_The pituitary gland is located in a bony depression called the sella turcica of the sphenoid bone in the skull; it is connected to the hypothalamus by a pituitary stalk. The pituitary gland is divided into anterior and posterior regions. The anterior pituitary—also called the_**
    **__adenohypophysis_; is made up of glandular epithelium. The posterior pituitary—also called the_**
    **__neurohypophysis_; is made up of nervous tissue._**

    **_The anterior pituitary gland secretes these major hormones:_**

    **_Thyroid-stimulating hormone (TSH);_**

    **_Adrenocorticotropic hormone (ACTH);_**

    **_Follicle-stimulating hormone (FSH);_**

    **_Luteinizing hormone (LH);_**

    **_Growth hormone (GH); and_**

    **_Prolactin, also called lactogenic hormone, abbreviated PRL._**

    **_Now we’ll review the functions of the major hormones of the adenohypophysis:_**

    **_Thyroid-stimulating hormone stimulates growth of the thyroid gland and it also stimulates the thyroid gland to secrete thyroid hormone_**

    **_Adrenocorticotropic hormone stimulates growth of the adrenal cortex and stimulates it to secrete glucocorticoids (mainly cortisol)._**

    **_Follicle-stimulating hormone initiates growth of ovarian follicles each month in the ovary and stimulates one or more follicles to develop to the stage of maturity and ovulation; FSH also stimulates estrogen secretion by developing follicles; and stimulates sperm production in the male._**

    **_Luteinizing hormone acts with follicle-stimulating hormone to stimulate estrogen secretion and follicle growth to maturity; LH causes ovulation, causes luteinization of the ruptured follicle; stimulates progesterone secretion by the corpus luteum; and causes interstitial cells in the testes to secrete testosterone in the male._**

    **_Growth hormone stimulates growth by accelerating protein anabolism; it also accelerates fat catabolism and slows glucose catabolism; by slowing glucose catabolism, it tends to increase blood glucose to a higher than typical level, called hyperglycemia._**

    **_Prolactin, or lactogenic hormone, stimulates breast development during pregnancy and secretion of milk after delivery of the baby._**

    **_The posterior pituitary gland (also called the neurohypophysis) secretes just two hormones: antidiuretic hormone (ADH) and oxytocin (abbreviated OT)._**

    **_Antidiuretic hormone accelerates water reabsorption from urine in the kidney tubules into the blood, thereby decreasing urine secretion._**

    **_Oxytocin stimulates the pregnant uterus to contract; may initiate labor; causes glandular cells of the breast to release milk into ducts; and enhances social bonding._**

    **_The hypothalamus produces the posterior pituitary hormones ADH and oxytocin_**

    **_After production in the hypothalamus, hormones pass along axons into the pituitary gland._**

    **_The secretion and release of posterior pituitary hormones is controlled by nervous stimulation; hence the name “neurohypophysis.”_**

    **_The hypothalamus also regulates anterior pituitary secretion._**

    **_Releasing hormones and inhibiting hormones from the hypothalamus control secretion by the anterior pituitary; they reach the anterior pituitary through a direct capillary connection._**

    **_The hypothalamus controls many body functions related to homeostasis, including temperature, appetite, and thirst._**

    **_The thyroid gland is located in the neck, just inferior to the larynx._**

    **_Its tissue is made up of thyroid follicles filled with colloid._**

    **_Hormones produced by the thyroid gland include thyroxine (T4) and triiodothyronine (T3); they are produced by follicle cells and stored in the colloid of follicles._**

    **_The hormone calcitonin is made by cells outside the follicle walls._**

    **_Thyroid hormones accelerate catabolism and energy production, thereby increasing the body’s metabolic rate._**

    **_Calcitonin decreases the blood calcium concentration by inhibiting breakdown of bone, which would otherwise release calcium into the blood._**

    **_The parathyroid glands are small lumps of glandular tissue located on the posterior surface of thyroid._**

    **_They release parathyroid hormone, abbreviated PTH._**

    **_PTH increases blood calcium concentration by increasing the breakdown of bone with the release of calcium into the blood._**

    **_Parathyroid hormone and calcitonin have antagonistic effects that help maintain stable blood calcium concentrations needed for good health._**

    **_The adrenal glands are located on the superior surface of each kidney; their outer region—the cortex—is glandular and their inner region—the medulla—is secretory nervous tissue. Hormones produced by the adrenal cortex include mineralocorticoids—chiefly aldosterone—and glucocorticoids—chiefly cortisol (also called hydrocortisone)._**

    **_The adrenal cortex also secretes small amounts of male hormones (or androgens) in both sexes._**

    **_The adrenal cortex has three cell layers or zones: an outer layer, an inner layer, and a middle layer._**

    **_The_**
    **_outer layer secretes mineralocorticoids. These hormones increase blood sodium and decrease blood potassium concentrations by accelerating kidney tubule reabsorption of sodium and excretion of potassium._**

    **_The inner layer of both men and women’s adrenal glands secretes male androgens, which are sex hormones similar to testosterone; they have a role in reproductive development._**

    **_The middle layer secretes glucocorticoids. Cortisol is the main glucocorticoid. Glucocorticoids have many functions. They help maintain normal blood glucose concentration by increasing gluconeogenesis—the formation of “new” glucose from amino acids produced by the breakdown of proteins, mainly those in muscle tissue cells; they also affect the conversion to glucose of fatty acids produced by the breakdown of fats stored in adipose tissue cells._**

    **_Glucocorticoids play an essential part in maintaining normal blood pressure. They make it possible for epinephrine and norepinephrine to maintain a normal degree of vasoconstriction, a condition necessary for maintaining normal blood pressure._**

    **_They act with epinephrine and norepinephrine to produce an anti-inflammatory effect, to bring about normal recovery from inflammations of various kinds, and they produce an anti-immunity, antiallergy effect; bringing about a decrease in the number of lymphocytes and plasma cells and therefore a decrease in the number of antibodies formed._**

    **_The secretion of glucocorticoid quickly increases when the body is thrown into a condition of stress; high blood concentration of glucocorticoids, in turn, brings about many other stress responses._**

    **_Note that chronic stress can disturb the body’s balance of metabolic and immune functions._**

    **_Now that we’ve reviewed the hormones of the adrenal cortex, the next hormones to review are those of the adrenal medulla: epinephrine, or adrenaline, and norepinephrine._**

    **_Hormones of the adrenal medulla help the body resist stress by intensifying and prolonging the effects of sympathetic stimulation. Increased epinephrine secretion is the first endocrine response to stress._**

    **_Next turn your attention to the pancreas, which is actually both an endocrine and exocrine gland._**

    **_Islands of endocrine tissue are scattered within the exocrine tissue of the pancreas, a digestive gland near the junction of the stomach and small intestine._**

    **_Hormones secreted by the pancreas include glucagon, secreted by alpha cells, and insulin, secreted by beta cells._**

    **_Glucagon increases the blood glucose level by accelerating liver glycogenolysis, the conversion of glycogen to glucose._**

    **_Insulin decreases the blood glucose by accelerating the movement of glucose out of the blood into cells, which increases glucose metabolism by cells._**

    **_Next we’ll discuss hormones of the sex glands._**

    **_The female sex glands, the ovaries, contain two structures that secrete hormones—the ovarian follicles and the corpus luteum._**

    **_Estrogen (the feminizing hormone) affects the development and maturation of breasts and external genitals, as well as the development of adult female body contours._**

    **_Estrogen also initiates the menstrual cycle._**

    **_The interstitial cells of the male sex glands, the testes, secrete the male hormone testosterone._**

    **_Testosterone (the masculinizing hormone) affects maturation of the external genitals, beard growth, voice changes at puberty, and development of musculature and body contours typical of the male._**

    **_Just three more endocrine glands to review: the thymus, placenta, and pineal gland._**

    **_The thymus secretes the hormone thymosin, which is actually a group of related hormones. Thymosin plays an important role in the development and function of T cells, which are agents of the body’s immune system._**

    **_The placenta functions as a temporary endocrine gland during pregnancy. Hormones of the placenta include chorionic gonadotropins, estrogens, and progesterone. Placental hormones help establish and maintain pregnancy._**

    **_The pineal gland is a small gland near the roof of the third ventricle of the brain. Glandular tissue predominates in pineal glands of children and young adults. It becomes fibrous and calcified with age. It is sometimes called the third eye because its influence on secretory activity is related to the amount of light entering the eyes. The pineal gland secretes melatonin, which inhibits ovarian activity and regulates the body’s internal clock._**

    **_Now that you’ve reviewed the individual endocrine glands, consider that there are additional endocrine functions throughout the body._**

    **_Many organs, such as the stomach, intestines, and kidney, produce endocrine hormones._**

    **_The stomach lining produces ghrelin, which affects appetite and metabolism._**

    **_The atrial wall of the heart secretes atrial natriuretic hormone, which stimulates sodium loss from the kidneys._**

    **_Fat-storing cells secrete leptin, which controls how full or hungry we feel._**

    **_Hormone actions occur in every organ of the body and will be discussed in later chapters as well._**

    **_This concludes the audio review of chapter 11._**

    **20251017_233347.jpg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/20251017-233347-jpg)

    **## Chapter_011.rtf**

    11-6

    Audio Chapter Summaries

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    Copyright © 2025 by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.

    **Patton: Structure & Function of the Body, 17th Edition**

    **Chapter 11: Endocrine System**

    ****Audio Chapter Summaries****

    ****Welcome to the audio review of Chapter 11: Endocrine System.****

    **Endocrine glands are ductless glands that secrete chemicals called hormones into the blood.**
    **_Note that exocrine glands are ducted glands and are not included in the endocrine system._**

    **_Endocrine glands are numerous and widespread in the body._**

    **_Diseases result from abnormal secretion of hormones: Hypersecretion is oversecretion of a hormone and hyposecretion is undersecretion of a hormone._**

    **_Hormones perform general functions of communication and control, but a slower, longer-lasting type of control than that provided by nerve impulses._**

    **_Cells that respond to hormones are called_**
    **__target cells_._**
    **__These cells have specific receptors for a particular hormone_; organs containing target cells are thus_**
    **__target organs.__**

    **_The mechanisms of hormone action differ for nonsteroid and steroid hormones._**

    **_Nonsteroid hormones (also known as first messengers) bind to receptors on the target cell membrane, triggering intracellular second messengers such as cyclic AMP to affect the cell’s activities._**

    **_The primary effects produced by a steroid hormone occur by its binding to receptors within the target cell nucleus and influencing cell activity by acting on DNA—a slower process than nonsteroid action._**

    **_Secondary effects may occur when steroid hormones bind to membrane receptors to rapidly trigger functional changes in the target cell._**

    **_Hormone secretion is controlled by homeostatic feedback._**

    **_Negative feedback mechanisms reverse the direction of a change in a physiological system._**

    **_Positive feedback mechanisms amplify physiological changes; positive feedback is uncommon._**

    **_Endocrine regulation of body function usually operates at multiple levels of control at the same time for better efficiency and precision._**

    **_Prostaglandins, often called_**
    **__tissue hormones_ or_**
    **__paracrine_ agents, are powerful lipid substances found in a wide variety of body tissues; prostaglandins are modified fatty acids._**

    **_Prostaglandins are typically produced in a tissue and diffuse only a short distance to act on cells in that tissue._**

    **_Several classes of prostaglandins include prostaglandin A (PGA), prostaglandin E (PGE), and prostaglandin F (PGF)._**

    **_Prostaglandins influence many body functions, including respiration, blood pressure, gastrointestinal secretions, and reproduction._**

    **_Now we’ll review specific endocrine glands._**

    **_The pituitary gland is located in a bony depression called the sella turcica of the sphenoid bone in the skull; it is connected to the hypothalamus by a pituitary stalk. The pituitary gland is divided into anterior and posterior regions. The anterior pituitary—also called the_**
    **__adenohypophysis_; is made up of glandular epithelium. The posterior pituitary—also called the_**
    **__neurohypophysis_; is made up of nervous tissue._**

    **_The anterior pituitary gland secretes these major hormones:_**

    **_Thyroid-stimulating hormone (TSH);_**

    **_Adrenocorticotropic hormone (ACTH);_**

    **_Follicle-stimulating hormone (FSH);_**

    **_Luteinizing hormone (LH);_**

    **_Growth hormone (GH); and_**

    **_Prolactin, also called lactogenic hormone, abbreviated PRL._**

    **_Now we’ll review the functions of the major hormones of the adenohypophysis:_**

    **_Thyroid-stimulating hormone stimulates growth of the thyroid gland and it also stimulates the thyroid gland to secrete thyroid hormone_**

    **_Adrenocorticotropic hormone stimulates growth of the adrenal cortex and stimulates it to secrete glucocorticoids (mainly cortisol)._**

    **_Follicle-stimulating hormone initiates growth of ovarian follicles each month in the ovary and stimulates one or more follicles to develop to the stage of maturity and ovulation; FSH also stimulates estrogen secretion by developing follicles; and stimulates sperm production in the male._**

    **_Luteinizing hormone acts with follicle-stimulating hormone to stimulate estrogen secretion and follicle growth to maturity; LH causes ovulation, causes luteinization of the ruptured follicle; stimulates progesterone secretion by the corpus luteum; and causes interstitial cells in the testes to secrete testosterone in the male._**

    **_Growth hormone stimulates growth by accelerating protein anabolism; it also accelerates fat catabolism and slows glucose catabolism; by slowing glucose catabolism, it tends to increase blood glucose to a higher than typical level, called hyperglycemia._**

    **_Prolactin, or lactogenic hormone, stimulates breast development during pregnancy and secretion of milk after delivery of the baby._**

    **_The posterior pituitary gland (also called the neurohypophysis) secretes just two hormones: antidiuretic hormone (ADH) and oxytocin (abbreviated OT)._**

    **_Antidiuretic hormone accelerates water reabsorption from urine in the kidney tubules into the blood, thereby decreasing urine secretion._**

    **_Oxytocin stimulates the pregnant uterus to contract; may initiate labor; causes glandular cells of the breast to release milk into ducts; and enhances social bonding._**

    **_The hypothalamus produces the posterior pituitary hormones ADH and oxytocin_**

    **_After production in the hypothalamus, hormones pass along axons into the pituitary gland._**

    **_The secretion and release of posterior pituitary hormones is controlled by nervous stimulation; hence the name “neurohypophysis.”_**

    **_The hypothalamus also regulates anterior pituitary secretion._**

    **_Releasing hormones and inhibiting hormones from the hypothalamus control secretion by the anterior pituitary; they reach the anterior pituitary through a direct capillary connection._**

    **_The hypothalamus controls many body functions related to homeostasis, including temperature, appetite, and thirst._**

    **_The thyroid gland is located in the neck, just inferior to the larynx._**

    **_Its tissue is made up of thyroid follicles filled with colloid._**

    **_Hormones produced by the thyroid gland include thyroxine (T4) and triiodothyronine (T3); they are produced by follicle cells and stored in the colloid of follicles._**

    **_The hormone calcitonin is made by cells outside the follicle walls._**

    **_Thyroid hormones accelerate catabolism and energy production, thereby increasing the body’s metabolic rate._**

    **_Calcitonin decreases the blood calcium concentration by inhibiting breakdown of bone, which would otherwise release calcium into the blood._**

    **_The parathyroid glands are small lumps of glandular tissue located on the posterior surface of thyroid._**

    **_They release parathyroid hormone, abbreviated PTH._**

    **_PTH increases blood calcium concentration by increasing the breakdown of bone with the release of calcium into the blood._**

    **_Parathyroid hormone and calcitonin have antagonistic effects that help maintain stable blood calcium concentrations needed for good health._**

    **_The adrenal glands are located on the superior surface of each kidney; their outer region—the cortex—is glandular and their inner region—the medulla—is secretory nervous tissue. Hormones produced by the adrenal cortex include mineralocorticoids—chiefly aldosterone—and glucocorticoids—chiefly cortisol (also called hydrocortisone)._**

    **_The adrenal cortex also secretes small amounts of male hormones (or androgens) in both sexes._**

    **_The adrenal cortex has three cell layers or zones: an outer layer, an inner layer, and a middle layer._**

    **_The_**
    **_outer layer secretes mineralocorticoids. These hormones increase blood sodium and decrease blood potassium concentrations by accelerating kidney tubule reabsorption of sodium and excretion of potassium._**

    **_The inner layer of both men and women’s adrenal glands secretes male androgens, which are sex hormones similar to testosterone; they have a role in reproductive development._**

    **_The middle layer secretes glucocorticoids. Cortisol is the main glucocorticoid. Glucocorticoids have many functions. They help maintain normal blood glucose concentration by increasing gluconeogenesis—the formation of “new” glucose from amino acids produced by the breakdown of proteins, mainly those in muscle tissue cells; they also affect the conversion to glucose of fatty acids produced by the breakdown of fats stored in adipose tissue cells._**

    **_Glucocorticoids play an essential part in maintaining normal blood pressure. They make it possible for epinephrine and norepinephrine to maintain a normal degree of vasoconstriction, a condition necessary for maintaining normal blood pressure._**

    **_They act with epinephrine and norepinephrine to produce an anti-inflammatory effect, to bring about normal recovery from inflammations of various kinds, and they produce an anti-immunity, antiallergy effect; bringing about a decrease in the number of lymphocytes and plasma cells and therefore a decrease in the number of antibodies formed._**

    **_The secretion of glucocorticoid quickly increases when the body is thrown into a condition of stress; high blood concentration of glucocorticoids, in turn, brings about many other stress responses._**

    **_Note that chronic stress can disturb the body’s balance of metabolic and immune functions._**

    **_Now that we’ve reviewed the hormones of the adrenal cortex, the next hormones to review are those of the adrenal medulla: epinephrine, or adrenaline, and norepinephrine._**

    **_Hormones of the adrenal medulla help the body resist stress by intensifying and prolonging the effects of sympathetic stimulation. Increased epinephrine secretion is the first endocrine response to stress._**

    **_Next turn your attention to the pancreas, which is actually both an endocrine and exocrine gland._**

    **_Islands of endocrine tissue are scattered within the exocrine tissue of the pancreas, a digestive gland near the junction of the stomach and small intestine._**

    **_Hormones secreted by the pancreas include glucagon, secreted by alpha cells, and insulin, secreted by beta cells._**

    **_Glucagon increases the blood glucose level by accelerating liver glycogenolysis, the conversion of glycogen to glucose._**

    **_Insulin decreases the blood glucose by accelerating the movement of glucose out of the blood into cells, which increases glucose metabolism by cells._**

    **_Next we’ll discuss hormones of the sex glands._**

    **_The female sex glands, the ovaries, contain two structures that secrete hormones—the ovarian follicles and the corpus luteum._**

    **_Estrogen (the feminizing hormone) affects the development and maturation of breasts and external genitals, as well as the development of adult female body contours._**

    **_Estrogen also initiates the menstrual cycle._**

    **_The interstitial cells of the male sex glands, the testes, secrete the male hormone testosterone._**

    **_Testosterone (the masculinizing hormone) affects maturation of the external genitals, beard growth, voice changes at puberty, and development of musculature and body contours typical of the male._**

    **_Just three more endocrine glands to review: the thymus, placenta, and pineal gland._**

    **_The thymus secretes the hormone thymosin, which is actually a group of related hormones. Thymosin plays an important role in the development and function of T cells, which are agents of the body’s immune system._**

    **_The placenta functions as a temporary endocrine gland during pregnancy. Hormones of the placenta include chorionic gonadotropins, estrogens, and progesterone. Placental hormones help establish and maintain pregnancy._**

    **_The pineal gland is a small gland near the roof of the third ventricle of the brain. Glandular tissue predominates in pineal glands of children and young adults. It becomes fibrous and calcified with age. It is sometimes called the third eye because its influence on secretory activity is related to the amount of light entering the eyes. The pineal gland secretes melatonin, which inhibits ovarian activity and regulates the body’s internal clock._**

    **_Now that you’ve reviewed the individual endocrine glands, consider that there are additional endocrine functions throughout the body._**

    **_Many organs, such as the stomach, intestines, and kidney, produce endocrine hormones._**

    **_The stomach lining produces ghrelin, which affects appetite and metabolism._**

    **_The atrial wall of the heart secretes atrial natriuretic hormone, which stimulates sodium loss from the kidneys._**

    **_Fat-storing cells secrete leptin, which controls how full or hungry we feel._**

    **_Hormone actions occur in every organ of the body and will be discussed in later chapters as well._**

    **_This concludes the audio review of chapter 11._**

    **20251017_233347.jpg**

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  • [Solved] Creating and Interpreting a Demographic Table and Scatterplot

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    The demographic table plays an important role in reporting study results. It numerically summarizes key characteristics of study participants (such as age, gender, ethnicity, work status). In health studies, the demographic table may also include a summary of baseline biometric data. Because the dem…

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    The demographic table plays an important role in reporting study results. It numerically summarizes key characteristics of study participants (such as age, gender, ethnicity, work status). In health studies, the demographic table may also include a summary of baseline biometric data. Because the demographic table is introductory in nature, it is often one the first tables found in the results section of dissertations and peer-reviewed publications. Performing a Google image search (keywords: _“demographic table” descriptive statistics_) will offer the graduate-level learner many useful examples of the varying styles commonly found in health care literature.
    Scatterplots are a tool used early in the analytical process by the researcher to explore relationships between variables. Although the selection of pairings of variables (for example, age versus weight) in public health data sets are usually driven by common sense, it is also common to simply create a grid of all possible variable combinations. In this assignment, you will be asked to only report one scatterplot.
    ## **Instructions**
    Prior to populating your demographic table, analyze descriptive statistics in your statistical software for the following selected variables from the Framingham study data set (linked in the Resources):
    – age1 (age in years).
    – bmi1 (body mass index).
    – cursmoke1 (current smoker).
    – glucose1 (glucose in mg/dl).
    – totchol1 (total cholesterol in mg/dl).
    Then, write a narrative summary using relevant statistical data and terminology. Format your summary using APA style.
    – An APA Style Paper Tutorial is provided to help you in writing and formatting your summary.
    – Your summary should be 1–2 pages in length, not including the title page and references page.
    **Note:** The requirements outlined below correspond to the grading criteria in the rubric. Be sure that you address each point, at a minimum. You may also want to read the Creating and Interpreting a Demographic Table and Scatterplot rubric to better understand how each criterion will be assessed.
    Based on the results from the descriptive statistics, and using How to Create a Demographic Table as a reference document, complete the following tasks:
    – Perform appropriate descriptive statistics for selected variables in a data set.
    – Provide your statistical rationale.
    – Create a demographic table, using your statistical software, populated with your descriptive data. Be sure to:
    – Use the appropriate type of descriptive statistic according to the measurement level of the variable.
    – Use the correct table format and follow the guidance provided in the resource How to Create a Demographic Table.
    – Create a scatterplot, using statistical software, that visually depicts the relationships of the variables age1 and glucose1 in your data.
    – Interpret the statistical results.
    – Write a scholarly narrative summary and interpretation of the results that includes your demographic table.
    – Write a separate summary for the scatterplot.
    – Cite at least one scholarly source to support your summary interpretation.
    – Write clearly and concisely, using correct grammar, mechanics, and APA formatting.
    – Express your main points and conclusions coherently.
    – Proofread your writing to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your statistical analysis.
    ## **Submission Instructions**
    After you have created your demographic table and scatterplot, insert the table and scatterplot graphic into a Word document with your narrative summary.
    Submit both the Word document and .jasp file that shows your output for this assignment. Make sure you save your .jasp file after you run your analyses to ensure the outputs are saved.
    ## **Resources**
    **Use this file for this week's assignment.** [Framingham Week 3 [XLSX]](https://courseroom.capella.edu/courses/50611/files/9838125/download)
    – [How to Create a Demographic Table [PPTX]](https://courseroom.capella.edu/courses/50611/files/9838104/download).
    – [Framingham Heart Study Longitudinal Data Documentation [PDF]](https://courseroom.capella.edu/courses/50611/files/9838098/download).
    – [Framingham Study [ZIP]](https://courseroom.capella.edu/courses/50611/files/9838117/download).
    – [APA Style Paper Tutorial [DOCX]Links to an external site.](https://lat.strategiced.com/redirect?linkid=4243).
    ## **Competencies Measured**
    By successfully completing this assignment, you will demonstrate your proficiency in the following course competencies and rubric criteria:
    – Competency 1: Analyze quantitative data using computer-based software.
    – Perform appropriate descriptive statistics for selected variables in a data set.
    – Create a demographic table populated with descriptive data.
    – Create a scatterplot that visually depicts the relationships of selected variables in descriptive data.
    – Competency 2: Interpret results of data analysis for public health research, policy, or practice.
    – Interpret statistical test results.
    – Competency 3: Communicate in a concise manner, writing clearly with correct use of grammar, punctuation, spelling, and APA style.
    – Write clearly and concisely, using correct grammar, mechanics, and APA formatting.
    \
    Usethisfileforthisweek3.docx](https://www.sweetstudy.com/files/usethisfileforthisweek3-docx "Usethisfileforthisweek3.docx")

  • [Solved] Foundations of Communication Revision

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    Answer the questions in the attached file

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    Thoughtful synthesis, Barbara! As you move forward, think about the effect size you’d report for your area and set a practical benchmark to guide interpretation and sample-size planning–draw those thresholds from current studies and meta-analyses in your field.

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    Thoughtful synthesis, Barbara! As you move forward, think about the effect size you’d report for your area and set a practical benchmark to guide interpretation and sample-size planning–draw those thresholds from current studies and meta-analyses in your field.

  • [Solved] 7 slide PPT (paper done, just put on ppt)

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    Due 10/5 5pm EST Paper is already put together, put it in a PPT in the order of the template and be creative. Add another peer review article (1 missing) 7 slide ppt not includng title and reference APA 7TH ED Topic: Do peer recovery support treatments like SMART Recovery and Alcoholics Anonymous (A…

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    Due 10/5  5pm EST
    Paper is already put together, put it in a PPT in the order of the template and be creative. Add another peer review article (1 missing)
    7 slide ppt not includng title and reference
    APA 7TH ED
    Topic:
    Do peer recovery support treatments like SMART Recovery and Alcoholics
    Anonymous (AA) have long-term abstinence in alcohol use disorder (AUD) patients with
    comorbid mental disorders?
    GAP STATEMENT:
    Recruitment took place regionally in the metro areas of Boston and San Diego, making it impossible to determine how representative these regions are of all SMART Recovery group participant characteristics on a national or international scale. A significant portion of the recruitment took place during the COVID-19 pandemic, which could have influenced estimates in ways that are not generalizable to other timeframes. (Kelly et al. 2023, p. 1939).
    **Reference**
    Kelly, J. F., Fallah-Sohy, N., Cristello, J., Stout, R. L., Jason, L. A., Hoeppner, B. B., Bergman, B. G., & White, W. L. (2023). Who affiliates with SMART Recovery? A comparison of individuals attending SMART Recovery, Alcoholics Anonymous, both, or neither. _Alcohol: Clinical and Experimental Research, 47_(10), p.1939. [https://doi.org/10.1111/acer.15164](https://doi.org/10.1111/acer.15164?utm_source=chatgpt.com)

  • [Solved] Module 3

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    See Attached – ## Module3.docx – ## Milestone11.docx – ## Milestone2.docx **## Module3.docx** Overview In this assignment, you will craft three potential research questions for your research problem. Prompt Now that you have chosen your resources and examined the influence of the methodologies and d…

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    See Attached

    – ## Module3.docx

    – ## Milestone11.docx

    – ## Milestone2.docx

    **## Module3.docx**

    Overview

    In this assignment, you will craft three potential research questions for your research problem.

    Prompt

    Now that you have chosen your resources and examined the influence of the methodologies and data-collection types on research, it’s time to use your resources to craft research questions. In
    **Project Three: Research Questions**, which is due in Module Eight, you will need to create a research question that addresses a particular research problem and explain your development process. To prepare yourself to explain your development process, think about your research problem, not a specific study, and then complete the following:

    **Crafting Questions** Craft research questions that would require the researcher to use a particular research methodology. Complete each of the following:

    · Craft a qualitative research question.

    · Be sure your research question captures your research problem and requires using a qualitative approach to answer the question.

    · Craft a quantitative research question.

    · Be sure your research question captures your research problem and requires using a quantitative approach to answer the question.

    · Craft a mixed-methodology research question.

    · Be sure your research question captures your research problem and requires using a mixed-methodology approach to answer the question.

    **Examination of Questions** Now that you have crafted a research question that would require a particular research methodology, answer each of the following to help choose which research question you will examine further in Project Three in Module Eight:

    · Which research question do you think best captures the research problem you would like to explore?

    · Remember: You’re not actually performing this research study—you’re just thinking about the research question that you would like to dig into if you were going to conduct a research study.

    · Does one of your research questions seem to represent the types of research questions in your field of study more than the others?

    · Is there anything you noticed about the creation of these research questions? Was there something that surprised you in their creation? What stood out to you as you were crafting each question?

    Specifically, the following critical elements must be addressed:

    i. Craft a qualitative, quantitative, and mixed methodology research question about a specific research problem.

    ii. Examine research questions in order to select a complex question.

    What to Submit

    This assignment must be completed in a written format and be 1–2 pages in length. Any references should be cited in APA format.
    [Shapiro Library APA Style Guide](http://libguides.snhu.edu/apa)

    **## Milestone11.docx**

    4

    **Milestone 1**

    Jack Schoon

    SNHU

    Course

    9/14/2025

    **Overview: Identification of the Research Problem and Methodological Trends**

    A research problem is the first phase in any research undertaking, which ideally gets initiated by a thorough literature review. This review identifies what we know about a particular field, and it is, perhaps more significantly, the light in understanding the tendencies of research methods and revealing the gaps in which new questions may be planted (Ebidor & Ikhide, 2024). Examining the research and, most importantly, how a researcher can refine a broad field of research into a specific, multi-layered research question. This procedure is axiomatic because the research question that will be ultimately determined eventually has to be directly connected to a suitable research methodology, whether quantitative, qualitative, or mixed, to be pursued rigorously and with efficacy.

    I have selected my research problem as the significance of telehealth service delivery to therapeutic alliance and client outcomes in the human services, particularly in clinical mental health and counseling settings. This issue is strongly connected with my Human Services discipline, which focuses on improving the clients' well-being by providing high-quality, affordable, and equitable services (Glass & Bickler, 2021). The quick growth of telehealth, which the COVID-19 pandemic has boosted, is a paradigm shift in delivering services. Whether a core therapeutic relationship that is an established predictor of successful outcomes is achievable and sustained via a digital platform is of great concern to practitioners, agencies, and clients, so it is a primary and extremely pertinent problem to the field.

    Evaluating methodological trends for this problem reveals a distinct pattern. The most commonly used methodologies are quantitative approaches, particularly quasi-experimental designs and surveys utilizing standardized scales to measure therapeutic alliance (e.g., Working Alliance Inventory) and symptom reduction (e.g., PHQ-9, GAD-7). The reason behind this prevalence is the interest in producing generalizable data that can be used to quantify the effectiveness of telehealth against face-to-face therapy in a large sample group to give evidence to policymakers and insurance providers (Sagui-Henson et al., 2022). Conversely, qualitative methodologies, such as phenomenology or narrative analysis, are less common. This is a significant gap, as these methods are ideally suited to explore the rich, subjective experiences of clients and clinicians. The scarcity of qualitative studies limits the depth of our understanding. Finding few methodological approaches would severely constrain a potential research question, forcing it into a narrow, quantitative frame and failing to capture the complex human experience at the heart of the issue.

    A proactive and imaginative approach to the literature review can only overcome these obstacles. If I fail to locate a specific methodology, this fact does not nullify my research problem, but indicates a gap in the literature and a potential area of original research. I might have to expand my search terms to identify examples of each methodology. For instance, I would need to search for studies on clinician experiences or client experiences of telehealth instead of therapeutic alliance outcomes (Lim, 2024). Another way that I could have explored related areas, like communication studies or health informatics, would have been to explore relational dynamics in the digital realm through various approaches. This process of refining search strategies and exploring related disciplines is essential to developing a comprehensive understanding of the research landscape, which in turn allows for the development of a truly complex and methodologically sound research question.

    **References**

    Ebidor, L.-L., & Ikhide, I. G. (2024). Literature Review in Scientific Research: An Overview.
    _East African Journal of Education Studies_,
    _7_(2), 179–186. https://doi.org/10.37284/eajes.7.2.1909

    Glass, V. Q., & Bickler, A. (2021). Cultivating the therapeutic alliance in a telemental health setting.
    _Contemporary Family Therapy_,
    _43_(2). https://doi.org/10.1007/s10591-021-09570-0

    Lim, W. M. (2024). What Is Qualitative research? an Overview and Guidelines.
    _Australasian Marketing Journal (AMJ)_,
    _33_(2), 199–229. Sage Journals. https://doi.org/10.1177/14413582241264619

    Sagui-Henson, S. J., Welcome Chamberlain, C. E., Smith, B. J., Li, E. J., Castro Sweet, C., & Altman, M. (2022). Understanding Components of Therapeutic Alliance and Well-Being from Use of a Global Digital Mental Health Benefit During the COVID-19 Pandemic: Longitudinal Observational Study.
    _Journal of Technology in Behavioral Science_,
    _7_(4). https://doi.org/10.1007/s41347-022-00263-5

    **## Milestone2.docx**

    2

    **Project 2: Types of Data Collection**

    Jack Schoon

    SNHU

    SCS 285

    9/28/2025

    **Project 2: Types of Data Collection**

    Building on my research on the significance of telehealth in therapeutic alliance and client outcome in mental health settings, I have researched and selected six research studies, which represent different types of methodology, qualitative, quantitative, and mixed-methods design, to identify data-collection pattern and their impact on research.

    **Selected Research Studies and Evaluation**

    Research by Glass & Bickler (2021), and another one by Gilson et al., (2025) utilize qualitative method. Glass & Bickler’s (2021) study uses in-depth interviews and case examples to explore how therapeutic alliance can be cultivated in telemental health while Gilson et al., (2025) uses qualitative interviews with social workers in mental health setting, highlighting perceived benefits, opportunities, and challenges of telehealth in practice. Studies that utilize quantitative method include, research by Sagui-Henson et al., (2022), a longitudinal observational study that examine therapeutic alliance and well-being using surveys and standardized clinical measures in digital mental health services, and another one by Aafjes-van Doorn et al., (2024), which involves a meta-analysis and systematic review to identify the relationship between treatment outcome and alliance quality across teletherapy studies. Research by Charleton et al. (2022), which combines staff and client interviews with service data to evaluate telehealth in mental health during COVID-29, and another one by Tyrrell et al., (2022), which uses the Delphi method to identify factors influencing therapeutic alliance in remote therapy, utilizes a mixed-method design.

    Several data-collection patterns emerge across these studies, with qualitative studies relying on semi-structured interviews and thematic analysis to represent practitioners' and clients' lived experiences and quantitative studies typically using standardized surveys and outcome measures such as the alliance rating scale to provide measurable and generalizable data. On the other hand, mixed-method studies have combined both approaches through integrating surveys, interviews, and usage data in their study, allowing for a holistic perspective. Reflecting on these patterns, telehealth literature or research seems to strongly rely on survey and scale instruments, with recent studies increasingly incorporating client and clinician narratives in their research.

    In other social sciences such as political science and human services research, surveys, observations, polls, interviews, document analysis, and case studies seem to be commonly used data collection methods. This is because the methods not only help researchers gather broader opinions and trends across the population, but also help explore complex human behaviors and experiences. I think certain disciplines such as political science, favor certain collection methods like surveys because they reflect their research goals, and are shaped by research questions and available resources for the project.

    Every type of data-collection method presents some credibility risks, therefore, heavy reliance on methods like surveys and scales may lead to self-report bias, and overlegalization without accurately understanding involved stakeholders' experiences with telehealth. As such, it is important to utilize multiple types of data collection to produce findings that are more credible, balanced, and generalizable. However, using varied data collection not only can be costly and time-consuming but can also result in the collection of large amounts of information, making data management and analysis more difficult. Additionally, it can also create credibility risks, especially due to potential inconsistencies that may arise from each method, which may undermine the validity and reliability of the findings.

    **References**

    Aafjes-van Doorn, K., Spina, D. S., Horne, S. J., & Bekes, V. (2024). The association between quality of therapeutic alliance and treatment outcomes in teletherapy: A systematic review and meta-analysis.
    _Clinical Psychology Review_,
    _110_, 102430.
    [https://doi.org/10.1016/j.cpr.2024.102430](https://doi.org/10.1016/j.cpr.2024.102430)

    Chatterton, M. L., Marangu, E., Clancy, E. M., Mackay, M., Gu, E., Moylan, S., … & O’Shea, M. (2022). Telehealth service delivery in an Australian regional mental health service during COVID-19: a mixed methods analysis.
    _International journal of mental health systems_,
    _16_(1), 43.
    [https://ijmhs.biomedcentral.com/articles/10.1186/s13033-022-00553-8](https://ijmhs.biomedcentral.com/articles/10.1186/s13033-022-00553-8)

    Gilson, T., Stewart, C., & Hodgson, D. (2025). Telehealth in mental health social work: Benefits and limitations within practice.
    _Australian Social Work_,
    _78_(3), 261-273.
    [https://doi.org/10.1080/0312407X.2024.2380350](https://doi.org/10.1080/0312407X.2024.2380350)

    Glass, V. Q., & Bickler, A. (2021). Cultivating the therapeutic alliance in a telemental health setting.
    _Contemporary Family Therapy_,
    _43_(2), 189-198.
    [https://pmc.ncbi.nlm.nih.gov/articles/PMC7951122/](https://pmc.ncbi.nlm.nih.gov/articles/PMC7951122/)

    Sagui-Henson, S. J., Welcome Chamberlain, C. E., Smith, B. J., Li, E. J., Castro Sweet, C., & Altman, M. (2022). Understanding components of therapeutic alliance and well-being from use of a global digital mental health benefit during the COVID-19 pandemic: longitudinal observational study.
    _Journal of Technology in Behavioral Science_,
    _7_(4), 439-450.
    [https://link.springer.com/article/10.1007/s41347-022-00263-5](https://link.springer.com/article/10.1007/s41347-022-00263-5)

    Tyrrell, S., Bucci, S., & Berry, K. (2025). The therapeutic alliance during remotely delivered therapy: A Delphi study with health professionals.
    _British Journal of Clinical Psychology_.
    [https://doi.org/10.1111/bjc.12544](https://doi.org/10.1111/bjc.12544)

    **## Milestone2.docx**

    2

    **Project 2: Types of Data Collection**

    Jack Schoon

    SNHU

    SCS 285

    9/28/2025

    **Project 2: Types of Data Collection**

    Building on my research on the significance of telehealth in therapeutic alliance and client outcome in mental health settings, I have researched and selected six research studies, which represent different types of methodology, qualitative, quantitative, and mixed-methods design, to identify data-collection pattern and their impact on research.

    **Selected Research Studies and Evaluation**

    Research by Glass & Bickler (2021), and another one by Gilson et al., (2025) utilize qualitative method. Glass & Bickler’s (2021) study uses in-depth interviews and case examples to explore how therapeutic alliance can be cultivated in telemental health while Gilson et al., (2025) uses qualitative interviews with social workers in mental health setting, highlighting perceived benefits, opportunities, and challenges of telehealth in practice. Studies that utilize quantitative method include, research by Sagui-Henson et al., (2022), a longitudinal observational study that examine therapeutic alliance and well-being using surveys and standardized clinical measures in digital mental health services, and another one by Aafjes-van Doorn et al., (2024), which involves a meta-analysis and systematic review to identify the relationship between treatment outcome and alliance quality across teletherapy studies. Research by Charleton et al. (2022), which combines staff and client interviews with service data to evaluate telehealth in mental health during COVID-29, and another one by Tyrrell et al., (2022), which uses the Delphi method to identify factors influencing therapeutic alliance in remote therapy, utilizes a mixed-method design.

    Several data-collection patterns emerge across these studies, with qualitative studies relying on semi-structured interviews and thematic analysis to represent practitioners' and clients' lived experiences and quantitative studies typically using standardized surveys and outcome measures such as the alliance rating scale to provide measurable and generalizable data. On the other hand, mixed-method studies have combined both approaches through integrating surveys, interviews, and usage data in their study, allowing for a holistic perspective. Reflecting on these patterns, telehealth literature or research seems to strongly rely on survey and scale instruments, with recent studies increasingly incorporating client and clinician narratives in their research.

    In other social sciences such as political science and human services research, surveys, observations, polls, interviews, document analysis, and case studies seem to be commonly used data collection methods. This is because the methods not only help researchers gather broader opinions and trends across the population, but also help explore complex human behaviors and experiences. I think certain disciplines such as political science, favor certain collection methods like surveys because they reflect their research goals, and are shaped by research questions and available resources for the project.

    Every type of data-collection method presents some credibility risks, therefore, heavy reliance on methods like surveys and scales may lead to self-report bias, and overlegalization without accurately understanding involved stakeholders' experiences with telehealth. As such, it is important to utilize multiple types of data collection to produce findings that are more credible, balanced, and generalizable. However, using varied data collection not only can be costly and time-consuming but can also result in the collection of large amounts of information, making data management and analysis more difficult. Additionally, it can also create credibility risks, especially due to potential inconsistencies that may arise from each method, which may undermine the validity and reliability of the findings.

    **References**

    Aafjes-van Doorn, K., Spina, D. S., Horne, S. J., & Bekes, V. (2024). The association between quality of therapeutic alliance and treatment outcomes in teletherapy: A systematic review and meta-analysis.
    _Clinical Psychology Review_,
    _110_, 102430.
    [https://doi.org/10.1016/j.cpr.2024.102430](https://doi.org/10.1016/j.cpr.2024.102430)

    Chatterton, M. L., Marangu, E., Clancy, E. M., Mackay, M., Gu, E., Moylan, S., … & O’Shea, M. (2022). Telehealth service delivery in an Australian regional mental health service during COVID-19: a mixed methods analysis.
    _International journal of mental health systems_,
    _16_(1), 43.
    [https://ijmhs.biomedcentral.com/articles/10.1186/s13033-022-00553-8](https://ijmhs.biomedcentral.com/articles/10.1186/s13033-022-00553-8)

    Gilson, T., Stewart, C., & Hodgson, D. (2025). Telehealth in mental health social work: Benefits and limitations within practice.
    _Australian Social Work_,
    _78_(3), 261-273.
    [https://doi.org/10.1080/0312407X.2024.2380350](https://doi.org/10.1080/0312407X.2024.2380350)

    Glass, V. Q., & Bickler, A. (2021). Cultivating the therapeutic alliance in a telemental health setting.
    _Contemporary Family Therapy_,
    _43_(2), 189-198.
    [https://pmc.ncbi.nlm.nih.gov/articles/PMC7951122/](https://pmc.ncbi.nlm.nih.gov/articles/PMC7951122/)

    Sagui-Henson, S. J., Welcome Chamberlain, C. E., Smith, B. J., Li, E. J., Castro Sweet, C., & Altman, M. (2022). Understanding components of therapeutic alliance and well-being from use of a global digital mental health benefit during the COVID-19 pandemic: longitudinal observational study.
    _Journal of Technology in Behavioral Science_,
    _7_(4), 439-450.
    [https://link.springer.com/article/10.1007/s41347-022-00263-5](https://link.springer.com/article/10.1007/s41347-022-00263-5)

    Tyrrell, S., Bucci, S., & Berry, K. (2025). The therapeutic alliance during remotely delivered therapy: A Delphi study with health professionals.
    _British Journal of Clinical Psychology_.
    [https://doi.org/10.1111/bjc.12544](https://doi.org/10.1111/bjc.12544)

    **## Module3.docx**

    Overview

    In this assignment, you will craft three potential research questions for your research problem.

    Prompt

    Now that you have chosen your resources and examined the influence of the methodologies and data-collection types on research, it’s time to use your resources to craft research questions. In
    **Project Three: Research Questions**, which is due in Module Eight, you will need to create a research question that addresses a particular research problem and explain your development process. To prepare yourself to explain your development process, think about your research problem, not a specific study, and then complete the following:

    **Crafting Questions** Craft research questions that would require the researcher to use a particular research methodology. Complete each of the following:

    · Craft a qualitative research question.

    · Be sure your research question captures your research problem and requires using a qualitative approach to answer the question.

    · Craft a quantitative research question.

    · Be sure your research question captures your research problem and requires using a quantitative approach to answer the question.

    · Craft a mixed-methodology research question.

    · Be sure your research question captures your research problem and requires using a mixed-methodology approach to answer the question.

    **Examination of Questions** Now that you have crafted a research question that would require a particular research methodology, answer each of the following to help choose which research question you will examine further in Project Three in Module Eight:

    · Which research question do you think best captures the research problem you would like to explore?

    · Remember: You’re not actually performing this research study—you’re just thinking about the research question that you would like to dig into if you were going to conduct a research study.

    · Does one of your research questions seem to represent the types of research questions in your field of study more than the others?

    · Is there anything you noticed about the creation of these research questions? Was there something that surprised you in their creation? What stood out to you as you were crafting each question?

    Specifically, the following critical elements must be addressed:

    i. Craft a qualitative, quantitative, and mixed methodology research question about a specific research problem.

    ii. Examine research questions in order to select a complex question.

    What to Submit

    This assignment must be completed in a written format and be 1–2 pages in length. Any references should be cited in APA format.
    [Shapiro Library APA Style Guide](http://libguides.snhu.edu/apa)

    **## Milestone11.docx**

    4

    **Milestone 1**

    Jack Schoon

    SNHU

    Course

    9/14/2025

    **Overview: Identification of the Research Problem and Methodological Trends**

    A research problem is the first phase in any research undertaking, which ideally gets initiated by a thorough literature review. This review identifies what we know about a particular field, and it is, perhaps more significantly, the light in understanding the tendencies of research methods and revealing the gaps in which new questions may be planted (Ebidor & Ikhide, 2024). Examining the research and, most importantly, how a researcher can refine a broad field of research into a specific, multi-layered research question. This procedure is axiomatic because the research question that will be ultimately determined eventually has to be directly connected to a suitable research methodology, whether quantitative, qualitative, or mixed, to be pursued rigorously and with efficacy.

    I have selected my research problem as the significance of telehealth service delivery to therapeutic alliance and client outcomes in the human services, particularly in clinical mental health and counseling settings. This issue is strongly connected with my Human Services discipline, which focuses on improving the clients' well-being by providing high-quality, affordable, and equitable services (Glass & Bickler, 2021). The quick growth of telehealth, which the COVID-19 pandemic has boosted, is a paradigm shift in delivering services. Whether a core therapeutic relationship that is an established predictor of successful outcomes is achievable and sustained via a digital platform is of great concern to practitioners, agencies, and clients, so it is a primary and extremely pertinent problem to the field.

    Evaluating methodological trends for this problem reveals a distinct pattern. The most commonly used methodologies are quantitative approaches, particularly quasi-experimental designs and surveys utilizing standardized scales to measure therapeutic alliance (e.g., Working Alliance Inventory) and symptom reduction (e.g., PHQ-9, GAD-7). The reason behind this prevalence is the interest in producing generalizable data that can be used to quantify the effectiveness of telehealth against face-to-face therapy in a large sample group to give evidence to policymakers and insurance providers (Sagui-Henson et al., 2022). Conversely, qualitative methodologies, such as phenomenology or narrative analysis, are less common. This is a significant gap, as these methods are ideally suited to explore the rich, subjective experiences of clients and clinicians. The scarcity of qualitative studies limits the depth of our understanding. Finding few methodological approaches would severely constrain a potential research question, forcing it into a narrow, quantitative frame and failing to capture the complex human experience at the heart of the issue.

    A proactive and imaginative approach to the literature review can only overcome these obstacles. If I fail to locate a specific methodology, this fact does not nullify my research problem, but indicates a gap in the literature and a potential area of original research. I might have to expand my search terms to identify examples of each methodology. For instance, I would need to search for studies on clinician experiences or client experiences of telehealth instead of therapeutic alliance outcomes (Lim, 2024). Another way that I could have explored related areas, like communication studies or health informatics, would have been to explore relational dynamics in the digital realm through various approaches. This process of refining search strategies and exploring related disciplines is essential to developing a comprehensive understanding of the research landscape, which in turn allows for the development of a truly complex and methodologically sound research question.

    **References**

    Ebidor, L.-L., & Ikhide, I. G. (2024). Literature Review in Scientific Research: An Overview.
    _East African Journal of Education Studies_,
    _7_(2), 179–186. https://doi.org/10.37284/eajes.7.2.1909

    Glass, V. Q., & Bickler, A. (2021). Cultivating the therapeutic alliance in a telemental health setting.
    _Contemporary Family Therapy_,
    _43_(2). https://doi.org/10.1007/s10591-021-09570-0

    Lim, W. M. (2024). What Is Qualitative research? an Overview and Guidelines.
    _Australasian Marketing Journal (AMJ)_,
    _33_(2), 199–229. Sage Journals. https://doi.org/10.1177/14413582241264619

    Sagui-Henson, S. J., Welcome Chamberlain, C. E., Smith, B. J., Li, E. J., Castro Sweet, C., & Altman, M. (2022). Understanding Components of Therapeutic Alliance and Well-Being from Use of a Global Digital Mental Health Benefit During the COVID-19 Pandemic: Longitudinal Observational Study.
    _Journal of Technology in Behavioral Science_,
    _7_(4). https://doi.org/10.1007/s41347-022-00263-5

    **## Milestone2.docx**

    2

    **Project 2: Types of Data Collection**

    Jack Schoon

    SNHU

    SCS 285

    9/28/2025

    **Project 2: Types of Data Collection**

    Building on my research on the significance of telehealth in therapeutic alliance and client outcome in mental health settings, I have researched and selected six research studies, which represent different types of methodology, qualitative, quantitative, and mixed-methods design, to identify data-collection pattern and their impact on research.

    **Selected Research Studies and Evaluation**

    Research by Glass & Bickler (2021), and another one by Gilson et al., (2025) utilize qualitative method. Glass & Bickler’s (2021) study uses in-depth interviews and case examples to explore how therapeutic alliance can be cultivated in telemental health while Gilson et al., (2025) uses qualitative interviews with social workers in mental health setting, highlighting perceived benefits, opportunities, and challenges of telehealth in practice. Studies that utilize quantitative method include, research by Sagui-Henson et al., (2022), a longitudinal observational study that examine therapeutic alliance and well-being using surveys and standardized clinical measures in digital mental health services, and another one by Aafjes-van Doorn et al., (2024), which involves a meta-analysis and systematic review to identify the relationship between treatment outcome and alliance quality across teletherapy studies. Research by Charleton et al. (2022), which combines staff and client interviews with service data to evaluate telehealth in mental health during COVID-29, and another one by Tyrrell et al., (2022), which uses the Delphi method to identify factors influencing therapeutic alliance in remote therapy, utilizes a mixed-method design.

    Several data-collection patterns emerge across these studies, with qualitative studies relying on semi-structured interviews and thematic analysis to represent practitioners' and clients' lived experiences and quantitative studies typically using standardized surveys and outcome measures such as the alliance rating scale to provide measurable and generalizable data. On the other hand, mixed-method studies have combined both approaches through integrating surveys, interviews, and usage data in their study, allowing for a holistic perspective. Reflecting on these patterns, telehealth literature or research seems to strongly rely on survey and scale instruments, with recent studies increasingly incorporating client and clinician narratives in their research.

    In other social sciences such as political science and human services research, surveys, observations, polls, interviews, document analysis, and case studies seem to be commonly used data collection methods. This is because the methods not only help researchers gather broader opinions and trends across the population, but also help explore complex human behaviors and experiences. I think certain disciplines such as political science, favor certain collection methods like surveys because they reflect their research goals, and are shaped by research questions and available resources for the project.

    Every type of data-collection method presents some credibility risks, therefore, heavy reliance on methods like surveys and scales may lead to self-report bias, and overlegalization without accurately understanding involved stakeholders' experiences with telehealth. As such, it is important to utilize multiple types of data collection to produce findings that are more credible, balanced, and generalizable. However, using varied data collection not only can be costly and time-consuming but can also result in the collection of large amounts of information, making data management and analysis more difficult. Additionally, it can also create credibility risks, especially due to potential inconsistencies that may arise from each method, which may undermine the validity and reliability of the findings.

    **References**

    Aafjes-van Doorn, K., Spina, D. S., Horne, S. J., & Bekes, V. (2024). The association between quality of therapeutic alliance and treatment outcomes in teletherapy: A systematic review and meta-analysis.
    _Clinical Psychology Review_,
    _110_, 102430.
    [https://doi.org/10.1016/j.cpr.2024.102430](https://doi.org/10.1016/j.cpr.2024.102430)

    Chatterton, M. L., Marangu, E., Clancy, E. M., Mackay, M., Gu, E., Moylan, S., … & O’Shea, M. (2022). Telehealth service delivery in an Australian regional mental health service during COVID-19: a mixed methods analysis.
    _International journal of mental health systems_,
    _16_(1), 43.
    [https://ijmhs.biomedcentral.com/articles/10.1186/s13033-022-00553-8](https://ijmhs.biomedcentral.com/articles/10.1186/s13033-022-00553-8)

    Gilson, T., Stewart, C., & Hodgson, D. (2025). Telehealth in mental health social work: Benefits and limitations within practice.
    _Australian Social Work_,
    _78_(3), 261-273.
    [https://doi.org/10.1080/0312407X.2024.2380350](https://doi.org/10.1080/0312407X.2024.2380350)

    Glass, V. Q., & Bickler, A. (2021). Cultivating the therapeutic alliance in a telemental health setting.
    _Contemporary Family Therapy_,
    _43_(2), 189-198.
    [https://pmc.ncbi.nlm.nih.gov/articles/PMC7951122/](https://pmc.ncbi.nlm.nih.gov/articles/PMC7951122/)

    Sagui-Henson, S. J., Welcome Chamberlain, C. E., Smith, B. J., Li, E. J., Castro Sweet, C., & Altman, M. (2022). Understanding components of therapeutic alliance and well-being from use of a global digital mental health benefit during the COVID-19 pandemic: longitudinal observational study.
    _Journal of Technology in Behavioral Science_,
    _7_(4), 439-450.
    [https://link.springer.com/article/10.1007/s41347-022-00263-5](https://link.springer.com/article/10.1007/s41347-022-00263-5)

    Tyrrell, S., Bucci, S., & Berry, K. (2025). The therapeutic alliance during remotely delivered therapy: A Delphi study with health professionals.
    _British Journal of Clinical Psychology_.
    [https://doi.org/10.1111/bjc.12544](https://doi.org/10.1111/bjc.12544)

    **## Module3.docx**

    Overview

    In this assignment, you will craft three potential research questions for your research problem.

    Prompt

    Now that you have chosen your resources and examined the influence of the methodologies and data-collection types on research, it’s time to use your resources to craft research questions. In
    **Project Three: Research Questions**, which is due in Module Eight, you will need to create a research question that addresses a particular research problem and explain your development process. To prepare yourself to explain your development process, think about your research problem, not a specific study, and then complete the following:

    **Crafting Questions** Craft research questions that would require the researcher to use a particular research methodology. Complete each of the following:

    · Craft a qualitative research question.

    · Be sure your research question captures your research problem and requires using a qualitative approach to answer the question.

    · Craft a quantitative research question.

    · Be sure your research question captures your research problem and requires using a quantitative approach to answer the question.

    · Craft a mixed-methodology research question.

    · Be sure your research question captures your research problem and requires using a mixed-methodology approach to answer the question.

    **Examination of Questions** Now that you have crafted a research question that would require a particular research methodology, answer each of the following to help choose which research question you will examine further in Project Three in Module Eight:

    · Which research question do you think best captures the research problem you would like to explore?

    · Remember: You’re not actually performing this research study—you’re just thinking about the research question that you would like to dig into if you were going to conduct a research study.

    · Does one of your research questions seem to represent the types of research questions in your field of study more than the others?

    · Is there anything you noticed about the creation of these research questions? Was there something that surprised you in their creation? What stood out to you as you were crafting each question?

    Specifically, the following critical elements must be addressed:

    i. Craft a qualitative, quantitative, and mixed methodology research question about a specific research problem.

    ii. Examine research questions in order to select a complex question.

    What to Submit

    This assignment must be completed in a written format and be 1–2 pages in length. Any references should be cited in APA format.
    [Shapiro Library APA Style Guide](http://libguides.snhu.edu/apa)

    **## Milestone11.docx**

    4

    **Milestone 1**

    Jack Schoon

    SNHU

    Course

    9/14/2025

    **Overview: Identification of the Research Problem and Methodological Trends**

    A research problem is the first phase in any research undertaking, which ideally gets initiated by a thorough literature review. This review identifies what we know about a particular field, and it is, perhaps more significantly, the light in understanding the tendencies of research methods and revealing the gaps in which new questions may be planted (Ebidor & Ikhide, 2024). Examining the research and, most importantly, how a researcher can refine a broad field of research into a specific, multi-layered research question. This procedure is axiomatic because the research question that will be ultimately determined eventually has to be directly connected to a suitable research methodology, whether quantitative, qualitative, or mixed, to be pursued rigorously and with efficacy.

    I have selected my research problem as the significance of telehealth service delivery to therapeutic alliance and client outcomes in the human services, particularly in clinical mental health and counseling settings. This issue is strongly connected with my Human Services discipline, which focuses on improving the clients' well-being by providing high-quality, affordable, and equitable services (Glass & Bickler, 2021). The quick growth of telehealth, which the COVID-19 pandemic has boosted, is a paradigm shift in delivering services. Whether a core therapeutic relationship that is an established predictor of successful outcomes is achievable and sustained via a digital platform is of great concern to practitioners, agencies, and clients, so it is a primary and extremely pertinent problem to the field.

    Evaluating methodological trends for this problem reveals a distinct pattern. The most commonly used methodologies are quantitative approaches, particularly quasi-experimental designs and surveys utilizing standardized scales to measure therapeutic alliance (e.g., Working Alliance Inventory) and symptom reduction (e.g., PHQ-9, GAD-7). The reason behind this prevalence is the interest in producing generalizable data that can be used to quantify the effectiveness of telehealth against face-to-face therapy in a large sample group to give evidence to policymakers and insurance providers (Sagui-Henson et al., 2022). Conversely, qualitative methodologies, such as phenomenology or narrative analysis, are less common. This is a significant gap, as these methods are ideally suited to explore the rich, subjective experiences of clients and clinicians. The scarcity of qualitative studies limits the depth of our understanding. Finding few methodological approaches would severely constrain a potential research question, forcing it into a narrow, quantitative frame and failing to capture the complex human experience at the heart of the issue.

    A proactive and imaginative approach to the literature review can only overcome these obstacles. If I fail to locate a specific methodology, this fact does not nullify my research problem, but indicates a gap in the literature and a potential area of original research. I might have to expand my search terms to identify examples of each methodology. For instance, I would need to search for studies on clinician experiences or client experiences of telehealth instead of therapeutic alliance outcomes (Lim, 2024). Another way that I could have explored related areas, like communication studies or health informatics, would have been to explore relational dynamics in the digital realm through various approaches. This process of refining search strategies and exploring related disciplines is essential to developing a comprehensive understanding of the research landscape, which in turn allows for the development of a truly complex and methodologically sound research question.

    **References**

    Ebidor, L.-L., & Ikhide, I. G. (2024). Literature Review in Scientific Research: An Overview.
    _East African Journal of Education Studies_,
    _7_(2), 179–186. https://doi.org/10.37284/eajes.7.2.1909

    Glass, V. Q., & Bickler, A. (2021). Cultivating the therapeutic alliance in a telemental health setting.
    _Contemporary Family Therapy_,
    _43_(2). https://doi.org/10.1007/s10591-021-09570-0

    Lim, W. M. (2024). What Is Qualitative research? an Overview and Guidelines.
    _Australasian Marketing Journal (AMJ)_,
    _33_(2), 199–229. Sage Journals. https://doi.org/10.1177/14413582241264619

    Sagui-Henson, S. J., Welcome Chamberlain, C. E., Smith, B. J., Li, E. J., Castro Sweet, C., & Altman, M. (2022). Understanding Components of Therapeutic Alliance and Well-Being from Use of a Global Digital Mental Health Benefit During the COVID-19 Pandemic: Longitudinal Observational Study.
    _Journal of Technology in Behavioral Science_,
    _7_(4). https://doi.org/10.1007/s41347-022-00263-5

    **## Milestone2.docx**

    2

    **Project 2: Types of Data Collection**

    Jack Schoon

    SNHU

    SCS 285

    9/28/2025

    **Project 2: Types of Data Collection**

    Building on my research on the significance of telehealth in therapeutic alliance and client outcome in mental health settings, I have researched and selected six research studies, which represent different types of methodology, qualitative, quantitative, and mixed-methods design, to identify data-collection pattern and their impact on research.

    **Selected Research Studies and Evaluation**

    Research by Glass & Bickler (2021), and another one by Gilson et al., (2025) utilize qualitative method. Glass & Bickler’s (2021) study uses in-depth interviews and case examples to explore how therapeutic alliance can be cultivated in telemental health while Gilson et al., (2025) uses qualitative interviews with social workers in mental health setting, highlighting perceived benefits, opportunities, and challenges of telehealth in practice. Studies that utilize quantitative method include, research by Sagui-Henson et al., (2022), a longitudinal observational study that examine therapeutic alliance and well-being using surveys and standardized clinical measures in digital mental health services, and another one by Aafjes-van Doorn et al., (2024), which involves a meta-analysis and systematic review to identify the relationship between treatment outcome and alliance quality across teletherapy studies. Research by Charleton et al. (2022), which combines staff and client interviews with service data to evaluate telehealth in mental health during COVID-29, and another one by Tyrrell et al., (2022), which uses the Delphi method to identify factors influencing therapeutic alliance in remote therapy, utilizes a mixed-method design.

    Several data-collection patterns emerge across these studies, with qualitative studies relying on semi-structured interviews and thematic analysis to represent practitioners' and clients' lived experiences and quantitative studies typically using standardized surveys and outcome measures such as the alliance rating scale to provide measurable and generalizable data. On the other hand, mixed-method studies have combined both approaches through integrating surveys, interviews, and usage data in their study, allowing for a holistic perspective. Reflecting on these patterns, telehealth literature or research seems to strongly rely on survey and scale instruments, with recent studies increasingly incorporating client and clinician narratives in their research.

    In other social sciences such as political science and human services research, surveys, observations, polls, interviews, document analysis, and case studies seem to be commonly used data collection methods. This is because the methods not only help researchers gather broader opinions and trends across the population, but also help explore complex human behaviors and experiences. I think certain disciplines such as political science, favor certain collection methods like surveys because they reflect their research goals, and are shaped by research questions and available resources for the project.

    Every type of data-collection method presents some credibility risks, therefore, heavy reliance on methods like surveys and scales may lead to self-report bias, and overlegalization without accurately understanding involved stakeholders' experiences with telehealth. As such, it is important to utilize multiple types of data collection to produce findings that are more credible, balanced, and generalizable. However, using varied data collection not only can be costly and time-consuming but can also result in the collection of large amounts of information, making data management and analysis more difficult. Additionally, it can also create credibility risks, especially due to potential inconsistencies that may arise from each method, which may undermine the validity and reliability of the findings.

    **References**

    Aafjes-van Doorn, K., Spina, D. S., Horne, S. J., & Bekes, V. (2024). The association between quality of therapeutic alliance and treatment outcomes in teletherapy: A systematic review and meta-analysis.
    _Clinical Psychology Review_,
    _110_, 102430.
    [https://doi.org/10.1016/j.cpr.2024.102430](https://doi.org/10.1016/j.cpr.2024.102430)

    Chatterton, M. L., Marangu, E., Clancy, E. M., Mackay, M., Gu, E., Moylan, S., … & O’Shea, M. (2022). Telehealth service delivery in an Australian regional mental health service during COVID-19: a mixed methods analysis.
    _International journal of mental health systems_,
    _16_(1), 43.
    [https://ijmhs.biomedcentral.com/articles/10.1186/s13033-022-00553-8](https://ijmhs.biomedcentral.com/articles/10.1186/s13033-022-00553-8)

    Gilson, T., Stewart, C., & Hodgson, D. (2025). Telehealth in mental health social work: Benefits and limitations within practice.
    _Australian Social Work_,
    _78_(3), 261-273.
    [https://doi.org/10.1080/0312407X.2024.2380350](https://doi.org/10.1080/0312407X.2024.2380350)

    Glass, V. Q., & Bickler, A. (2021). Cultivating the therapeutic alliance in a telemental health setting.
    _Contemporary Family Therapy_,
    _43_(2), 189-198.
    [https://pmc.ncbi.nlm.nih.gov/articles/PMC7951122/](https://pmc.ncbi.nlm.nih.gov/articles/PMC7951122/)

    Sagui-Henson, S. J., Welcome Chamberlain, C. E., Smith, B. J., Li, E. J., Castro Sweet, C., & Altman, M. (2022). Understanding components of therapeutic alliance and well-being from use of a global digital mental health benefit during the COVID-19 pandemic: longitudinal observational study.
    _Journal of Technology in Behavioral Science_,
    _7_(4), 439-450.
    [https://link.springer.com/article/10.1007/s41347-022-00263-5](https://link.springer.com/article/10.1007/s41347-022-00263-5)

    Tyrrell, S., Bucci, S., & Berry, K. (2025). The therapeutic alliance during remotely delivered therapy: A Delphi study with health professionals.
    _British Journal of Clinical Psychology_.
    [https://doi.org/10.1111/bjc.12544](https://doi.org/10.1111/bjc.12544)

    – 1
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    The purpose of this assignment is to understand the decision-making process for consumer behavior. Identify a brand that recently launched a new product (e.g., Apple’s Vision Pro, Coca-Cola’s Creations). Using the resources provided in the class and topic resources, provide a 500- to 750-word analys…

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    The purpose of this assignment is to understand the decision-making process for consumer behavior.
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