Off-campus Pacific University users: To download campus access theses and dissertations, please log into our proxy server with your PUNet ID and password.

Non-Pacific University users: Please talk to your librarian about requesting this thesis or dissertation through interlibrary loan.

Theses or dissertations that have a specific embargo period indicated below will not be available to anyone until the date indicated.

Date of Award


Degree Type

Dissertation (On-Campus Access Only)

Degree Name

Doctor of Psychology (PsyD)

Committee Chair

Susan Tinsley Li, PhD

Second Advisor

Catherine Miller, PhD


Multicultural Integrated Kidney Education Program (MIKE) is a chronic disease prevention program in the Pacific Northwest that aims to reduce risk for chronic disease by intervening in the lives of adolescents. MIKE has been effective at improving students’ kidney knowledge and health self-efficacy, which may lower risk for chronic disease (Li, Sage, & Neal, 2012; Sage, Li, & Neal, 2012). The current study aims to evaluate whether MIKE is also effective at lowering students’ stress levels and improving their physical and mental health, as well as bolstering connectedness. Additionally, given health disparities based on factors such as race and socioeconomic status (SES), this study aimed to identify preexisting health disparities among MIKE participants related to racial group membership and maternal education levels. Data were collected from a total of 64 students across two groups: a group of students who participated in MIKE and a control group of students who did not participate in MIKE. Results indicated there were no significant differences on measures of interest between groups. This study demonstrates the difficulty that arises when creating and identifying changes in high-risk populations, but it represents an important step in making changes to program design, implementation, and evaluation in order to realize the changes that MIKE aims to demonstrate.

Available for download on Thursday, September 13, 2018