The Relationship Between School Counselor Self‐Efficacy, Empowerment, Critical Consciousness, and Social Determinants of Health Competency: An Initial Investigation.

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Title: The Relationship Between School Counselor Self‐Efficacy, Empowerment, Critical Consciousness, and Social Determinants of Health Competency: An Initial Investigation.
Authors: Middleton, Tevin, Bardhoshi, Gerta, Lin, Yung‐Wei
Source: Journal of Counseling & Development (John Wiley & Sons, Inc.). Apr2026, Vol. 104 Issue 2, p180-197. 18p.
Subjects: Counselors, Cross-sectional method, Sexual orientation, Self-efficacy, Social determinants of health, Schools, Cultural competence, Descriptive statistics, English as a foreign language, Psychosocial factors, Social classes, Ecological research
Geographic Terms: United States
Abstract: This study employed an ecological perspective to examine the relationship between school counselors' perceived social determinants of health (SDoH) competency and demographic, psychosocial, and contextual factors, including professional self‐efficacy, psychological empowerment, critical consciousness, and structural empowerment (SE). A hierarchical linear regression analysis of 367 school counselors found that factors across micro‐, meso‐, and exo‐levels explained 45% of the variance in SDoH competency (R2 = 0.450, p < 0.001), with statistically significant predictors including cultural acceptance self‐efficacy, percentage of students receiving free‐and‐reduced lunch (FRL), percentage of students identified as English as second language (ESL) learners, and SE. The findings highlight the role of these factors in promoting school counselor competency to address systemic inequities and support the success of all students. Implications extend to counselor education, supervision, practice, and policy, particularly in fostering equity‐driven practices and creating empowering environments for counselors. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Counseling & Development (John Wiley & Sons, Inc.) is the property of John Wiley & Sons, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: This study employed an ecological perspective to examine the relationship between school counselors&#39; perceived social determinants of health (SDoH) competency and demographic, psychosocial, and contextual factors, including professional self‐efficacy, psychological empowerment, critical consciousness, and structural empowerment (SE). A hierarchical linear regression analysis of 367 school counselors found that factors across micro‐, meso‐, and exo‐levels explained 45% of the variance in SDoH competency (R2 = 0.450, p &lt; 0.001), with statistically significant predictors including cultural acceptance self‐efficacy, percentage of students receiving free‐and‐reduced lunch (FRL), percentage of students identified as English as second language (ESL) learners, and SE. The findings highlight the role of these factors in promoting school counselor competency to address systemic inequities and support the success of all students. Implications extend to counselor education, supervision, practice, and policy, particularly in fostering equity‐driven practices and creating empowering environments for counselors. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Journal of Counseling &amp; Development (John Wiley &amp; Sons, Inc.) is the property of John Wiley &amp; Sons, Inc. and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1002/jcad.70018
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 18
        StartPage: 180
    Subjects:
      – SubjectFull: Counselors
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Sexual orientation
        Type: general
      – SubjectFull: Self-efficacy
        Type: general
      – SubjectFull: Social determinants of health
        Type: general
      – SubjectFull: Schools
        Type: general
      – SubjectFull: Cultural competence
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: English as a foreign language
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Social classes
        Type: general
      – SubjectFull: Ecological research
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: The Relationship Between School Counselor Self‐Efficacy, Empowerment, Critical Consciousness, and Social Determinants of Health Competency: An Initial Investigation.
        Type: main
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          Name:
            NameFull: Middleton, Tevin
      – PersonEntity:
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            NameFull: Bardhoshi, Gerta
      – PersonEntity:
          Name:
            NameFull: Lin, Yung‐Wei
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          Dates:
            – D: 01
              M: 04
              Text: Apr2026
              Type: published
              Y: 2026
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              Value: 104
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            – TitleFull: Journal of Counseling & Development (John Wiley & Sons, Inc.)
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