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  • Karla Fehr
Portrait of Karla Fehr

Karla Fehr

Ph.D.
  • Associate Professor, Education, Health & Behavior
    • Pediatric Psychology, Integrated Behavioral Health, Pediatric Sleep, Pretend Play

Contact Info

  • Email: karla.fehr@UND.edu
  • Office: 777.3614
  • Dept:

Office Address

Education Building Room 372
231 Centennial Drive Stop 7189
Grand Forks ND 58202-7189

Biography

Dr. Karla Fehr is an Associate Professor in the Counseling Psychology program in Education, Health, & Behavior Studies and works as part of UND’s Behavioral Health Strategic Initiative. She is a clinical psychologist with expertise in pediatric psychology and pediatric integrated behavioral health. Her research examines pediatric integrated behavioral health in rural settings and psychological outcomes for pediatric populations, including behavioral sleep difficulties. She is especially interested in dissemination of brief, targeted interventions for youth and increasing access to treatment for underserved populations. 

COUN 535: Child, Family, and Couples Counseling

COUN 569: Cognitive Assessment/Child and Adolescent Cognitive and Personality Assessment

  • Pediatric Psychology
  • Integrated Behavioral Health
  • Pediatric Sleep
  • Pretend Play

Peer-Reviewed Publications

  • Fehr, K., Hughes-Scalise, A., Leraas, B., & Boog, K. (2023). Individual therapy for children and adolescents: Play therapy and interpersonal therapy as developmentally-centered relational change modalities. In H. Feldman, E.R. Elias, N. Blum, M. Jimenez, & T. Stancin (Eds.). Developmental Behavioral Pediatrics, 5th edition. (pp. 931-939). Elsevier.
  • Leraas, B., & Fehr, K. (2022). Commentary: A critical reflection of identity categorization and the utility of an intersectional approach to psychological research. Journal of Pediatric Psychology, 47(7), 754-756. 
  • Fehr, K., Hoffmann, J., Ramasami, J., & Chambers, D. (2021). Feasibility of a group play intervention in early childhood. Journal of Creativity, 31, 100008. 
  • Fehr, K., Chambers, D., & VanderWoude, C. (2021). Ethics in pediatric psychology: Considerations for trainees transitioning to the medical setting. Clinical Practice in Pediatric Psychology. Advance online publication. 
  • Fehr, K., Chambers, D., & Ramasami, J. (2021). The impact of anxiety on behavioral sleep difficulties and treatment in young children: A review of the literature. Journal of Clinical Psychology in Medical Settings, 28(1), 102-112. 
  • Fehr, K., Leraas, B., & Littles, M. (2020). Integrated behavioral health in rural pediatric primary care: Behavioral and mental health needs, barriers, and parent preferences. Journal of Pediatric Psychology, 45(8), 910-920. 
  • Fehr, K., Chambers, D., & Ramasami, J. (2020). Cognitive-behavioral treatment for pediatric sleep difficulties. In R. Friedberg & J. Paternostro (Eds.) Handbook of Cognitive Behavioral Therapy for Pediatric Medical Conditions (pp. 279-294). Springer. 
  • Fehr, K., Doss, J., Hughes-Scalise, A., Littles, M. (2020). Cognitive-behavioral therapy for pediatric epilepsy and psychogenic non-epileptic seizures. In R. Friedberg & J. Paternostro (Eds.) Handbook of Cognitive Behavioral Therapy for Pediatric Medical Conditions (pp. 295-314). Springer. 
  • Fehr, K., Boog, K., & Leraas, B. (2020). Play behaviors (definition and typology). In S. Hupp & J. Jewell (Eds.) Encyclopedia of Child and Adolescent Development. John Wiley & Sons, Inc. 
  • Allen, C., Fehr, K., & Nyp, S. (2019). Maintaining safety and planning for the future. Journal of Developmental & Behavioral Pediatrics, 40(8), 651-653.
  • Imboden, A., & Fehr, K. (2018). Collaborative care of Attention Deficit Hyperactivity Disorder: An innovative partnership to serve rural pediatric patients. Journal of Pediatric Health Care, 32(6), 584-590. 
  • Ramasami, J., & Fehr, K. (2018). JPP student journal club commentary: Sleep in youth with chronic health conditions: Expanding models to understand complexity in youth with comorbid conditions. Journal of Pediatric Psychology, 9(1), 955-957. 
  • Fehr, K. (2017). Ethical considerations and treatment decision-making when parental adherence difficulties impact treatment outcomes: Comment on Bruni, Lancaster, and Kullgren (2017). Clinical Practice in Pediatric Psychology, 5(3), 271-272. 
  • Fehr, K., Hazen, R., & Nielsen, B. (2017). Ethical decision making for psychology trainees in the clinical pediatric setting: Case examples and practical solutions for trainees and supervisors. Clinical Practice in Pediatric Psychology, 5(1), 123-136. 
  • Hazen, R., Fehr, K., & Nielsen, B. (2017). Spotlight on the Pediatric Bioethics Special Interest Group. Clinical Practice in Pediatric Psychology, 5(1), 121-122. 
  • Fehr, K., Russ, S., & Ievers-Landis, C. (2016). Treatment of sleep problems in young children: A case series report of a cognitive-behavioral play intervention. Clinical Practice in Pediatric Psychology, 4(3), 306-317. 
  • Fehr, K., & Russ, S. (2016). Pretend play and creativity in preschool-aged children: Associations and brief intervention. Psychology of Aesthetics, Creativity, and the Arts, 10(3), 296-308. 
  • Russ, S., & Fehr, K. (2016). The use of pretend play to overcome anxiety in school age children. In A. Drewes & C. Schaefer (Eds.) Play Therapy in Middle Childhood (pp. 77-95). American Psychological Association. 
  • Hazen, R., Fehr, K., Ievers-Landis, C., MacLeish, S. (2015). Sleep parameters and diabetes-related considerations for children and adolescents with Type 1 diabetes. Diabetes Management, 5(6), 449-456.
  • Ievers-Landis, C., Hazen, R., & Fehr, K. (2015). Competencies in training at the graduate student level: Example of a pediatric psychology seminar course. Clinical Practice in Pediatric Psychology, 3(3), 197-204. 
  • Hazen, R., Fehr, K., Fidler, A., Cousino, M., MacLeish, S., & Gubitosi-Klug, R. (2015). Sleep disruption in adolescents with Type 1 Diabetes Mellitus: Relationships with adherence and diabetes control. Diabetes Management, 5(4), 257-265. 
  • Chuang, J., Fehr, K., Ievers-Landis, C., Narasimhan, S., Uli, Naveen, & O’Riordan, M.A. (2015). Associations of sleep duration and regularity with level of obesity among youth in a weight loss program. Translational Issues in Psychological Science, 1(1), 45-56. 
  • Fehr, K., & Russ, S. (2014). Assessment of pretend play in preschool-aged children: Validation and factor analysis of the Affect in Play Scale-Preschool versions. Journal of Personality Assessment, 96(3), 350-357. 

Select Presentations

  • Hinojosa, J., Bartholomay, E., & Fehr, K. (2022, November). Sleep hygiene moderates the relationship between total sleep time and negative affect. Poster presented at the Association for Behavioral and Cognitive Therapies Annual Convention, New York City, NY.
  • Kruse, M., & Fehr, K. (2022, April). Problem recognition and help seeking behaviors for childhood sleep difficulties. Poster presented at the Society of Pediatric Psychology Annual Conference, Phoenix, AZ.
  • Fehr, K., Chambers, D., Ramasami, J., & Hoffmann, J. (2022, April). Fostering the pretend play of young children through group intervention: A feasibility study. In K. Fehr (Chair). Pretend play and learning: Academic achievement, school-based programming, and intervention approaches. Symposium presented at the Learning through Play and Imagination: Expanding perspectives special topic meeting of the Society for Research in Child Development, St. Louis, MO.
  • Fehr, K., & Leraas, B. (2021, October). Practice modifications to clinical psychology training and supervision. In J. Dempsey and K. Fehr (Chairs). State of the psychology workforce in DBP: Telehealth and practice trends, provider well-being, and interprofessional collaboration. Symposium presented at the Virtual Annual Meeting of the Society for Developmental & Behavioral Pediatrics. https://sdbp.org/meetingsinfo/annual-meeting
  • Leraas, B., & Fehr, K. (2021, October). Behavioral health information preferences and correlates among parents in rural pediatric primary care. Poster presented at the Virtual Annual Meeting of the Society for Developmental & Behavioral Pediatrics. https://sdbp.org/meetingsinfo/annual-meeting
  • Leraas, B., & Fehr, K. (2021, September). Factors affecting parent preferences for behavioral health information in rural pediatric primary care. Poster presented at the virtual annual meeting of the DREAM IPC Conference. https://www.nemours.org/about/dream-ipc-conference.html
  • Fehr, K., Boog, K., & Self, M. (2021, August). Pediatric psychology training during COVID-19: Ethical considerations and conflicts. In K. Fehr (Chair). Ethics and equity in pediatric practice, training, and research during COVID-19. Symposium presented at the annual meeting of the American Psychological Association, virtual. https://convention.apa.org
  • Boog, K., Bartholomay, E., Ambrosio, A., & Fehr, K. (2020, November). Anxiety and repetitive thoughts are related to sleep indirectly through beliefs about sleep and sleep hygiene. Paper presented at the Society of Behavioral Sleep Medicine’s 2020 Virtual Scientific Conference.
  • Fehr, K. (2020, September). Assessment of play processes. In M. Clark (Chair). Come play with us! Teaching the art of play for developmental promotion, evaluation, and community engagement in the face of a pandemic. Workshop presented at the annual meeting of the Society for Developmental & Behavioral Pediatrics. https://sdbp.org/meetingsinfo/annual-meeting/
  • Boog, K., Littles, M., Ambrosio, A., & Fehr, K. (2020, March). Reliability between Fitbit Alta HR and actigraphy in college students: The role of the heartrate feature. Poster presented at the Society of Pediatric Psychology Annual Conference, Dallas, TX. https://societyofpediatricpsychology.org/node/726
  • Leraas, B., Ramasami, J., & Fehr, K. (2020, March). Parent preferences for behavioral health information in rural pediatric primary care. Poster presented at the Society of Pediatric Psychology Annual Conference, Dallas, TX. https://societyofpediatricpsychology.org/node/726
  • Boog, K., Littles, M., binti Tajudeen, S., & Fehr, K. (2019, September). Sleep tracking devices: A comparison between actigraphy and Fitbit Alta HR in college students. Poster presented at the inaugural Society of Behavioral Sleep Medicine conference, Birmingham, AL.
  • Fehr, K., Chambers, D., & VanderWoude, C. (2019, August). Ethical training in pediatric psychology: Application to the clinical setting. In Fehr, K. & Agoston, M. (Chairs), Ethical issues in the clinical practice of pediatric psychology. Symposium presented at the annual meeting of the American Psychological Association, Chicago, IL.
  • Fehr, K., Boog, K., & Ramasami, J. (2019, August). The role of parenting style and parent play beliefs in pretend play, creativity, and problem solving. In S. Russ (Chair). Pretend play and its relationship with developmental outcomes across childhood. Symposium presented at the annual meeting of the American Psychological Association, Chicago, IL.
  • Boog, K., Shane, K., & Fehr, K., (2019, August). Pretend play and creativity, problem-solving, coping, and psychosocial functioning in preschoolers. Poster presented at the annual meeting of the American Psychological Association, Chicago, IL.
  • Leraas, B., Baez, C., & Fehr, K. (2019, August). Factors influencing prior service use and willingness to seek services in rural primary care. Poster presented at the annual meeting of the American Psychological Association, Chicago, IL.
  • Chambers, D., VanderWoude, C., & Fehr, K. (2019, August). Establishing pediatric integrated behavioral health in a rural setting: A guide for clinicians. Poster presented at the annual meeting of the American Psychological Association, Chicago, IL.
  • Leraas, B., Littles, M., & Fehr, K. (2019, April). Behavioral and mental health stigma, needs, and preferences in rural pediatric primary care. Poster presented at the Society of Pediatric Psychology Annual Conference, New Orleans, LA.
  • Littles, M., Boog, K., binti Tajudeen, S., & Fehr, K. (2019, April). The effects of psychosocial functioning, sleep knowledge, and sleep behavior on sleep onset latency in young adults. Poster presented at the Society of Pediatric Psychology Annual Conference, New Orleans, LA.
  • Ramasami, J., & Fehr, K. (2019, April). The relationships among parent sleep beliefs, sleep knowledge, and child sleep problems. Poster presented at the Society of Pediatric Psychology Annual Conference, New Orleans, LA.

Postdoctoral Fellowship, Pediatric Psychology, Minnesota Epilepsy Group, St. Paul, Minnesota

Internship, Child Clinical/Pediatric Psychology, Nemours/Alfred I. duPont Hospital for Children, Wilmington, Delaware

Ph.D. in Clinical Psychology, Pediatric Psychology Emphasis, Case Western Reserve University, Cleveland, Ohio

M.A. in Clinical Psychology, Child Clinical Psychology Emphasis, Case Western Reserve University, Cleveland, Ohio

B.A. in Psychology with Honors, University of North Dakota, Grand Forks

2023-present

Associate Professor, Counseling Psychology and Counseling, Department of Education, Health, and Behavior Studies, University of North Dakota, Grand Forks

2020-2022

Associate Professor, Clinical Psychology Program, School of Psychological and Behavioral Sciences, Southern Illinois University, Carbondale

2014-2020

Assistant Professor, Clinical Psychology Program, Department of Psychology, Southern Illinois University, Carbondale

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