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Learning To Be Trauma-Informed: An Examination Of Individual-Level Factors Predicting Perceptions Of And Response To Trauma-Informed Practice Trainings, Kelly Daniel Dec 2025

Learning To Be Trauma-Informed: An Examination Of Individual-Level Factors Predicting Perceptions Of And Response To Trauma-Informed Practice Trainings, Kelly Daniel

Electronic Theses and Dissertations

Trauma is a substantial threat to public health. As such, significant effort has been exerted into developing interventions which mitigate the consequences of trauma. Trauma-informed practice (TIP) aims to alleviate the effects of trauma by building policies and practices focused on safety, trust, transparency, support, collaboration, and empowerment. This study investigated how individual-level factors, including readiness for organizational change, perceived benefit of TIP training, and personal trauma history affect one’s ability to apply a TIP lens in a sample (n =100) of members of a graduate-level college. Further, it explored if one’s perceptions of and response to trauma-informed practice training …


Does Self-Care Moderate The Association Between Adverse Childhood Experiences, Trauma Symptoms, And Parental Reflective Functioning?, Vinaya Thomas Dec 2024

Does Self-Care Moderate The Association Between Adverse Childhood Experiences, Trauma Symptoms, And Parental Reflective Functioning?, Vinaya Thomas

Electronic Theses and Dissertations

Unresolved adverse and traumatic experiences in parents can amplify the risk of perpetuating intergenerational transmission of trauma. Parents’ positive and adaptive practices such as self-care might act as a protective factor against this ripple effect. This study investigated whether self-care moderated the relationship between parental ACEs, post-traumatic stress symptoms, and parental reflective functioning in mothers who are experiencing high psychosocial stress (n = 59) residing in rural Appalachia. Within our sample, there was no statistically significant linear relationship between our predictors, ACE score and PTSD symptoms, and our outcome of interest, maternal pre-mentalizing. We did not find empirical support for …


Patterns Of The Use And Perception Of Cannabis Among College Students In Tennessee, Jayla Ruffus-Milner Aug 2024

Patterns Of The Use And Perception Of Cannabis Among College Students In Tennessee, Jayla Ruffus-Milner

Electronic Theses and Dissertations

Cannabis has been historically difficult to research due to its federal scheduling. However, as legalization of cannabis medically, recreationally, or both in states across the country has increased, so has the need to address the research gaps that persist. The purpose of this study was to explore the patterns of cannabis use and perceptions of college students in Tennessee, which encompass a demographic of mainly young adults who are typically associated with high usage patterns. The study uses quantitative data collected from an online survey sent to a university in East Tennessee to evaluate associations between students’ age, gender, race/ethnicity, …


Enabling Iov Communication Through Secure Decentralized Clustering Using Federated Deep Reinforcement Learning, Chandler Scott Aug 2024

Enabling Iov Communication Through Secure Decentralized Clustering Using Federated Deep Reinforcement Learning, Chandler Scott

Electronic Theses and Dissertations

The Internet of Vehicles (IoV) holds immense potential for revolutionizing transporta- tion systems by facilitating seamless vehicle-to-vehicle and vehicle-to-infrastructure communication. However, challenges such as congestion, pollution, and security per- sist, particularly in rural areas with limited infrastructure. Existing centralized solu- tions are impractical in such environments due to latency and privacy concerns. To address these challenges, we propose a decentralized clustering algorithm enhanced with Federated Deep Reinforcement Learning (FDRL). Our approach enables low- latency communication, competitive packet delivery ratios, and cluster stability while preserving data privacy. Additionally, we introduce a trust-based security framework for IoV environments, integrating a central authority …


Co-Rumination, Psychological Inflexibility, And Internalizing Symptoms In Adolescence, John Parigger Aug 2024

Co-Rumination, Psychological Inflexibility, And Internalizing Symptoms In Adolescence, John Parigger

Electronic Theses and Dissertations

Two risk factors for anxiety and depression in adolescence were examined: co-rumination, which occurs when friends excessively talk about problems; and psychological inflexibility, which occurs when one avoids negative feelings and fails to act on values. I hypothesized that psychological inflexibility would exacerbate the effect of co-rumination on adolescent anxiety and depression. Participants were 167 adolescents (Mage = 14.60 years, SD = 1.3; 65.7% cisgender males) who completed standard measures as part of an online survey. Results indicated no moderation effect, but there were main effects of co-rumination and psychological inflexibility on depression symptoms. Co-rumination may relate to …


Application Of Functionalized Organosilicas In Adsorption Of Nitrates, Stephen Amoako Aug 2024

Application Of Functionalized Organosilicas In Adsorption Of Nitrates, Stephen Amoako

Electronic Theses and Dissertations

This study addresses the critical environmental issue of elevated nitrate levels in water bodies, primarily due to excessive use of nitrogenous fertilizers and improper waste disposal. It focuses on reducing nitrate concentrations in polluted water to permissible levels through the effectiveness of hybrid materials in nitrate adsorption. We synthesized nine amino-functionalized adsorbents using grafting and sol-gel techniques. Batch adsorption tests confirmed the high nitrate adsorption capacities of these adsorbents, with sol-gel materials showing the highest efficiency due to their abundant amino group contents. Among these, the surfactant-free, sol-gel adsorbent was the most effective, combining ease of synthesis with cost-efficiency. Our …


Exploring Knowledge And Perceptions Of Nursing Students: A Quantitative Study On Sexual Assault And Sex Trafficking Awareness, Isabella Marino May 2024

Exploring Knowledge And Perceptions Of Nursing Students: A Quantitative Study On Sexual Assault And Sex Trafficking Awareness, Isabella Marino

Electronic Theses and Dissertations

This study aims to explore nursing students' knowledge and perceptions of identifying and treating victims of sexual assault and sex trafficking. Survey data was collected from second to fifth semester nursing students in Eastern Tennessee. The study aims to identify students' perceptions of medical personnel's ability to identify and treat sexual assault and sex trafficking victims, examine whether adherence to myths affects knowledge and confidence levels, determine students' confidence in identifying and treating victims, and evaluate whether demographic characteristics affect identification and treatment. Results will help improve our approach towards these issues.


Investigating Self-Perception Of Speech And Motivation For Return To Intervention For Post Cochlear Implantation In Young Adults, Madison Henry May 2024

Investigating Self-Perception Of Speech And Motivation For Return To Intervention For Post Cochlear Implantation In Young Adults, Madison Henry

Electronic Theses and Dissertations

Introduction: Cochlear Implants (CI) are designed to address severe to profound hearing loss. When implantation occurs after language develops, it is referred to as post-lingual (PL) implantation. Currently, no interventions have been identified to address the communication challenges that young adults with PL-CIs may face after they complete post-CI rehabilitation services. This study analyzes if an individualized intervention plan is beneficial for a person with PL-CIs when experiencing changing communication demands in the transition to college or the workforce. Methodology: Baseline assessments were conducted; the results of which allowed for the establishment of four co-constructed goals. These goals were targeted …


Reclamation: The Towns Of The Virginia Coalfields, Craig Owens May 2024

Reclamation: The Towns Of The Virginia Coalfields, Craig Owens

Electronic Theses and Dissertations

The photographer discusses his work in Reclamation: The Towns of the Virginia Coalfields, a Master of Fine Arts thesis exhibit held at the Tipton Gallery from February 12th through February 23, 2024. The exhibition focuses on coal towns located in the southwestern part of Virginia. The exhibition consists of 20 framed, archival inkjet prints. Each framed work is 36” x 24” and is representative of the artist’s exploration of the towns. A catalog of the exhibit is included at the end of this thesis.

Owens examines formal and conceptual artistic influences, both historical and contemporary. Historic and contemporary photographic …


Covid 19 And Classroom Instruction: A Comparison Of Synchronous In-Person And Virtual Student Learning, Jason Brown May 2024

Covid 19 And Classroom Instruction: A Comparison Of Synchronous In-Person And Virtual Student Learning, Jason Brown

Electronic Theses and Dissertations

The purpose of this ex-post facto quantitative study was to compare English Language Arts (ELA) and math Tennessee Compressive Assessment Program (TCAP) scores of students in grades four through eight who attended school virtually or in-person during the 2020-2021 school year. Due to the COVID-19 pandemic, the school district in this study allowed parents to choose to send their children to traditional in-person classes or attend school virtually. In-person and virtual students engaged synchronous classroom instruction through Google Meets. All virtual students were instructed by the teachers they would have had if their parents had chosen to send them for …


An Examination Of Early Childhood Leadership In Public Elementary Schools: A Mixed Methods Study, Wesam Alshahrani May 2024

An Examination Of Early Childhood Leadership In Public Elementary Schools: A Mixed Methods Study, Wesam Alshahrani

Electronic Theses and Dissertations

As state-funded Pre-K programs in elementary schools continue to grow, elementary principals are increasingly responsible for supporting, supervising, and leading these programs. Therefore, examining elementary principals' early childhood leadership competencies and the factors influencing them may help understand and improve their experiences as early childhood education (ECE) leaders. This explanatory sequential mixed methods study examined the ECE leadership of Tennessee public elementary school principals in two phases.

In the quantitative phase, statewide surveys were used to collect data from 67 principals. The survey comprised 51 items assessing nine ECE leadership competencies, synthesized from statements of leading ECE and elementary education …


The Women’S Renaissance: An Analysis Of Gender Expectations And Experiences In Early Modern Europe, Taryn Shelnutt-Beam May 2024

The Women’S Renaissance: An Analysis Of Gender Expectations And Experiences In Early Modern Europe, Taryn Shelnutt-Beam

Electronic Theses and Dissertations

In 1976 Joan Kelly released her influential article “Did Women have a Renaissance?” Kelly argued that women did not enjoy any of the benefits of the period. Rather, she claimed, the lives of women were actually worse after the 1400s than they had been before. Since 1976, new primary documents authored by women have been discovered. Moreover, new access to relevant writings by authors like Francesco Barbaro, Pier Vergerio, Leonardo Bruni, Juan Luis Vives, and Erasmus make revisiting Kelly’s arguments possible. This thesis uses a sample of these texts to explore women’s experiences and create innovative avenues to explore in …


Evaluating A Current Athlete Assessment Program, David Fish May 2024

Evaluating A Current Athlete Assessment Program, David Fish

Electronic Theses and Dissertations

The primary purpose of this dissertation is to evaluate the effectiveness of a questionnaire designed to assess coaches’ perceptions of an athlete monitoring program. There are four reasons for this examination of perceptions: 1) it may serve as a check for understanding of how the coach takes in the information presented to them, 2) identify any gaps in the knowledge of the coach which the sport scientist may help to fill, 3) can serve to open a dialog with the coach for ways in which the information may be better tailored to help them improve their decision-making, and 4) the …


Exploring Available Information On The Gut-Brain Axis And Alzheimer’S Disease For Clinicians Making Dietary Recommendations: A Scoping Review, Megan Gibson May 2024

Exploring Available Information On The Gut-Brain Axis And Alzheimer’S Disease For Clinicians Making Dietary Recommendations: A Scoping Review, Megan Gibson

Electronic Theses and Dissertations

Abstract: Alzheimer’s Disease (AD) is a complex neurodegenerative disease that requires interprofessional collaboration. Pharmacological options are currently ineffective, increasing the need for preventative strategies to combat the rise of AD. Considerations of gut-targeted interventions have increased as a key component in the prevention of AD, based on the understanding that the state of the gut microbiome can impact cognitive function through the pathway known as the gut-brain axis.

Methods: This scoping review explored information on the gut-brain axis in persons with AD. A comprehensive search was conducted in November 2023. Forty reviews and 13 human studies were analyzed.

Results: There …


A Comparison Of Student Academic Variables In Mixed Teaching Methods And Traditionally Taught Biology Courses At Participating Community Colleges In Tennessee, Elesha Goodfriend May 2024

A Comparison Of Student Academic Variables In Mixed Teaching Methods And Traditionally Taught Biology Courses At Participating Community Colleges In Tennessee, Elesha Goodfriend

Electronic Theses and Dissertations

The primary purpose of this study was to compare academic variables from students participating in mixed teaching methods/course revitalization biology courses to those in traditional courses at two community colleges in Tennessee. A two-group comparison design using archived data was used, which evaluated differences in final grades, exam scores, and homework completion as indicators of the academic success between an urban institution and a rural college. A power analysis was performed using G*Power software to provide the needed sample size, indicating a size of 176. There were 227 students in the active teaching lecture classrooms, and 198 students in the …


Comparative Analysis Of Surrogate Models For The Dissolution Of Spent Nuclear Fuel, Dayo Awe May 2024

Comparative Analysis Of Surrogate Models For The Dissolution Of Spent Nuclear Fuel, Dayo Awe

Electronic Theses and Dissertations

This thesis presents a comparative analysis of surrogate models for the dissolution of spent nuclear fuel, with a focus on the use of deep learning techniques. The study explores the accuracy and efficiency of different machine learning methods in predicting the dissolution behavior of nuclear waste, and compares them to traditional modeling approaches. The results show that deep learning models can achieve high accuracy in predicting the dissolution rate, while also being computationally efficient. The study also discusses the potential applications of surrogate modeling in the field of nuclear waste management, including the optimization of waste disposal strategies and the …


Beyond The Screen: Understanding College Students’ Perspectives On Cyberstalking, Gabrielle Jackson May 2024

Beyond The Screen: Understanding College Students’ Perspectives On Cyberstalking, Gabrielle Jackson

Electronic Theses and Dissertations

Previous research regarding the victimization of college students is primarily geared toward physical or sexual encounters. There is a limited scope of research regarding the online victimization of college students, specifically those involved in Greek life organizations. Furthermore, there is a misinterpretation of the definition of cyberstalking among college students, as many students are unaware that they have been personally victimized (Cass, 2011). This study seeks to examine college students’ perceptions of online victimization and how they may vary. The different student impressions and the prevalence of online victimization were examined using self-reported data from students enrolled in a university …


Synthesis And Characterization Of Indole-Based Zinc Dipyrrin Photosensitizers, Jean-Pierre Sanza May 2024

Synthesis And Characterization Of Indole-Based Zinc Dipyrrin Photosensitizers, Jean-Pierre Sanza

Electronic Theses and Dissertations

Metal complexes of dipyrromethene (dipyrrins) used as sensitizers in photocatalysis offer a way to harness solar energy in chemical bonds to create new fuels. This offers the dual role of reducing fossil fuel dependence and atmospheric CO2 levels. Traditionally, metal dipyrrin complexes are synthesized using substituted pyrroles, aldehydes, and transition metals. Indoles have a more expanded pi-electron system and their dipyrrin-type complex may exhibit visible light absorption, suggesting that they can act as photosensitizers for CO2 reduction processes. A novel indoledipyrromethene was synthesized using unsubstituted indole and mesitaldehyde. The complex exhibits visible light absorption at 422 nm. Its …


Understanding Community College Student Perceptions Of Academic Advising, Benjamin Umbarger, Jr. May 2024

Understanding Community College Student Perceptions Of Academic Advising, Benjamin Umbarger, Jr.

Electronic Theses and Dissertations

The purpose of this qualitative phenomenological study was to investigate community college student perceptions of academic advising for 12 first-time first-generation (FTFG) General Studies students attending a rural southeastern community college. The phenomenological research approach was utilized to better understand participant experiences by exploring participants' perceptions through their lived experiences. Applying purposeful sampling techniques, five females and seven males were identified, with 11 classified as full-time students and one classified as part-time. One-on-one interviews and focus group were conducted in-person or virtually, using Zoom and Microsoft Teams, with each participant to better understand student perceptions of their initial academic advising …


The Implications, Magnitude, And Development Of Traumatic Brain Injury For Individuals Undergoing Treatment For Opioid Use Disorder, Hannah G. Mitchell May 2024

The Implications, Magnitude, And Development Of Traumatic Brain Injury For Individuals Undergoing Treatment For Opioid Use Disorder, Hannah G. Mitchell

Electronic Theses and Dissertations

There is an established bidirectional relation between substance use and traumatic brain injuries (TBIs). Despite the high rate of prescribing opioids for pain management following a TBI and the epidemic of opioid use disorder (OUD) in the United States, scarce research has specifically analyzed the association between TBI and OUD. In a series of three interrelated manuscripts, the present study will first examine the prevalence and features of TBIs among persons seeking treatment for OUD. Next, the present study will evaluate the association between TBI and indicators of risky health behaviors and OUD severity, including the risk of overdose and …


Endo/Exo, Delaney Rogers May 2024

Endo/Exo, Delaney Rogers

Electronic Theses and Dissertations

The artist, Delaney Shae Rogers, discusses her Master of Fine Arts exhibition, Endo / Exo, held at the Tipton Gallery in downtown Johnson City, TN. The exhibition dates are from March 25th through April 5th, 2024, with a public reception held April 5th, 2024. The author provides insight into the concept behind the work in the exhibition and shares how the making process and specific materials impact the work. This body of work explores coping with grief, anxiety, and the state of the world through the process of making and communicating otherwise difficult topics through visually digestible symbolic language.


Reviving “Cult”: A Qualitative Analysis Of A Female-Led Cultic Sect, Olivia Summers May 2024

Reviving “Cult”: A Qualitative Analysis Of A Female-Led Cultic Sect, Olivia Summers

Electronic Theses and Dissertations

This research analyzes the Word of Faith Fellowship (WOF), a female-led Evangelical church that social scientists have not yet studied. My thesis explores how a female leader operates within a patriarchal space and why WOF owns a Holocaust Museum. I conducted content analysis of the church and museum websites, Google reviews, and visited the museum in person. My research highlights the limitations of current taxonomies of religion in sociology. I address this oversight, argue for the re-introduction of “cult” as an analytical term, and propose a rubric for cult identification. I suggest that WOF is a sectarian cult with similar …


Exploring The Lived Experience Of Self-Care In Young Adults With Type 2 Diabetes, Holly Berry-Price May 2024

Exploring The Lived Experience Of Self-Care In Young Adults With Type 2 Diabetes, Holly Berry-Price

Electronic Theses and Dissertations

Introduction

The prevalence of prediabetes in adults aged 18 or older was as high as 38% between 2017-2020. Youth-onset T2DM is a more aggressive phenotype than T2DM that occurs later in life. Young adults with T2DM have poorer health outcomes, lose an average of 15 years of life, all resulting in significant economic burden impacting the person. Current self-management interventions do not improve health outcomes in young adults with T2DM.

Purpose

The purpose of this research was to explore the self-care experiences of young adults living with T2DM.

Methods

Existential hermeneutic phenomenology informed the research. Inclusion criteria as follows: adults …


Detection And Classification Of Diabetic Retinopathy Using Deep Learning Models, Aishat Olatunji May 2024

Detection And Classification Of Diabetic Retinopathy Using Deep Learning Models, Aishat Olatunji

Electronic Theses and Dissertations

Healthcare analytics leverages extensive patient data for data-driven decision-making, enhancing patient care and results. Diabetic Retinopathy (DR), a complication of diabetes, stems from damage to the retina’s blood vessels. It can affect both type 1 and type 2 diabetes patients. Ophthalmologists employ retinal images for accurate DR diagnosis and severity assessment. Early detection is crucial for preserving vision and minimizing risks. In this context, we utilized a Kaggle dataset containing patient retinal images, employing Python’s versatile tools. Our research focuses on DR detection using deep learning techniques. We used a publicly available dataset to apply our proposed neural network and …


Healthcare Provider’S Perceptions On Feeding Difficulties And Educational Practices In Infants With Neonatal Opioid Withdrawal Syndrome (Nows), Katelyn White May 2024

Healthcare Provider’S Perceptions On Feeding Difficulties And Educational Practices In Infants With Neonatal Opioid Withdrawal Syndrome (Nows), Katelyn White

Electronic Theses and Dissertations

This study examined healthcare professionals’ perceptions on feeding difficulties experienced by infants with NOWS, the involvement of SLP in care, knowledge and experience levels of professionals, and trends in education and follow up care. A 34-question survey was developed to obtain data from participants involved in the care of exposed infants using the secure webbased RedCap™ platform. Nonparametric inferential statistics and descriptive analysis were used to interpret data. Feeding difficulties in infants exposed were reported by all respondents with SLP involvement reported by 42.2%. Results found that 51.9% of respondents were confident in their ability to educate families about feeding …


Navigating New Frontiers: A Narrative Of Cte Administrators Leading Rural Innovation, Claire Bass May 2024

Navigating New Frontiers: A Narrative Of Cte Administrators Leading Rural Innovation, Claire Bass

Electronic Theses and Dissertations

Public school districts play a pivotal role in the well-being of rural communities. To help mitigate the impact of labor market trends, societal shifts, and the skilled labor shortage, rural schools are in the initial stages of expanding innovative career pathways. As such, career and technical education (CTE) administrators serve their rural communities by facilitating robust career pathways to support local labor markets. Due to a skilled labor shortage, a declining labor force participation rate, and a rapidly evolving labor market, there is a lack of qualified and certified personnel to fill industry jobs (Davis et al., 2022). School districts …


A Bright Point In A Dull Day: A Qualitative Exploration Of Middle School Students’ Perceptions Of Music Ensemble Participation, Kailee Amburgey May 2024

A Bright Point In A Dull Day: A Qualitative Exploration Of Middle School Students’ Perceptions Of Music Ensemble Participation, Kailee Amburgey

Electronic Theses and Dissertations

Music participation, specifically in an ensemble setting, is known to promote learning and social skills and to contribute to a well-rounded overall education. With this in mind, this qualitative, constructivist grounded theory study explored the impacts that participating in chorus, band, or orchestra has on students’ overall experience in middle school, with a focus on joy and identity development. The researcher interviewed fifteen students about their personal experiences and feelings about their lives as middle schoolers and musicians. The findings, shared in six theoretical concepts tied to the research question, reveal important facets of these students’ experiences that shed light …


A Phenomenological Study Of The Experiences Of Undergraduate Students Who Participated In The Ronald E. Mcnair Postbaccalaureate Achievement Program, Alexandria C. Craft May 2024

A Phenomenological Study Of The Experiences Of Undergraduate Students Who Participated In The Ronald E. Mcnair Postbaccalaureate Achievement Program, Alexandria C. Craft

Electronic Theses and Dissertations

The purpose of this qualitative study was to explore the lived experiences of former McNair Program participants at a regional postsecondary institution in northeast Tennessee. More specifically, the study examined how past participants of a McNair Program perceived their program experiences related to their post-undergraduate educational endeavors and career pursuits. Although research has been conducted on McNair Programs, no research has been conducted on the lived experiences of individuals who participated in a McNair Program in northeast Tennessee within the last two decades, and little to no research has been conducted to identify the program components that former participants believe …


Changes In Young Adults’ Perspective On Ageism After Participating In A Virtual Nutrition Education Program With Older Adults, Julianne Hensley May 2024

Changes In Young Adults’ Perspective On Ageism After Participating In A Virtual Nutrition Education Program With Older Adults, Julianne Hensley

Electronic Theses and Dissertations

The growing older adult population has led to increased ageist tendencies among younger generations. Previous research suggests that ageism is associated with cognitive and physical decline among older adults. This mixed-methods research project examined changes in ageist perceptions among graduate student facilitators and undergraduate nutrition ambassadors after participating in a training that included information about healthy aging, addressing ageism, and communicating with older adults. Results from a secondary data analysis of pre-test/post-test data and thematic analysis of semi-structured interviews with facilitators of Socially Nutritious, a virtual nutrition education program for older adults, indicate that ageist perceptions decreased after the …


Design And Validation Of A Test For Teachers: Measuring Knowledge Of Trauma, Jennifer B. Bilbrey May 2024

Design And Validation Of A Test For Teachers: Measuring Knowledge Of Trauma, Jennifer B. Bilbrey

Electronic Theses and Dissertations

Research and interest in trauma-informed pedagogy have grown substantially. Trauma-informed pedagogy includes knowledge of trauma symptoms, associated behaviors, and environmental and instructional trauma-informed strategies. Various scales measure attitudes and experiences with trauma-informed practices; however, the literature suggests a lack of validated tests measuring teachers' knowledge of trauma. Reliable and valid tests measuring knowledge are critical when determining the professional development needs of both pre-service and in-service teachers. This multi-phase study aimed to fulfill this need by creating the Teachers’ Knowledge of Trauma (TKOT) test. With the guidance of literature and qualitative data from eight early childhood professional peers, a 50-item …