Digital Commons Network^™

Clinician Perspectives On Fistula Mental Health, Victoria K. Leonard

Doctoral Dissertations

Background – Obstetric fistula is a childbirth injury caused by prolonged labor that leads to stillbirth and incontinence, spurring social exclusion and isolation. These layers of trauma put women with fistula at great risk for psychological suffering, which has profound negative socioeconomic impacts on them, their families, and communities. This study captured treatment as usual at Comprehensive Community Based Rehabilitation in Tanzania (CCBRT), the country’s largest provider of fistula care.

Method – Improving holistic fistula treatment requires engaging the clinicians who care for women with fistula. This study aimed to investigate the training, beliefs, and treatment approaches of nurses and …

An Exploration Of The Contributions Of Parenting Styles And Peer Relationships On The Emotional Expression Of Second-Generation Indian-Americans, Smitha M. Kashi

Doctoral Dissertations

This dissertation used a qualitative analysis methodology to study the contributions of parenting styles and peer relationships on the emotional expressivity of second generation Asian Indian-Americans. Seven participants participated in a 60 - 90 minute long semi-structured interview and the content was analyzed using a thematic analysis approach. Most previous research regarding this topic has been conducted on White American or European individuals and does not take into consideration the many intersectionalities that second-generation Indian-Americans hold. Many participants discussed the lack of direction they experienced in regards to learning about their emotions and disclosed that college and young adulthood provided …

An Exploration Of Adult Children’S Attachment To Their Parents Across Two Cultural Groups: Indians In India And Indians Who Immigrated To The United States, Vilasini Meenakshi Arun

Doctoral Dissertations

Typically, attachment theory has been studied and explored with western populations. Individuals seeking mental health treatment within the United States include western and nonwestern cultural groups and research, theories and interventions that apply to diverse populations are necessary. Attachment relationships are often a part of, or reasons for clients to seek therapy either overtly or covertly, thus allowing research on attachment to better inform treatment plans and practice. An attachment relationship between a parent and child can be influenced by several factors and may change over the course of development, but little is known about this process among Indians …

Evaluating The Client Base And Housing Outcomes Of A Community Based Organization Serving Unhoused Adults, Emi Caprio

Doctoral Dissertations

There is a well-documented, bidirectional relationship between mental health and housing instability. When coupled with the complex historical, societal, and political factors contributing to houselessness, the result is a unique set of mental health needs within this community. Despite this, there is a low rate of mental health service utilization and a dearth of research on how to tailor services to meet the needs of unhoused individuals. Additionally, first-hand perspectives are often omitted, as this population is seen as “hard to reach”. The goal of this two-phase mixed-methods program evaluation was to better understand the demographic and mental health profiles …

Resilient Af: Understanding The Lived Experiences Of Women Of Color Psychologists In Forensic Mental Health Settings, Carisse A. Cronquist

Doctoral Dissertations

This study explored the lived experiences of women of color psychologists who identify as ethnic-racial minorities. This qualitative study used interpretative phenomenological analysis (IPA) to understand the narrative experience of the participants from their perspective. A total of four participants took part in this study. All participants identified as cisgender women psychologists currently working in a forensic mental health setting and identified as an ethnic-racial minority. In the lived experiences of the participants, three themes, and several subthemes, emerged: challenges, self-preservation, and strengths / resilience. The results showed that women of color psychologists working within forensic mental health settings face …

Creating Whole Inclusive Worlds: The Impact Of Social Media Usage On Black Gender Expansive Millennials’ Experiences Of Social Support And Identity Development Processes, Meredith J. Holmes

Doctoral Dissertations

This qualitative study explored the processes of finding community and developing one’s own intersectional racial and gender identity through the social media (SM) experiences of 8 Black gender expansive (GE) adults located around the United States. Using Interpretative Phenomenological Analysis (IPA) methodology and an intersectional theoretical framework, the research questions guiding the study were: “What is the relationship between Black gender expansive people, social media, and community?” and “What is the relationship between Black gender expansive people, social media, and identity development?” The researcher’s findings from in-depth interviews with participants included three major themes: A) Positive Resilience-Supporting Experiences on SM, …

The Association Between Uncertainty, Reproductive Distress, And Avoidance In Assigned Female At Birth Adolescent And Young Adult (Aya-F) Cancer Survivors, Devon Ann Pons

Doctoral Dissertations

Family building and fertility is a complex component of survivorship for assigned female at birth Adolescent and Young Adult’s (AYA-F’s), often accompanied by a mix of cognitive uncertainty, emotional uncertainty, reproductive distress, and avoidance. These psychological components present in survivorship for AYA-F’s can impact coping, identity development, and individualized care plans throughout survivorship. This novel examination of data from a cross sectional study shed light on the associations between reproductive distress, uncertainty, and avoidance and how they are experienced differently by various subgroups within the sample.

Results demonstrate that reproductive distress fully mediated the association between emotional uncertainty and avoidance, …

Lay It On The Line: The Life And Music Of Gladys Bentley, Bianki Torres, J.

Doctoral Dissertations

This work is a historical biography of Gladys Bentley and her blues music. She was a cross-dressing entertainer from the Harlem Renaissance and performed popular songs with added, sometimes improvised sexual innuendo. This study considers the performances of her recorded and written material as trans music, meaning, that black music provided a platform to determine racial, gendered, and sexual cultural expressions changing over time, however, always rooted in black vernacular culture. Using showbills, promotional material, studio recordings and short autobiography, this study follows Bentley’s career as “male impersonator” and the effects lesbian/gay (queer) culture had on her blues. Also, I …

Framing Fanart, E J. Nielsen

Doctoral Dissertations

My dissertation, “Framing Fanart,” broadly theorizes media fanart, a form of transformative work that is enormously popular, transnational and transcultural, and at its heart an engaged response to a piece of media. Through physical and digital archival research, discourse analysis, and qualitative research methods, I consider specific examples of how fanart functions within these different framings. This work is some of the first to consider fanart broadly as both a lens through which to view patterns of cultural production and a discrete artefact which merits serious consideration as artwork in its own right.

Interrelationship Among Students’ Ict Usage, Attitude, And Academic Performance In Nordic Countries: Multilevel Structural Equation Modeling On Pisa 2018 And Timss 2019, Dukjae Lee

Doctoral Dissertations

The usage of digital devices has been an interest in the field of education as one of the useful instructional methods for students’ better learning. Although the usage seemed to be related to their academic performance (e.g., Pekto et al., 2017; Skryabin et al., 2015), it was still unclear if the usage itself directly affected better academic results. Therefore, this dissertation explored an interrelationship between students’ usage of digital devices and academic performance with a mediation effect of their attitude toward using digital devices. The study analyzed the datasets of five Nordic countries collected from PISA 2018 and TIMSS 2019, …

Impact Of Reasonable Accommodations On Disabled Student–Veteran Higher Educational Achievement, Michael A. Buoniconti

Doctoral Dissertations

Objectives: The purpose of this study was (a) to investigate the degree to which reasonable accommodations affected the educational achievement (graduation and GPA) of U.S. Student–Veterans with military service–connected disabilities and (b) to categorize the accommodations according to impact (positive, mixed, none, and negative). Research Design: Archival and survey data were used to investigate whether there was a relationship between U.S. Student-Veteran level of military service–connected disability, Student-Veteran utilization of reasonable accommodations support, and Student-Veteran higher educational achievement. Two variables (a) U.S. Student-Veteran military service–connected disability severity rating (both continuous and categorical) and (b) U.S. Student-Veteran utilization of reasonable accommodations …

The Impact Of Institutional Support On African American Male College Students: A Phenomenological Analysis, Samuel Leron Speed

Doctoral Dissertations

This study is a powerful call to action for higher education institutions to recognize and address the unique challenges of African American male college students. Through a qualitative phenomenological approach grounded in Swail's (2004) Framework for Student Success, the study sheds light on the institutional factors that impact the lives of these students. The research design utilized semi-structured interviews with seven African American male participants, and the analysis reveals codes, clusters, and themes that emerged from their narratives, providing valuable insights into the impact of institutional support on their lives. The study highlights the importance of peer support, the challenges …

Advancing A Systems Perspective On Innovative Behavior, Stephen Demski

Doctoral Dissertations

"Engineering organizations pursue innovation in strategy, structure, processes, and the services and products offered to remain relevant and competitive. Identifying factors supporting or constraining innovative work behavior and recognizing the complexity of their interactions are vital to sustaining an innovative workforce, yet how factors interact has not been comprehensively studied.

Recognizing innovative work behavior as the output of a complex system of factors guided this study’s literature search that identified over one hundred individual, team, and organizational factors influencing innovative behavior, interviews of engineers to learn what factors are essential in their work environment, and Delphi survey to rank factors, …

Contextualizing Renewable Energy Adoption: An Examination Of The Role Of Community Choice Aggregation, Ankit Agarwal

Doctoral Dissertations

"The rapid expansion of renewable energy generation in the U.S., both through distributed and utility-scale facilities, is largely driven by top-down policy measures and the growing engagement of residential consumers on both individual and community levels. Previous studies on motives behind residential renewable energy adoption have examined procurement options in isolation and within a static context, primarily focused on intrinsic attributes like economic incentives, emission reductions, and peer popularity. This research introduces a novel context, assessing renewable procurement options in the presence of Community Choice Aggregation (CCA), a more prevalent and accessible alternative. This dissertation makes four pivotal contributions, offering …

Understanding The Lived Experiences Of Ethnic-Racial Minority Former Foster Youth Who Identify As Queer, Cristian A. Lemus

Doctoral Dissertations

This qualitative study used Interpretative Phenomenological Analysis to explore the lived experiences and meaning making of former foster youth of color who identify as both ethnic-racial minorities and as either gender or sexual minorities. A total of three participants took part in this study. All participants identified as a former foster youth with at least one foster care placement in the United States, as an ethnic-racial minority, and as a gender or sexual minority. In the lived experiences of the participants three themes, and several subthemes, emerged: identity, cultural prejudice, and power dynamics. The findings supported the hypothesis former foster …

Experiences Of Black American Millennials: A Qualitative Study Of Internalized And Externalized Coping In The Face Of Racial Trauma, Natalia Angelique Giles

Doctoral Dissertations

The experiences Black Americans have faced when standing against racial trauma have impacted the Black community for generations. Though previous generations faced overt styles of racism throughout the eras of slavery and Jim Crow, the invalidation and discrimination have remained consistent within the experiences of the Black American millennial (BAM) generation. Current experiences BAMs face are a combination of both overt and covert styles of racism, which increase mental exhaustion, reduce motivation, and leave the individual psychologically defenseless. The purpose of this qualitative study was to examine the experiences of BAMs in the face of racial trauma. This qualitative research …

Transportation System Performance And Traveler Behavior In The Context Of A Systemwide Shock: Applications Of Data Science Toward A Sustainable Future, A. Latif Patwary

Doctoral Dissertations

The COVID-19 pandemic, a systemwide shock, has left a long-lasting and significant impact on transportation systems. It has contributed to a shift in travel behavior, with many people turning to work from home (WFH) and online shopping. This shift has led to a reduction in vehicular travel. However, the pandemic witnessed increased crash fatalities despite a reduction in overall crashes, disproportionately affecting disadvantaged communities (DACs). The main question arising from these pandemic-related issues is what we can learn to improve transportation systems and shape future travel behavior. Therefore, this dissertation aims to investigate how the transportation system changed during COVID-19 …

Economics In Transition: Issues Applicable To Climate Change, Odysseus Bostick

Doctoral Dissertations

This dissertation presents three essays on topics that characterize the challenges of the energy transition. The first two focus on mitigating the worst impacts of climate change while the final hones in on adapting to climate change.

The first essay estimates willingness-to-pay (WTP) of electricity customers for rooftop solar within the Tennessee Valley Authority. Applying a conditional logit model, the probability of adoption rises with utility rates and emissions-reductions and declines with costs. Evidence of social contagion exists with adoption probabilities increasing 55 − 57% when respondents know someone with panels. WTP also rises. Comparing aggregated to regional WTPs confirms …

A Narrative Inquiry On Chinese International Doctoral Students’ Perspectives On Developing Critical Thinking In The U.S., Shuaipu Jiang

Doctoral Dissertations

Guided by transformative learning theory and Perry's scheme of intellectual and ethical development, this dissertation study examines Chinese international doctoral students' critical thinking development process in the US. The two research questions that guided this study are: (1) How do Chinese international doctoral students understand and conceptualize critical thinking? and (2) How have Chinese international doctoral students developed critical thinking during their doctoral studies in the U.S.? Narrative method design is applied to the study, which interviews eight participants. Using narrative thematic analysis of data, four key themes emerged from the study: a) awareness of critical thinking in Western versus …

The Other Side Of The Story: An Exploratory Case Study Of Barriers Experienced By Tennessee Transfer Pathways Students, Alexis Hartley

Doctoral Dissertations

The vital topic of improving the experiences of transfer students is investigated comprehensively in this research. A qualitative method was used in the design of the case study to explore the experiences that transfer students had while participating in a state transfer pathway program. In particular, this approach focused on the barriers that transfer students faced and the knowledge and actions that were required to overcome these barriers. After completion of an accredited associate's degree, students who have participated in the Tennessee Transfer Pathway (TTP) are eligible to transfer into a four-year program at one of the state's participating four-year …

Experiences With Student Loan Debt: A Phenomenological Study Of First-Generation, Low-Income College Graduates, Sarah Leigh Gardner Thomas

Doctoral Dissertations

First-generation and low-income (FGLI) individuals currently represent a large percentage of the total undergraduate student enrollment in U.S. colleges and universities. Student loan debt in the United States is also at an all-time high with approximately 43 million Americans sharing the $1.75 trillion total. Because FGLI individuals, like many other college students, often take on large amounts of student loan debt to successfully graduate college, it is worth learning more about the long-term effects that student loan debt has on the experiences of FGLI college graduates within the first ten years of graduating with a baccalaureate degree. The purpose of …

Counselor Influences On College Decision Making, Jordan Mccarter

Doctoral Dissertations

Although numerous studies have been devoted to understanding the role of the counselor in schools, few studies have been conducted to understand the specific influence that counselors have on girls throughout their college admissions process (Bryan, Farmer-Hinton, Rawls, & Woods, 2017; Bryan, Holcomb-McCoy, Moore-Thomas, & Day-Vines, 2009; Bryan, Moore‐Thomas, Day‐Vines, & Holcomb‐McCoy, 2011). The purpose of this study was to examine the interactions between girls and their high school college admissions counselors and the resources and programmatic offerings of the college counseling office that girls experience. Perna’s (2006) proposed conceptual model of college student choice served …

Telehealth In The Wake Of Covid-19: The Impact Of Telehealth Expansion On Healthcare Access, Utilization, And Outcomes, Deirdre Ann Colburn

Doctoral Dissertations

The COVID-19 pandemic brought unprecedented change to the healthcare industry, including a large and rapid shift to providing care through telehealth technologies. Though the expansion of telehealth services was successful in continuing to provide patients with care while preventing the spread of disease, it is less clear how patient sociodemographic characteristics influenced telehealth use during this time. Similarly, less is known about how or if state-level parity laws influenced rates of individual-level telehealth utilization. To address these areas of research, this dissertation does three things. First, I conducted a systematic review of the literature on demographic disparities in telehealth access, …

Collective Autonomy Restriction: A Theoretical Model And Empirical Investigations, Adrian Rivera-Rodriguez

Doctoral Dissertations

Collective autonomy refers to a group’s freedom to define and practice their own cultural and social identity without interference from other groups. According to the “threat and defense” hypothesis of collective autonomy restriction, group members are motivated to defend their collective autonomy from outside restriction. However, the psychological processes that influence advantaged vs. disadvantaged group members perceptions of collective autonomy, as well as the specific strategies they use to protect collective autonomy, have yet to be articulated. This dissertation presents three manuscripts that examine the social conditions and psychological processes that shape advantaged and disadvantaged group members’ perceptions of collective …

Understanding Faculty Use Of Learning Management Systems In U.S. Higher Education, Minghui Tai

Doctoral Dissertations

The purpose of this dissertation is to understand why and how faculty use a learning management system (LMS) and what demographic factors and barriers influence faculty LMS use in U.S. higher education. Nearly 98.1% of higher education institutions in the United States have invested in at least one LMS to facilitate student learning and faculty teaching (LMS Data, 2023). However, there have been a limited number of studies exploring factors that influence U.S. faculty use of LMS. Faculty (n=191) across the United States responded to an online survey answering open-ended, and Likert-scale questions about LMS use, as well …

Anita Brenner’S Vision: A Transnational Search For Mexican Jewish Identity, Gina Malagold

Doctoral Dissertations

This dissertation traces U.S.-Mexico cross-border networks during the cultural Renaissance of early 20^th century influenced by artistic and intellectual encounters in post-revolutionary Mexico. I explore from a transnational perspective the representation of Mexican-Jewish identity in post-revolutionary Mexico through the lens of Mexican-American Jewish anthropologist, artist, and journalist Anita Brenner (1905-1974). In my dissertation, Anita Brenner’s Vision: A Transnational Search for Mexican Jewish Identity, I expand on the notion of mexicanidad and reframe the cosmopolitanism of the time and its manifestation in the United States, arguing that Brenner’s contributions were instrumental in linking Mexico to the larger map of …

Influences Of High-Fat Diet And Antrodia Camphorata In Early Life On Intestinal Tumorigensis Later In Life, Ting-Chun Lin

Doctoral Dissertations

Young-onset colorectal cancer (CRC) is a growing public health concern globally due to the increasing prevalence of westernized lifestyles during childhood and adolescence. Meanwhile, there have been reports of health-promoting effects, such as anti-inflammatory and anti-cancer properties, associated with Antrodia camphorata (AC), a unique fungus native to Taiwan. This study aimed to investigate the impact of early-life high-fat diet (HF) and AC supplementation on intestinal tumorigenesis in young adulthood, using APC^1638N mice. Additionally, the study aimed to determine the role of Turicibacter, a probiotic negatively associated with diet-induced obesity, in colorectal tumorigenesis, and to explore the anti-cancer mechanism …

Revenge Of The Nerds: Tech Masculinity And Digital Hegemony, Benjamin M. Latini

Doctoral Dissertations

Revenge of the Nerds provides a cultural history of the evolution of white nerd masculinities in American culture through interpretations of a wide variety of texts and representations using the methods of literary studies and American studies. The dissertation is organized around four overlapping stages of nerd masculinity based on changes in technology and their effects on culture, as well as white male nerds’ efforts to remain culturally relevant and gain the benefits of being close to hegemonic masculinity. The four nerd types are the computer nerd, the gamer, the gatekeeper nerd, and the maladaptive nerd which reflect the following …

Racial Biases In Parent-Teacher Ratings Of Childhood Adhd Symptoms: An Examination Of Prejudice And Stereotypes, Sungha Kang

Doctoral Dissertations

A robust body of literature has documented systematic parent-teacher discrepancies in ratings of children’s ADHD symptoms (inattentive, hyperactive, or impulsive behaviors) as a function of child race. Past research has suggested a potential role of teachers’ racial bias in higher ratings of Black children’s ADHD behaviors relative to Black parents’ ratings. The present study sought to better characterize these racial biases by examining implicit and explicit measures of racial prejudice and racial stereotypes, as well as Black parents’ perceptions of those biases as predictors of their ratings of Black children’s ADHD behaviors. Results suggested that white teachers’ explicit racial ADHD …

The Professionalization Of Collegiate Recreation And The Educational Pathways Of Its Practitioners: An Exploratory Study, Jason R. Incorvati

Doctoral Dissertations

ABSTRACT THE PROFESSIONALIZATION OF COLLEGIATE RECREATION AND THE EDUCATIONAL PATHWAYS OF ITS PRACTITIONERS: AN EXPLORATORY STUDY SEPTEMBER 2023 JASON R. INCORVATI, B.A. UNIVERSITY OF MASSACHUSETTS AMHERST M.E.S.S., UNIVERSITY OF FLORIDA Ph.D. UNIVERSITY OF MASSACHUSETTS AMHERST Directed by: Ezekiel Kimball, Ph.D. The professionalization of collegiate recreation, like many fields, has led to attempts to standardize training, create shared language, come to an agreement amongst practitioners on what essential knowledge the work should be based upon, and have collective understanding as to how new members to the field should be socialized (e.g., Arminio, 2011; Duran & Allen, 2020; Wilensky, 1964). Professional associations …