Digital Commons Network^™

Understanding The Intersection Between Alaska Native And Military Cultural Identities: Using Arts-Based Narrative Inquiry With Mixed Methods, Leslie M. Robertson

Art Therapy | Doctoral Dissertations

American Indian and Alaska Native (AI/AN) peoples have contributed significant efforts towards involvement in the military and have served in the Armed Forces at five times the national average. AI/AN peoples have served with distinction in every major conflict for over 200 years. There has been a pervasive and historical lack of recognition for their service and a lack of awareness of the intersection between Indigenous and military cultures (Ault, 2020; Bennett, 2009; Department of Veterans Affairs, 2020; Harris & Hirsch, 2020; Holm, 2010; Krouse, 2007; Marston, 1972; Nalewicki, 2021; NICOA, 2019; Viola, 2008; Wooda et al., 2021).

This study …

Increasing Pediatric Asthma Follow-Up Visits And Decreasing Emergency Department Visits In A Primary Care Setting, Rima M. Basal

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

The implementation of the asthma follow-up visits bundle in the pediatric primary care setting is an evidence-based practice project aimed at improving pediatric asthma management. This manuscript discusses the deployment of the bundle, which includes pre- and post- knowledge assessment for parents/caregivers, asthma education through a short video and handout, administration of the asthma control test (ACT), completion of a written asthma action plan (WAAP), and education about the patient portal and telehealth. The goal is to improve parent/caregiver knowledge, treatment adherence, follow-up visit compliance (in-person or virtual) and reduce emergency department (ED) utilization. Parent/caregiver knowledge increased by 23%, ACT …

Reframing Recovery: Comparing Music Interventions And Traditional Rehabilitation Methods For Cognitive Function In Traumatic Brain Injury Patients, Laura Velez

Honors Undergraduate Theses

Traumatic brain injury (TBI) affects millions annually, often resulting in long-term cognitive deficits that hinder independence and quality of life. While traditional rehabilitation methods address many physical and functional limitations, cognitive impairments—such as deficits in attention, memory, and executive function—often persist. Emerging evidence highlights music-based interventions as a promising complement to standard therapies, yet comparative research remains limited. This integrative literature review examined the effects of music interventions versus traditional rehabilitation methods on cognitive function in adults with TBI. Using a systematic search of databases including MEDLINE, CINAHL Ultimate, APA PsycInfo, and Music Index, eight peer-reviewed studies were selected for …

Enhancing The Accuracy Of Image Classification For Degenerative Brain Diseases With Cnn Ensemble Models Using Mel-Spectrograms, Sang-Ha Sung, Michael Pokojovy, Do-Young Kang, Woo-Yong Bae, Yeon-Jae Hong, Sangjin Kim

Mathematics & Statistics Faculty Publications

Alzheimer’s disease (AD) and Parkinson’s disease (PD) are prevalent neurodegenerative disorders among the elderly, leading to cognitive decline and motor impairments. As the population ages, the prevalence of these neurodegenerative disorders is increasing, providing motivation for active research in this area. However, most studies are conducted using brain imaging, with relatively few studies utilizing voice data. Using voice data offers advantages in accessibility compared to brain imaging analysis. This study introduces a novel ensemble-based classification model that utilizes Mel spectrograms and Convolutional Neural Networks (CNNs) to distinguish between healthy individuals (NM), AD, and PD patients. A total of 700 voice …

Vaccines And Publics: A Variety Of Engagement Experiences, David H. Lee

Publications and Research

This chapter is about some of the sites and scenes where members of the public are exposed to (and engage in) vaccination discourse. To preview, after a brief introduction, we begin with messaging models of communication, followed by the move from messaging to engagement. Next, case examples of public engagement with vaccines are introduced, from pandemic influenza preparedness in the U.S., to polio eradication initiatives in India, and then to COVID-19 public engagement events in England. Settings of public engagement are noted, including online, in churches and museums. Then, there’s a section about communication and public participation, seen as either …

1st Place Research Paper: Increasing The Accessibility Of Trauma Focused Cognitive Behavioral Therapy (Tf-Cbt) For Adolescents With Developmental Language Disorder: A Pilot Study, Lauren A. Fillet

Eric M. Scandrett Graduate Library Research Prize

Research has demonstrated that adolescents with developmental language disorder (AWDLD) perform more poorly compared to typically developing peers on measures of narrative production.This limitation may not only impact education and social life, but also possibly post-traumatic stress recovery, as Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) involves a Trauma Narrative production activity (D’Amico et al., 2022). A limited amount of research has been conducted on adapting TF-CBT for children with intellectual disability, developmental disabilities, and Autism Spectrum Disorder (ASD) (D’Amico et al., 2022; Anderson & Cook, 2015). However, there is currently no available research explicitly addressing how TF-CBT can be individualized to …

A Randomized Controlled Trial Of A Compassion-Centered Spiritual Health Intervention To Improve Hospital Inpatient Outcomes, Jennifer S Mascaro, Patricia K Palmer, Marcia J Ash, Marianne P Florian, Deanna M Kaplan, Roman Palitsky, Steven P Cole, Maureen Shelton, Charles L Raison, George H Grant

Faculty and Staff Publications

Background: Inpatient medical settings lack evidence-based spiritually integrated interventions to address patient care needs within a pluralistic religious landscape. To address this gap, CCSH™ (Compassion-Centered Spiritual Health) was developed to leverage the skillsets of healthcare chaplains to improve patient outcomes through spiritual consultation. Here, we report the results of a randomized, wait-list controlled, pre-registered (NCT03529812) study that evaluated the impact of CCSH on patient-reported depression and explored putative mediators of CCSH's effects.

Method: Chaplain residents were randomized to be trained in CCSH as part of their clinical pastoral education (CPE) residency in the fall (n = 8) or …

Engaging The Community, Providing Hopes, Mackenzie Peeke, Margaret West, Alyssa Wilkinson, Matthew Serrata, Michael Baroody, Conner Tembe, Chrisney Yerena

HOPES Free Clinic Publications

Founded in the 1970s as a grassroots effort to provide care to the underserved population of Hampton Roads, Eastern Virginia Medical School (EVMS) has long been committed to community-centered care. The HOPES Free Clinic is a manifestation of that mission. Launched in 2011 as a student-run phone triage service, the Health Outreach Partnership of EVMS Students (HOPES) later transitioned to provide direct clinical services—becoming the first student-run free clinic in the Commonwealth of Virginia. In 2014, HOPES integrated into Community Engaged Learning to enhance and solidify its efforts. Since its inception, medical and health professions students have partnered with volunteer …

Resilience And Reality: Exploring The Lived Experiences Of People Living With Hiv In Texas During The Covid-19 Pandemic – A Qualitative Study., Ahmed F. Alanazi

Social Work Dissertations - Archive

This study investigated the lived experiences of individuals living with HIV (PLWH) in the Dallas-Fort Worth (DFW) area of Texas during the COVID-19 pandemic, using an Interpretative Phenomenological Analysis (IPA) framework. The research examined the intersection of health, social dynamics, and psychological resilience among PLWH, who faced compounded vulnerabilities due to systemic inequities and the dual public health crises of HIV and COVID-19. Through semi-structured interviews with ten participants from diverse backgrounds, the study captured the profound impacts of disrupted healthcare systems, heightened stigma, and social isolation on this marginalized population. The findings reveal that the pandemic exacerbated existing inequities …

Biomedical Relation Extraction In The Era Of (Large) Language Models, Yuhang Jiang

Theses and Dissertations--Computer Science

Biomedical relation extraction is a key task in information extraction supporting downstream applications such as knowledge discovery, information retrieval, and question answering. As such, improvements in relation extraction (RE) are expected to have major implications for other information needs in biomedicine. In this dis- sertation, we pursue biomedical relation extraction in several advanced settings with recent advances in large language models (LLMs) and retrieval augmented generation (RAG). First, we address an important slot filling task on social media that arose during the Covid-19 pandemic, using the idea of continuous prompts with encoder models. Next, we handle a tricky dynamic n-ary …

Navigating Barriers: Challenges And Strategies For Adopting Artificial Intelligence In Qualitative Research In Low-Income African Contexts, Kahabi Isangula

School of Nursing & Midwifery, East Africa

Introduction:

 AI is transforming qualitative research. It enhances efficiency, accuracy, and depth in studies. Technologies like machine learning (ML), natural language processing (NLP), and large language models (LLMs) simplify tasks like transcription, coding, and thematic analysis. However, in low-income African settings, there are barriers to AI adoption. These include ethical concerns, infrastructure limitations, financial constraints, and technical skill gaps. Issues around data privacy and the dehumanization of research also add challenges.

Methods: 

This paper explores the challenges and opportunities of AI in qualitative research in low-income African contexts. It uses a descriptive approach, reviewing literature and personal experiences from rural …

Patient-Centric Barriers To Clinical Trial Participation In Developing Countries: A Retrospective Analysis, Kirandeep Kaur

Master's Theses and Doctoral Dissertations

The underrepresentation of developing countries in clinical trials limits the applicability of research findings to a significant portion of the global population. This study addresses this gap by conducting a retrospective analysis of published literature to identify patient-centric barriers to clinical trial participation in developing countries. A comprehensive search of PubMed, Web of Science, and Cochrane Library databases yielded four relevant studies, which were subjected to thematic analysis. The study identified 12 key emerging themes, with safety and efficacy concerns and trust issues being the most prevalent. The thematic analysis partially supported the hypothesis: While trust issues were found in …

Reducing Anxiety And Burden: The Effect Of Caregiver Education In Hospice Care For Immigrant Families, Nicole Maria

Nursing | Senior Theses

Purpose

The purpose of this research proposal is to explore the impact of early mental health screenings, comprehensive education, and support in alleviating caregiver burden and anxiety among hospice immigrant family caregivers.

Methods

This research proposal will evaluate the effectiveness of caregiver education and mental health screenings. Baseline data will be collected using the Zarit Burden Scale and the State-Trait Anxiety Inventory (STAI). After interventions are implemented, a post survey will be conducted to evaluate the effectiveness.

Results

If the findings are statistically significant, they will support the hypothesis that caregiver education can reduce burden, improve caregivers’ mental well-being, and …

Peak Teaching: Exploring And Fostering Sacred Experiences In University Classrooms, Charles Burack

International Journal of Transpersonal Studies

Supporting the spiritual growth of college and university students with diverse backgrounds and orientations is both important and challenging. It is important not only because spirituality is a crucial dimension of human life but also because the majority of students at both private and public schools want their teachers to address spiritual issues in the classroom. A powerful way to address spirituality is to explore and foster sacred experiences in university classrooms. Sacred experiences include religious, spiritual, mystical, transcendent, numinous, and peak experiences as well as many other nonordinary experiences. The author offers guidance to educators on how to: 1) …

An Account Of Roman Surgical Treatments For Ozena: Historical Review, Perry Hammond, Rebecca R. Benefiel, Kent Lam

Department of Otolaryngology (ENT) Faculty Publications

Objective: To analyze a first-century Roman account of surgery for ozena-a tetrad of nasal crusting, ulceration, bony involvement, and foul odor-with a focus on historical context, etymology, and surgical management.

Data Sources: This historical review draws from the authors' translation of De Medicina. Primary sources detailing Roman surgical instruments from the House of the Surgeon in Pompeii, as well as secondary sources of surgical techniques, were utilized.

Review methods: An in-depth review of Celsus' descriptions of surgical techniques for ozena was conducted using independent translation and exegetical analysis of primary sources. Archaeological findings were investigated to correlate surgical tools with …

Perinatal Policy Disparities And Their Impact On Maternal, Paternal, And Child Health, D'Ashanae Y. Pippens

Theses and Dissertations

This systematic review synthesized evidence on perinatal policy framework to evaluate their public health significance and impact on family outcomes. Following Preferred Reporting Items for Systematic Reviews Meta-Analyses (PRISMA) methodology, peer-reviewed literature, policy documents, and corporate data from 2015-2025 were reviewed across national, state, and global levels. The analysis revealed seven thematic domains, (1) policy design and duration, (2) wage replacement, (3) insurance continuity, (4) workplace breastfeeding accommodations, (5) parental leave, (6) equity in access, and (7) policy enforcement. Evidence shows that integrated and inclusive policies particularly those in Sweden, Germany, and progressive U.S. states (NY and CA), yield substantial …

Implementing Holograms To Perform Cognitive Health History Screenings, Franchesca I. Gonzalez

Honors Undergraduate Theses

Marginalized populations, defined as a group of individuals who experience systematic disadvantages due to various social identity factors (Oxford Review, n.d.), experience uneven barriers to cognitive and mental health assessments, including socioeconomic, linguistic, and educational inequities, that contribute to misdiagnosis (Petersen et al., 2018, Saeed & Masters, 2021). This study investigates the feasibility of hologram-based patient simulations as an educational intervention for undergraduate nursing and graduate Nurse Practitioner students. Culturally representative, three-dimensional holographic patients were created to replicate complex geriatric encounters and facilitate cognitive health screenings. Established assessment tools, including the Mini-Mental Status Examination, Patient Health Questionnaire 2 and Patient …

Culturally Sensitive Mentorship In Occupational Therapy Education, Janet Njelesani, Shanteria Watson, Amanda Gahlot, Ayesha Ahmed, Grace Kim

Journal of Occupational Therapy Education

Mentorship provides crucial support and guidance for students, significantly influencing their academic and professional success. Mentorship experiences can vary considerably, with students from historically underrepresented groups facing racism, discrimination, and a lack of opportunities in their professional development. Despite the recognized need for culturally sensitive mentorship, there is a lack of literature within occupational therapy that focuses on the mentoring experiences of students from historically underrepresented groups. This study aimed to address this gap by exploring occupational therapy students’ mentoring needs and experiences to inform the future development of culturally sensitive mentoring programs. Utilizing a cross-sectional survey, the study collected …

Elementary-School-Based Speech-Language Pathologists’ Perspectives On Implementing Literacy, Samantha Kadian

Master's Theses and Doctoral Dissertations

This study explores elementary-school-based speech-language pathologists’ (SLPs) perspectives about implementing literacy. Though the American Speech-Language-Hearing Association (ASHA) standards specify literacy is within their scope of practice, many school-based SLPs may not be addressing reading and writing competencies. The literature indicates that several constraints may contribute to this lack of involvement, including a lack of preparation, varied expectations, and ambiguous definitions. The purpose of this study was to gain an understanding of the perspectives of elementary-school-based SLPs. Three SLPs were interviewed in a semi-structured format, and the data from the interviews was examined using qualitative analysis. The findings indicated that SLPs …

Racial Health Disparities Among Pregnant Women Of Color In New York City: Biological And Systemic Impacts, Kaylin Peña

Pitzer Senior Theses

Racial Health Disparities Among Pregnant Women of Color in New York City: Biological and Systemic Impacts

Abstract

This thesis aims to explore how racial health disparities, underrepresentation in gynecology, and socioeconomic barriers contribute to adverse pregnancy outcomes among women of color in New York City. Through an interdisciplinary approach that combines resources from medical anthropology and human biology, this research will examine the biological implications of chronic stress, specifically HPA axis dysregulation, and its role in maternal health outcomes. With the idea of intersectionality, as conceptualized by Kimberlé Crenshaw, the study analyzes the various effects of systemic inequities and social …

Benefits Of Nature-Based Play For Children: An Educational Resource For Parents, Kaitlyn Peterson

Occupational Therapy Capstones

Background: In recent years, children’s use of technology has increased, decreasing the time they spend playing in natural contexts and time spent building the parent-child relationship. The lack of time spent in outdoor contexts has negative influences on the child’s overall health and well-being. The time a child spends with their parent is vitally important for a child’s development, view of the world, and sense of belonging. Parents assist children throughout development by supporting their understanding of themselves and the world, along with supporting the child’s ability to communicate with their parents. Interactions with technology, particularly overuse, can influence a …

Experiences And Impacts Of A Hospital-Based, Spanish-Language Teaching Kitchen And Garden On Staff And Participants, Sarah E Roth, Benjamin Gronowski, Heidi Davis

Articles, Abstracts, and Reports

No abstract provided.

Oregon Doula Workforce Analysis, Aisha K Gilmore, Apoorva Somayazulu, Lindsay Dickey, Rosemelty Jimenez Medal

Articles, Abstracts, and Reports

No abstract provided.

African-American Perceptions On The Importance Of Racially-Concordant Care, John Moya

Nursing | Senior Theses

Racial concordance is defined as a relationship in which a healthcare provider and patient share the same race. Racially concordant care has been, in previous research, associated with improved health outcomes, particularly in minority populations such as African-Americans Despite this, little is known about how African-American patients perceive racial concordance, and how important it is to their care. The focus of this research proposal is to determine the perceptions of African-American patients on racial concordance and racially concordant care, and how important they deem it to be to their care. The literature review delves into racial concordance and its presence …

Evaluating Pulmonary Tuberculosis Knowledge Deficits Among Nursing Students In The United States, Jamie Lynn Woo

Nursing | Senior Theses

The healthcare field consistently faces patients with a wide range of diseases and illnesses. Pulmonary Tuberculosis is an infectious lung disease with established tools to prevent, detect, and treat it. Yet, there has been a significant rise in cases within the past year. Amidst this troubling situation, it is crucial that all healthcare workers, nursing students, and nurses in particular, are properly educated on caring for TB patients. This research proposal aims to determine if there are TB treatment knowledge gaps among nursing students in the United States by conducting a 20-question survey utilizing the Likert Scale. If results show …

The Impact Of A Educational Program On Depression And Anxiety For Low Socioeconomic Latina Postpartum Mothers, Lizbeth Valdez Duran

Nursing | Senior Theses

Postpartum depression (PPD) and anxiety are significant mental health challenges that affect many mothers, especially Latina women with low socioeconomic backgrounds. These mothers often face barriers to care, health literacy, and access to healthcare resources. The problem is compounded by a lack of culturally competent care, which can contribute to mistrust of healthcare providers and discourage Latina mothers from seeking help. The literature review articles highlight that health literacy plays a crucial role in managing mental health, with effective education potentially reducing negative outcomes by improving coping strategies and bringing awareness to symptoms that are associated with postpartum. This research …

The Contributions Of Language And Inhibitory Control To False Belief Reasoning Over Time, Jill De Villiers, Peter A. De Villiers

Psychology: Faculty Publications

Introduction: The role of language in false belief reasoning has been much debated for twenty-five years or more, especially the relative contributions of general language development, complement syntax, vocabulary, and executive function. However, the empirical studies so far have fallen short, in that they generally have too few participants for adequate statistical modeling; they do not include control variables; or they are cross-sectional rather than longitudinal, making inferences about causal direction much more tenuous.

Methods: The present study considers the role of these different variables in the development of false belief reasoning over several months of testing, with 258 children …

Increasing Hpv Vaccination Adherence In Floyd County, Ky: Give Teens Vaccines, Taylor M. Stumbo

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Cervical cancer remains a pressing public health issue, particularly in underserved and rural areas where access to preventive care is limited. This capstone addresses the urgent need to increase human papillomavirus (HPV) vaccination adherence in Floyd County, Kentucky—part of the central Appalachian region that experiences disproportionately high cervical cancer incidence and mortality. Despite the proven effectiveness of HPV vaccines in preventing the virus strains most responsible for cervical cancer, uptake in this region remains below national targets due to socioeconomic barriers, limited healthcare access, and lack of awareness. Give Teens Vaccines is a two component intervention leveraging existing healthcare systems …

Leveraging Gpt-4o For Automated Extraction Of Neural Projections From Scientific Literature, Rashmie Abeysinghe, Gorbachev Jowah, Licong Cui, Samden D Lhatoo, Guo-Qiang Zhang

Faculty, Staff and Student Publications

Sudden Unexpected Death in Epilepsy (SUDEP) is a major cause of death for epilepsy patients having uncontrolled seizures. Understanding the complex neural circuits within the central nervous system is crucial for understanding the mechanisms underlying cardiorespiratory regulation, particularly in the context of SUDEP. This study explores the potential of GPT-4o, a cutting-edge language model, to automate the extraction of neural projections from scientific literature. We developed prompts to extract neuroscientific structures, extract projections, and perform synonym harmonization. Applying the approach to four neuroscientific articles, the method extracted 205 projections. A random sample of 100 projections identified was handed over to …

Automatic Summarization Of Doctor-Patient Encounter Dialogues Using Large Language Model Through Prompt Tuning, Mengxian Lyu, Cheng Peng, Xiaohan Li, Patrick Balian, Jiang Bian, Yonghui Wu

Faculty, Staff and Student Publications

Automatic text summarization (ATS) is an emerging technology to assist clinicians in providing continuous and coordinated care. This study presents an approach to summarize doctor-patient dialogues using generative large language models (LLMs). We developed prompt-tuning algorithms to instruct generative LLMs to summarize clinical text. We examined the prompt-tuning strategies, the size of soft prompts, and the few-short learning ability of GatorTronGPT, a generative clinical LLM developed using 277 billion clinical and general English words with up to 20 billion parameters. We compared GatorTronGPT with a previous solution based on fine-tuning of a widely used T5 model, using a clinical benchmark …