Digital Commons Network^™

Using Somatic Experiencing To Mitigate Symptoms Of Secondary Traumatic Stress In Female Helping Professionals, Jillian Christie Guinta

Doctoral Dissertations and Projects

This phenomenological and quantitative study explored the lived experiences of a dozen women within the veterinary, social work, and nursing communities and how secondary traumatic stress impacts their lives. Faced with unanticipated patient illnesses, facilitating compassionate end-of-life procedures, and rapidly moving from one emotional state to the next between patients, professionals are carrying tremendous unprocessed emotional burdens that can affect them physiologically and psychologically. Somatic Experiencing (SE) indicates tremendous promise in rehabilitating practitioners’ trauma-impacted nervous systems by offering techniques to release emotional stress and re-regulate the nervous system (Kuhfuß et al., 2023). This mixed-methods study explored the world of these …

Examining Moderators In The Relationship Between Injury/Injury Anxiety And Eating Disturbances In College Women Athletes, Lydia M. Reichley

Undergraduate Theses

Introduction: Injury and injury-related anxiety are common in collegiate athletes and may contribute to maladaptive psychological and behavioral outcomes, including eating disturbances. This study examined the relationship between injury/injury anxiety and eating disturbances, and whether athletic identity, injury self-efficacy, and body shame moderated this relationship. Methods: A cross-sectional design was used with 57 female collegiate and club athletes from Bellarmine University (M age = 19.98 + 1.37). Participants completed an online survey including the Sport Injury Anxiety Scale (SIAS), Athletic Identity Measurement Scale (AIMS), Athletic Injury Self-Efficacy Questionnaire (AISEQ), Eating Attitudes Test (EAT-26), and the Objectified Body Consciousness Scale (OBC; …

Can The Implementation Of The Pause Decrease Death Anxiety And Poor Mental Health In Practicing Nurses?, Lilli Meyer

Undergraduate Theses

Practicing nurses are frequently exposed to patient death, placing them at increased risk for death anxiety and compromised mental health. Despite this, there remains a lack of structured, in-the-moment interventions to support emotional processing within clinical settings. This study evaluates whether the implementation of “The Pause,” a brief moment of silence following a patient’s death, may reduce death anxiety and improve mental health outcomes among practicing nurses. A quantitative survey consisting of eight questions was distributed to nurses in the Louisville, Kentucky area over a three-month period, yielding 26 responses. Findings indicated that 80.8% of participants reported no improvement or …

The Mommy Wine Culture: A Scoping Review Using The Person-Environment-Occupational Model., Sabina Khan

Student Dissertations

Maternal alcohol use as a coping response to parenting-related stress has received growing attention in public health and psychology but remains underexplored within occupational therapy. This gap limits understanding of how daily role demands, environmental pressures, and individual vulnerabilities combine to shape drinking as a functional coping behavior. This dissertation aimed to identify and synthesize factors associated with maternal alcohol use in the context of parenting stress and interpret these determinants using the person–environment–occupation model. A scoping review was conducted following the Arksey and O’Malley framework and reported according to PRISMA-ScR guidelines. Five databases were systematically searched without date or …

Community As Coping: Mental Illness And Homelessness Within A Tent Camp, Karen A. Snedker, Jennifer Mckinney

Sociology Faculty Articles and Research

"Drawing from interview data with residents of Tent City 3, a sanctioned homeless camp, we illustrate the complex connections between mental illness and homelessness from the residents’ perspectives to understand how living in this tent city helps residents manage mental health."

A Prolonged Nightly Fasting Plus Telehealth Coaching Intervention (Pnf+) For Men On Androgen Deprivation Therapy For Pca: A Pilot Feasibility Randomized Controlled Trial, Kuang-Yi Wen, Julianne Freedman, Kevin K. Zarrabi, Rachel Slamon, Rita Smith, Jessica Liang, Patrick Mille, William J. Tester, William Kevin Kelly

Department of Medical Oncology Faculty Papers

Background/Objectives: This study aimed to assess the feasibility and acceptability of a 3-month health coaching intervention to promote PNF and healthy diet for men on ADT for PCa.

Methods: The study was carried out via a two-armed randomized controlled trial including 40 patients with PCa at a medical center in Philadelphia. During the 3-month period, the intervention group (PNF+) received health coaching utilizing an interactive text message system, and the control group received healthy eating text messages for the same duration. The outcome variables were feasibility and acceptability.

Results: The PNF+ group (n = 27) had high …

Examining The Differences Between Newly Married Women And Women In Long-Term Marriages. How They Experience Jealousy And Respond To Romantic Jealousy-Evoking Situations., Ernie Francis-Baptiste

Doctoral Dissertations and Projects

This quantitative correlational study, grounded on evolutionary, social role, and social-cognitive theories, and incorporating a biblical perspective, examined the differences in the experience of jealousy and responses to romantic jealousy among women within a marital context. A total of 170 participants, with 85 in each group, were recruited through convenience sampling and completed the Self-Report Jealousy Scale–Revised and the Multidimensional Jealousy Scale. The results revealed no statistically significant differences in romantic, emotional or professional experience of jealousy between the groups. Findings also revealed no statistical difference in emotional response; however, significant statistical differences were found in cognitive and behavioral responses …

Exploring Lived Experiences Faced By Latina Breast Cancer Survivors, Deborah Fortino

Doctoral Dissertations and Projects

The purpose of the hermeneutic phenomenological study was to explore and understand lived experiences of Latina breast cancer survivors through semi-structured interviews on the Zoom Video Conferencing platform. The theory that guided the study was the Health Belief Model (HBM), a health behavior framework that explored Latina breast cancer survivors' behaviors concerning health (Rosenstock et al., 1988). Furthermore, Fleming et al.’s (2003) five steps of gathering qualitative data and Ajjai and Higgs’s (2007) six stages of data analysis were utilized to acquire the information to explore the phenomenon of Latina breast cancer survivors’ lived experiences. The sample population included nine …

Empath: A Novel Treatment Modality To Improve Patient Outcomes, Barry Thomas Peade Jr.

Doctoral Dissertations and Projects

In recent years, increasing patient volumes in emergency departments, rising cases of overdoses, and strained resources have heightened the attention paid to behavioral health care in the emergency department setting. Currently, various models of care attempt to streamline the provision of care for behavioral health patients in the emergency department. EmPATH, developed by Dr. Scott Zeller, offers rapid stabilization for psychiatric crises. While preliminary studies show promise, further research is needed. This study aimed to evaluate the impact of EmPATH implementation on patient outcomes, including boarding times, readmission rates, and inpatient admissions. Data was collected before and after implementation of …

A Phenomenological Study Exploring The Role Of Religious Coping In Childhood Interpersonal Trauma Recovery Among Latinx Adults, Christina Mancebo-Torres

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to understand the role religious coping plays in recovery from interpersonal adverse childhood experiences (ACES) among Latinx adults attending Pentecostal churches in New Bedford, Massachusetts. The theory guiding this study was Pargament’s Theory of Religious Coping (1997), which posits that religious coping strategies are ways in which individuals attempt to understand and deal with sacred- related negative life events, including traumatic experiences (Xu, 2015). This study utilized a hermeneutic phenomenology research design. The purposive sample consisted of 12 individuals who self-identified as Latinx, 18 years of age or older, and having a …

The Experiences Of Service-Learning From The Perspectives Of Physician Preceptors: A Phenomenological Qualitative Study, Claudia Moore

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the lived experiences of supervising medical students for physician preceptors at service-learning sites in the mid-Atlantic region of the United States. The theory guiding this study was the experiential learning theory, posited by Dewey and refined by Kolb, concerning service-learning and undergraduate medical education. This study explored four research questions presented to physician preceptors to examine the barriers to implementing service-learning requirements at medical schools. These questions stemmed from the central research question: What are the lived experiences of supervising medical students for physician preceptors at a service-learning site? This research …

Associate Degree Nursing Students’ Lived Experiences With Simulation: A Qualitative Phenomenological Study, Jamie O'Connor Florez

Doctoral Dissertations and Projects

This qualitative phenomenological study examined the lived experiences of prelicensure associate degree nursing (ADN) students related to skills acquisition and workplace readiness through simulation-based learning at community colleges in California. Skills acquisition and workplace readiness were defined as students’ perceptions of their ability to competently perform nursing skills and prepare for entry into the healthcare workforce. Guided by Kolb’s experiential learning theory, data were collected from 13 ADN students through questionnaires, semi-structured interviews, and reflective journaling and analyzed using Braun and Clarke’s six-phase thematic analysis.

Three themes emerged: varying emotions from excitement to feeling overwhelmed; experiences of collaboration and unprofessionalism …

Relative Impact Of Multidomain Lifestyle Interventions On Deficit Accumulation Frailty Over 24 Months In The U.S. Pointer Trial, Mark A Espeland, Kayloni Olson, Christy C Tangney, Darren R Gitelman, Maryjo Cleveland, Amber A Thro, Yitbarek N Demesie, Heather M Snyder, Rachel A Whitmer, Pankaja Desai, Rifat Alam, Lucia Crivelli, Thomas M Holland, Olivia Preissle, Rema Raman, Michele K York, Laura D Baker

Faculty, Staff and Students Publications

Background: Multidomain lifestyle interventions hold promise as approaches to slow aging. Deficit accumulation frailty indices (FIs) are increasingly used to capture aging processes. Frailty is highly associated with increased mortality and chronic disease risk, but the degree to which multidomain lifestyle changes impact frailty is not clear.

Methods: The U.S. Study to Protect Brain Health through Lifestyle Intervention to Reduce Risk (U.S. POINTER) was a 2-year randomized clinical trial to compare two multidomain lifestyle interventions designed to increase exercise, improve diet, and promote social and cognitive stimulating activities and health monitoring. The Structured intervention incorporated greater structure, intensity, and accountability …

The Effect Of Livelihood Capital Accessibility On The Financial Security And Financial Well-Being Of Sheep Farming Households (Survey In Wanaraja Subdistrict, Garut Regency), Suhendarsyah Suhendarsyah, Unang Yunasaf, Sondi Kuswaryan

Jurnal Ilmu Ternak Universitas Padjadjaran

This study analyzed the influence of livelihood capital accessibility on the financial security and financial well-being of sheep-farming households in Wanaraja Subdistrict, Garut Regency. A quantitative approach was used through a survey with organized interviews of 95 sheep farmers. The research variables include livelihood capital accessibility (X), financial security (Z), and financial well-being (Y). The livelihood capital accessibility construct was built as a Higher-Order Construct with five dimensions: human, natural, financial and physical capital. Data analysis used Partial Least Square Structural Equation Modeling (PLS_SEM) with a two-stage approach. The results evince that social capital are the most influential dimensions in …

Navigating The Ethical Landscape Of Ai Created Responsibility Gaps In Healthcare, Kelsey Dwyer '26

Honor Scholar Theses

This work is a philosophical analysis of the ethical dilemma of AI-created responsibility gaps, or the idea that it is challenging to find someone to hold responsible for outcomes produced by an autonomous system. In particular, my focus is specifically on addressing responsibility gaps created by AI used in healthcare. This complex issue of responsibility gaps becomes more intense in the setting of critical areas of life like healthcare, where moral responsibility is a foundational component of upholding medical ethics. My paper will take a deep dive into exploring the intricacies of this complex problem by applying a pre-existing conceptual …

Cardiovascular Adaptation To Whole-Body Vibration Exercise In Obese Young Adults: A Systematic Review, Meta-Analysis, And Exploratory Analysis Of Sex Differences, Rafiu Okuneye, Abdulkareem Taiwo, Fatai Akinola Apalara, Okechukwu Kingsley Oforka, Isaiah Whenayon Ajoseh, Ogar Emmanuel Ekawu

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Obesity is strongly associated with hypertension and autonomic dysfunction. Whole-body vibration exercise (WBVE) has been proposed as a low-impact intervention for improving cardiovascular function in obese adults, but sex-specific responses remain unclear. Objective: This study aimed to evaluate the effects of whole-body vibration exercise on blood pressure, autonomic function, and cardiac output in adults with obesity, and to explore potential sex differences in cardiovascular adaptations. Methods: We conducted a systematic review and meta-analysis of randomized controlled trials and quasi-experimental studies examining the effects of WBV on systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate variability (HRV), and …

The Influence Of Lower-Body Explosive Power, Speed, And Eye-Foot Coordination On Long Jump Performance: A Path Analysis Study, Alwi Fahruzy Nasution, Imanuddin Siregar

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Long jump performance is influenced by various physical and coordinative components, particularly lower-body explosive power, running speed, and eye-foot coordination. However, limited studies have simultaneously examined the predictive relationships among these variables using a path analysis model among university students in physical education programs. Objective: This study aimed to analyze the direct and indirect predictive relationships among lower-body explosive power, speed, eye-foot coordination, and long jump performance. Methods: This study employed a quantitative, cross-sectional, correlational design with path analysis. The sample consisted of 30 students selected using a total sampling technique. Data were collected using standardized physical performance tests, …

Dietary Patterns And Nutritional Status In Soccer Athletes: A Cross-Sectional Study From An Ergonomic Perspective, Rina Mayangsari, Ravi Masitah

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Normal nutritional status has been established as one of the principal determinants in an athlete's performance. Dietary quality plays a critical role in optimizing athletes' physical fitness and performance outcomes. Objective: To examine the associations between dietary patterns on the MacPersona System and nutritional status of soccer players (energy, protein, et cetera, fat, and carbohydrates). Methods: A cross-sectional quantitative study was conducted involving 21 soccer players (total sampling). Dietary patterns were assessed using a validated Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ). Nutritional status was measured using Body Mass Index(BMI) based on anthropometric data. The chi-square test was used for statistical …

Development And Validation Of A Basic Skill-Based Swimming Training Model For Beginner Athletes: An Addie Approach, Martinus Martinus, Hilmy Aliriad, Karmila Utari, I Bagus Endrawan, Muhamad Rohadi

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Mastery of basic swimming skills is foundational for the development of beginner athletes, yet structured, validated training models tailored to the Indonesian context remain scarce. Objective: This study aims to develop a basic skill-based swimming training model that is content-valid, practical, and effective in improving swimming technical ability in beginner athletes aged 8-12 years, through systematic, staged development procedures. Methods: The research used the Research and Development (R&D) ADDIE model approach with staged procedures: (1) drafting the initial model based on needs analysis, (2) expert validation by four active swimming coaching validators using the Content Validity Ratio (CVR) instrument …

Global Trends And Research Directions Of Augmented Reality In Sports: A Bibliometric And Scoping Review, Novri Gazali, Ahmad Rahmadani, Romi Cendra, M. Fransazeli Makorohim, Syed Kamaruzaman Syed Ali, Joseph Lobo, Edi Setiawan

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Advances in digital technology have accelerated the adoption of augmented reality (AR) in sports, enhancing training quality, performance analysis, and learning experiences. However, comprehensive studies that systematically map global research trends and sport-specific applications remain limited. Objective: This study aims to analyze global trends and applications of augmented reality (AR) in sports using a mixed-method approach combining bibliometric analysis and a scoping review. Methods: Bibliographic data were retrieved from Scopus and Web of Science (WoS) databases, covering the period 2016–2025. Following a PRISMA-ScR-based selection process, a total of 520 articles were included. Bibliometric analysis was conducted using VOSviewer and …

Program Evaluation Of A Digital Outreach Initiative For Improving Well-Child Visit Engagement Among Children And Adolescents Aged 3–21 Years, Eseoghene Odhu

Doctoral Dissertations & Projects

Background: Well-child visits are essential to pediatric preventive care because they support immunizations, developmental screening, anticipatory guidance, and early identification of health concerns (Abdus & Selden, 2022; Theunissen et al., 2022). Despite their importance, engagement in recommended visits remains inconsistent across healthcare systems.

Purpose: This program evaluation examined the impact of a digital outreach initiative on well-child visit engagement among children and adolescents within a Midwestern faith-based healthcare organization.

Methods: A pre–post evaluation design was used with de-identified electronic health record data from periods before and after implementation of the initiative. Outcomes included patient enrollment, scheduled visits, completed visits, no-show …

Quality Improvement Project: Educating Nursing Faculty On Animal-Assisted Therapy: Enhancing Knowledge And Confidence To Improve Program Outcomes, Sarah J. Whitwell

Doctor of Nursing Practice Projects

The purpose of this quality improvement project was to evaluate whether an educational intervention on animal-assisted therapy (AAT) improved nursing faculty perceived knowledge and confidence in using AAT to improve program outcomes. The problem addressed was the limited knowledge and confidence among nursing faculty regarding the use of non-traditional, evidence-based strategies to support student mental health. This project was guided by the Stetler Model of Evidence-Based Practice and Lewin’s Change Theory and used a quasi-experimental, one-group pre–post design. The project was conducted with nursing faculty teaching in a baccalaureate program at a four-year public university in Oklahoma. A 10-item Likert-scale …

Development And Evaluation Of An Iot-Based Data Analytics System For Optimizing Football Learning In Higher Education, M. Said Zainuddin, Sudirman Sudirman, Ahmad Zakaria

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: While smart technology and big data have advanced, football instruction at Indonesian universities lags. Most local classrooms lack high-tech tools, presenting an opportunity to modernize sports science. Objective: This research aimed to develop an IoT-based system and analytics platform for higher education, equipping students and coaches with data-driven insights for modern football training. Methods: Conducted at Universitas Negeri Makassar over five months (August–December), the study followed a Research and Development approach with six phases: needs analysis, design, development, expert validation, field trials, and effectiveness evaluation. Participants included Physical Education students divided into experimental (IoT system) and control (traditional methods) …

Improving Academic Learning Time Effectiveness Through Lesson Study In Elementary Physical Education, Nora Antika, Meirizal Usra, Wahyu Indra Bayu, Iyakrus Iyakrus, Herri Yusfi, Arizky Ramadhan, Asha Hasnimy Mohd Hashim, Japhet Ndayisenga, José Vicente García-Jiménez

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Academic Learning Time in Physical Education (ALT-PE) is a key indicator of instructional effectiveness, reflecting the time students spend actively engaged in meaningful learning activities. However, PE lessons often involve excessive Management and waiting time, reducing opportunities for active participation. Although Lesson Study (LS) is recognized as a collaborative professional development approach that can improve instructional quality, its impact on ALT-PE remains underexplored. Objective: This study examined the effectiveness of Lesson Study (LS) in improving instructional effectiveness and optimizing ALT-PE among elementary school PE teachers. Methods: A qualitative-dominant mixed-methods action research design was employed involving 10 PE teachers from …

Association Between Eating Disorders, Macronutrient Intake Levels, And Muscle Mass Percentage Among University Martial Arts Athletes, Emyr Reisha Isaura, Kinasih Josephine Gusti Wiyarso, Lindsay Ozora Sanyaezra Simanjuntak, Amanda Humaira Febriyanti, Sekar Arum Kinasih, Sri Sumartinigsih

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Combat sport athletes often engage in rapid weight-management practices that may increase the risk of disordered eating and inadequate nutritional intake, potentially affecting muscle mass and athletic performance. However, evidence regarding the relationship between eating disorder risk, macronutrient intake, and muscle mass among university martial arts athletes remains limited. Objective: This study examined the association between eating disorder risk and macronutrient intake with muscle mass among martial arts student club members at Universitas Airlangga. Methods: A cross-sectional study was conducted among 60 university students (≥18 years) selected through stratified random sampling from martial arts student activity clubs. Eating disorder …

The Relationship Between Macronutrient Intake And Cardiometabolic Indicators In College Students Who Regularly Exercise, Yosef Ferdy Yangkara, Akhmad Lutfi, Bagus Kusuma Putra, Siti Baitul Mukarromah, Adi S

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: Macronutrient intake plays a crucial role in determining body composition and cardiovascular health. Studies that simultaneously examine macronutrient intake and various cardiometabolic indicators in physically active populations without a clinical history remain limited. Objective: This study aims to analyze the relationship between macronutrient intake and BMI, blood pressure, and heart rate among a gymnastics community at Semarang State University. Methods: The study used a cross-sectional design involving 30 students (12 males and 18 females) aged 18–35 years, selected through purposive sampling. Macronutrient intake data were collected using a 2×24-hour food recall method, while BMI, blood pressure, and heart rate …

Analysis Of Rule Violations Leading To Disqualification In Youth Swimming Competitions: Evidence From Indonesia, Ika Novitaria Marani, Ari Subarkah, Heni Widyaningsih, Ricky Susiono, Muhammad Syahrul Ramadhan

Indonesian Journal of Research in Physical Education, Sport, and Health

Background: The purpose of this study was to determine how disqualifications of competition rules in swimming competitions are committed. Rules must be obeyed when competing, and there are consequences for swimmers who violate them. Objective: To find out how the disqualification of the rules of the competition game in the swimming sport is carried out in the swimming competition. Methods: The research was conducted at the GBK Senayan Swimming Pool, and the study used a descriptive observational design. The population in this study consists of all beginner-level swimmers who take part in the 2025 DKI Jakarta swimming competition in Indonesia. …

Oral Rehabilitation Of A Pediatric Patient With A Dental Anomaly: A Case Report, Enas Almasri, Mohamed Altinawi, Shadi Azzawi, Imad Katbeh, Anas Abdo

International Arab Journal of Dentistry

Objective: Tooth fusion is an uncommon dental abnormality, occurring in 0.1% of permanent dentition. Fusion of a normal permanent tooth and a supernumerary tooth is unusual. This case report delineates a multidisciplinary strategy for the management of a child with a fused tooth and a concomitant supernumerary tooth. The objective is to progressively illustrate the aesthetic and functional restoration of a smile impacted by a dental fusion abnormality.

Case Report: A 9-year-old boy was referred to the pediatric dental clinic with the chief complaint of a large upper anterior tooth. Intraoral and radiographic investigations showed fusion of the permanent maxillary …

Non-Diabetic Kidney Disease In A Patient With Type 2 Diabetes Mellitus: A Diagnostic Challenge, Nikhil R, Mahabaleshwar Mamadapur , Assistant Professor, Harshwardhan S Patil

Digital Journal of Clinical Medicine

Background: Diabetic kidney disease (DKD) is the most common cause of end-stage renal disease. However, non-diabetic kidney disease (NDKD) can coexist or mimic DKD, leading to misdiagnosis. Case Presentation: A 46-year-old female with type 2 diabetes presented with vomiting and abdominal pain. Physical examination revealed non-blanching erythematous papules on both lower limbs. Investigations showed uncontrolled diabetes, metabolic acidosis, and active urinary sediment. Absence of diabetic retinopathy prompted renal biopsy, which revealed immune-complex–mediated glomerulonephritis with small-vessel vasculitis. Diagnosis: Immune-complex–mediated glomerulonephritis with small-vessel vasculitis, not consistent with diabetic nephropathy. Management: Supportive care and immunosuppressive therapy were initiated with improvement in renal function. …

Balneotherapy For Sleep Improvement And Reducing Depression In Knee Osteoarthritis Patients, Anca Paula Ciurba, Alexandru Bogdan Ilieș, Ionel Haidu, Doriana Ioana Ciobanu, Theodora Ursu, Florin Mihai Marcu, Dorina Ianc

Baltic Journal of Health and Physical Activity

Background: Knee osteoarthritis (OA) is the most common chronic condition and a leading cause of global disability, often associated with pain, depression, and sleep disturbances. The purpose of this study was to investigate the effectiveness of warm mineral water combined with physical therapy on sleep quality, depression and pain intensity in patients with knee osteoarthritis. Materials and Methods: The study involved 101 subjects (68.78±6.92 years) who were assigned to  a control group (CG) or an experimental group (EG). All subjects benefited from physical therapy and electrotherapy for 10 days. The experimental group additionally benefited from therapy with hot mineral water. …