Digital Commons Network^™

Systematic Review And Dosage Analysis: Hyperbaric Oxygen Therapy Efficacy In The Treatment Of Posttraumatic Stress Disorder, Susan R. Andrews, Paul G. Harch

School of Medicine Faculty Publications

Background: Studies of hyperbaric oxygen therapy (HBOT) treatment of mild traumatic brain injury persistent postconcussion syndrome in military and civilian subjects have shown simultaneous improvement in posttraumatic stress disorder (PTSD) or PTSD symptoms, suggesting that HBOT may be an effective treatment for PTSD. This is a systematic review and dosage analysis of HBOT treatment of patients with PTSD symptoms. Methods: PubMed, CINAHL, and the Cochrane Systematic Review Database were searched from September 18 to November 23, 2023, for all adult clinical studies published in English on HBOT and PTSD. Randomized trials and studies with symptomatic outcomes were selected for final …

Stress And Coping Mechanisms Of Non-Traditional International Doctoral Students, Ndidi Patience Iwuagwu

Theses and Dissertations

Higher education institutions are battling with the shrinking enrollment rate of students and the various college alternatives (Drozdowski, 2022); however, it has been evidenced in the literature that these issues can be augmented with international student enrollments and adult learners (Donaldson, 2022). Pursuing a doctoral degree is a tedious move (Devonport & Lane, 2014), and leaving one’s comfort zone to study in a different land for non-traditional international students can be exhausting due to the responsibilities at hand. Thus, this qualitative study examines the stressors experienced by non-traditional international doctoral students, the coping mechanisms utilized in the cause of these …

How African American Clergy Perceive The Cultural Relevance And Usefulness Of The Mental Health Guide For Faith Leaders, Lisa Marie Harris

Walden Dissertations and Doctoral Studies

African Americans experience mental illness at a rate similar to White individuals but are less likely to seek professional mental health care. African Americans have traditionally turned to the Black church for mental health assistance. Various organizations have created mental health resources for clergy members, with varying levels of comprehensiveness. The purpose of this basic qualitative study was to explore how African American clergy perceived the cultural relevance and usefulness of the American Psychiatric Association Foundation’s Mental Health Guide for Faith Leaders. The study was conducted using critical race theory as its theoretical framework. Four experienced clergy participated in two …

The Impact Of Age On Second Language Vocabulary Learning, Steven J. Dessenberger

Arts & Sciences Graduate Student Theses and Dissertations

Second language (L2) vocabulary learning is challenging for many would-be language learners, regardless of their cognitive abilities. The volume of to be learned vocabulary can be a roadblock to language fluency (Nation, 2006), especially for older adults who have diminished memory capabilities due to age-related memory decline, a degradation in our ability to remember information that naturally occurs as we age (Salthouse, 2009; Schaie, 1993). The process of L2 vocabulary acquisition can be separated into three components, the native language (L1) meaning of the new word (cat), the new L2 word form itself (gato) and the connection between the new …

A Naturalistic Examination Of Dietary Lapses In Low-Income, Treatment-Seeking Families With Obesity, Anne Claire Grammer

Arts & Sciences Graduate Student Theses and Dissertations

Socioeconomic disparities in childhood obesity prevalence and treatment response are well-documented and may be partially explained by moments of non-adherence to dietary intentions (i.e., dietary lapses). The current study employed a naturalistic design to characterize the frequency and momentary context of parent dietary lapses and explore their effects on child dietary lapses and parent-child weight change among low-income families participating in 3-month family-based behavioral obesity treatment (FBT). 19 parent-child dyads completed 3 separate 1-week periods of ecological momentary assessment to examine socioenvironmental and intrapersonal cues of parent dietary lapses as well as the frequency of parent-child dietary lapses throughout 3-month …

Stress And Coping Experienced By Mothers With Autoimmune Diseases While Parenting Children With Autism, Christine Marie Dillon

Walden Dissertations and Doctoral Studies

The number of individuals diagnosed with autoimmune diseases (AD) continues to rise, with the majority being women of childbearing age. There has been a concurrent increase in the number of children diagnosed with autism spectrum disorder (ASD). Mothers of children with ASD are often the primary caretaker for their children, and report decreased quality of life and increased behavioral health concerns. AD and ASD have been studied separately through a quantitative lens, with findings demonstrating similarities between the two regarding potential etiology. Few qualitative studies have been conducted to understand the stress and coping experienced by mothers with AD parenting …

Risk Factors For Pediatric Ischemic Stroke And Intracranial Hemorrhage: A National Electronic Health Record Based Study, Sean Savitz, Alicia Zha, Hulin Wu

Faculty, Staff and Student Publications

BACKGROUND: Stroke is an important cause of morbidity in pediatrics. Large studies are needed to better understand the epidemiology, pathogenesis and risk factors associated with pediatric stroke. Large administrative datasets can provide information on risk factors in perinatal and childhood stroke at low cost. The aim of this hypothesis-generating study was to use a large administrative dataset to assess for prevalence and odds-ratios of rare exposures associated with pediatric stroke.

METHODS: The data for patients aged 0-18 with a diagnosis of either ischemic stroke or intracranial hemorrhage were extracted from the Cerner Health Facts EMR Database from 2000 to 2018. …

The Central Role Of Perceived Safety In Connecting Crash Risk Factors And Walking Behavior, Kyu Ri Kim

Dissertations and Theses

Despite advanced policies, plans, and facilities, many pedestrians are still injured and killed in traffic crashes in the United States. To improve pedestrian safety and the walking environment, the relationship between surrounding crash risk factors and perceived safety that influence people's behavior needs to be studied. This study aims to examine pedestrian crash risk factors, the relationship between crash risk factors and perceived safety, measured as threatened experiences and safety attitudes, and the relationship between safety attitudes and walking behavior.

The analysis used data from three primary sources: (1) an original survey of 551 residents in 10 neighborhoods in Oregon …

Direct And Indirect Effects Of And Preference For Feedback During The Good Behavior Game In Elementary Classes, Jensen Chotto

LSU Doctoral Dissertations

The Good Behavior Game (GBG) is an effective procedure for reducing disruptive classroom behavior. In this study, students in 3 fifth grade classes selected the rules of the GBG and then experienced the GBG with different forms of feedback delivery for rule violations (vocal and visual, vocal only, visual only, no feedback) on disruptive classroom behavior in a multielement design. All versions of the GBG substantially reduced disruptive behavior below baseline levels. Additionally, in 1 of 3 classes, losing the GBG produced an increase in negative peer interactions immediately following the GBG. Subsequently, students selected which condition they previously experienced …

Impact Of Workplace Racial Discrimination On The Health Of Black Men, Denise Richardson

Walden Dissertations and Doctoral Studies

The purpose of this qualitative phenomenological study was to explore the lived racially discriminatory experiences of Black men in the workplace in New York City and how those incidents affected their overall health. The study used Critical Race Theory as the theoretical framework and analyzed data gathered through semi-structured interviews with 10 participants. Findings from coding analysis indicated that Black men routinely engaged in acts of John Henryism to receive positive recognition as they navigated negative societal stereotyping, namely proving that they, as individuals, were not negative stereotypes. Additionally, the study revealed that exposure to racial discrimination in the workplace …

Teacher Beliefs And Experiences Addressing Healthy Racial And Ethnic Identity Instructionally Through Social Emotional Learning, Juliana Gutierrez

Theses and Dissertations

Children and youth develop within an ecological context that includes family, peers, and broader social environments including school. Children’s understanding of their ethnic or racial group and the meaning they attribute to belonging in that group is also shaped by interactions in their school environment. Most research on school-based social-emotional learning (SEL) programs has focused on student behavioral and academic outcomes. However, as SEL spreads across U.S. K-12 schools, questions have emerged surrounding how children from diverse racial and cultural groups and unequal opportunity can benefit from universal SEL programs. Using a mixed-methods design, this study explores teachers’ understanding and …

Exploring The Relationships Between Motivations, Beliefs, Emotions, And Behaviors In The Context Of Organizational Change Readiness, Sidney Taylor Thomas

Doctoral Dissertations

Organizational change is an inevitable and key feature of an organization’s lifecycle, especially in today’s constantly shifting technological, cultural, and corporate landscapes. However, organizations often struggle to adapt, and change initiatives rarely succeed. Because of this, organizational change readiness has become a popular area of study in the field of industrial-organization psychology. Change readiness in the organizational context has been redefined several times over the past four decades, with recent efforts focused on developing a comprehensive definition and corresponding instrument of measurement for the concept. Change readiness at the individual level is intended to evaluate the psychological state in which …

Vocabulary Retention And Color Effect Differences Among Developmental Community College Students, Eric Scott Coleman

Walden Dissertations and Doctoral Studies

The completion of developmental community college (DCC) courses is a crucial step in community college education to reach the national goal of increasing college success. DCC students are a unique population who require specific strategies such as vocabulary retention (VR) to achieve academic success. Prior research on vocabulary has been limited to VR and color effects. However, there is a lack of research on the intersection of these two variables (VR and color effects). This quantitative research study used the theoretical lens feature integration theory (FIT) to examine the effects that text color has on VR among DCC students. Additionally, …

Witnessing Eyewitness Coercion And Familiarity Affects Defense Attorneys’ Evaluations Of Trial Prospects, Jason Carty

Student Theses

Abstract

The current study is designed to determine whether two case factors affect criminal defense attorneys’ plea decision-making: witness coercion and witness familiarity with the defendant. A sample of 133 criminal defense attorneys (123 after attention checks) reviewed a mock case vignette and a witness interview which varies on two dimensions: coerciveness (coercive, non-coercive) and witness relationship to the defendant (friend, stranger). Attorneys reported their impressions of the case and indicated their recommended minimum and maximum length of negotiated plea agreements, how likely their client was to be convicted at trial, how coercive they thought the mock interview was, and …

Prediction Of Disease-Free Survival For Precision Medicine Using Cooperative Learning On Multi-Omic Data, Kristina Mullin, Ioannis Vlachos, Stacia Desantis, Rudolph E Tanzi, Christoph Lange

Faculty, Staff and Student Publications

In precision medicine, both predicting the disease susceptibility of an individual and forecasting its disease-free survival are areas of key research. Besides the classical epidemiological predictor variables, data from multiple (omic) platforms are increasingly available. To integrate this wealth of information, we propose new methodology to combine both cooperative learning, a recent approach to leverage the predictive power of several datasets, and polygenic hazard score models. Polygenic hazard score models provide a practitioner with a more differentiated view of the predicted disease-free survival than the one given by merely a point estimate, for instance computed with a polygenic risk score. …

Determinants Of Implementation For Group Medical Visits For Patients With Chronic Pain: A Systematic Review, Gayla Ferguson, Paula Gardiner, Jennifer Leeman

Faculty, Staff and Student Publications

BACKGROUND: Despite the critical need for comprehensive and effective chronic pain care, delivery of such care remains challenging. Group medical visits (GMVs) offer an innovative and efficient model for providing comprehensive care for patients with chronic pain. The purpose of this systematic review was to identify barriers and facilitators (determinants) to implementing GMVs for adult patients with chronic pain.

METHODS: The review included peer-reviewed studies reporting findings on implementation of GMVs for chronic pain, inclusive of all study designs. Pubmed, EMBASE, Web of Science, and Cochrane Library were searched. Studies of individual appointments or group therapy were excluded. The Mixed …

The Impact Of Adverse Childhood Experience (Ace) On Victims' Self-Perception And Moral Character Development In Adulthood, Josephine Afua Owusu

Doctoral Dissertations and Projects

Adversity experienced in childhood is known to have debilitating consequences that permeate subsequent life experiences and predict adulthood wellbeing. The intensity and nature of this impact vary, however. Empirical and practical knowledge also point to the significant role of self-perception in determining one’s view of others, character development, and life experiences. Research has suggested associations between childhood adversities and self-perception, although this knowledge is scanty and inconsistent, with similarly minimal evidence on their correlation with character development. This study set out to examine how adverse childhood experiences (ACEs) influence victims’ self-perception and character development in adulthood. It employed a mixed …

Exploring The Lived Experience Of Counseling Leaders And Professionals In The East African Community Transitioning Through The Covid-19 Pandemic: A Phenomenological Study, Daniel Muthini Kimony

Doctoral Dissertations and Projects

The East African Community (EAC) is a regional intergovernmental assembly, currently comprising seven member states including Burundi, the Democratic Republic of Congo (DRC), Kenya, Rwanda, South Sudan, Tanzania, and Uganda. This transcendental phenomenological study examined the lived experiences of counseling leaders and professionals in the EAC as they transitioned through the COVID-19 global pandemic. Grounded in Schlossberg’s transition theory, the study explored participants’ experiences as they moved into, moved through, and moved out of the pandemic in the period between January 2020 and May 2023. Triangulated, qualitative data, assessed through transcendental and heuristic methodology, was collected from 10 participants representing …

Mental Toughness In The Workplace, Maiah E. Taylor

Doctoral Dissertations and Projects

Within the realm of the modern work organization, the employers role on employees’ mental health has emerged as a critical factor concerning job attrition. Frequently, work organizations prioritize their productivity and output, rather than recognizing the importance of individual contributions as a reflection of their well-being. Research on workplace satisfaction and adversity management has failed to address the challenges that non-military or law enforcement populations face in retaining talent. Current research on mental toughness, resilience, and grit has overlooked the importance of civilian population training interventions, leaving a gap in the literature. This mixed-method study used an explanatory sequential design, …

The Impact Of School-Based Mentoring On At-Risk Students Of An Urban School District, Brandon B. Richardson

Doctoral Dissertations and Projects

It is necessary to consider and implement a strategy to close the academic performance gap, particularly for at-risk adolescents in urban school districts. Mentoring programs have been around for a long time and continue to be successful. This research study's goal was to investigate the influence at-risk adolescents in an urban school district get from a school-based mentorship program. The study had a total of 40 participants (10 mentors, 8 parents, 10 teachers, 10 students, and 2 administrators). The study employed a mixed methods research strategy. Using a quantitative method approach, the researcher investigated whether a mentorship program had significant …

Conscientiousness Personality Trait On Job Performance And Retention Of Public Service Employees, Arsenio Scott

Doctoral Dissertations and Projects

Retention of federal employees is vital to the structure of our society in the United States. Keeping the workforce sufficiently staffed with high-performing individuals is necessary to maintain a key component of our strong nation. This research study delves into the conscientiousness personality trait to further understand the impact that this trait may have on the federal workforce. Current research focuses on the conscientiousness trait concerning the job performance of employees. However, the current literature lacks explicit depth on the federal workforce, and this study focuses on that demographic. This quantitative study seeks to fill gaps within the literature by …

Previously Incacerated Women's Emotional Experince Of Giving Birth In A U.S. Prison, Brigit Ichard-Henderson

Walden Dissertations and Doctoral Studies

Previously Incarcerated Women’s Emotional Experience of Giving Birth in a U.S. Prison by Brigit Ichard-Henderson MA, Walden University, 2018 MA, Texas A&M University-Central Texas, 2014 BS, Excelsior University, 2009 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Human Services Walden University May 2024   Women have been giving birth while incarcerated since the advent of confinement as a punishment for crime. There is a plethora of information on incarceration rates, pathways to incarceration, access to health care and education while incarcerated, and reasons for recidivism among women. However, little is known about women’s experiences …

Effects Of Covid-19 On Mental Health Workers' Job Satisfaction, Employee Burnout, And Intent To Leave, Colton Jacobs

Doctoral Dissertations and Projects

The COVID-19 disease emerged in December 2019 and created a worldwide pandemic. As the COVID-19 virus spread, healthcare workers faced increased workloads and burnout due to increased stress. With a current abundance of research to better understand how the pandemic affected healthcare workers, minimal research has been conducted to investigate the effects on mental health workers. It is imperative to better understand how the consequences of the pandemic affected mental health workers due to their importance in supporting the mental well-being of our communities. This study focused on how the COVID-19 pandemic influenced job satisfaction, burnout syndrome, and intent to …

The Exploration Of Latino Bip Participants' Experiences Of Oppression And Expressions Of Critical Consciousness, Adrian Luis Manriquez

Dissertations and Theses

According to Freire (1970), individuals and groups who are systemically oppressed in society often develop and struggle with a sense of internalized oppression, and those who fail to address their own oppression will likely engage in the oppression of others. Conceivably, this is the state of affairs for Latino males who perpetrate intimate partner violence (IPV). However, Latinos who use IPV behaviors are often viewed solely as "villains" or oppressors (Corvo & Johnson, 2003), omitting the various contexts in which this subgroup of males might be subjected to oppressive conditions outside of their intimate relationships. This contributes to an absence …

A Microcosting Approach For Planning And Implementing Community-Based Mental Health Prevention Program: What Does It Cost?, Jane E Hamilton

Faculty, Staff and Student Publications

BACKGROUND: Estimating program costs when planning community-based mental health programs can be burdensome. Our aim was to retrospectively document the cost for the first year of planning and implementing Healthy Minds Healthy Communities (HMHC), a mental health promotion and prevention multi-level intervention initiative. This Program is among the first to use the Community Initiated Care (CIC) model in the US and is aimed at building community resilience and the capacity for communities to provide mental health support, particularly among those disproportionately impacted by COVID-19. Our objective is to share our methods for costing a program targeting 10 zip codes that …

Climate Grief And Dance Movement Therapy: A Literature Review, Elisabeth Lovin

Expressive Therapies Capstone Theses

Research is starting to focus on the effects of climate change on mental health, especially future-oriented anxieties and uncertainty about our planet’s liveability. Less commonly discussed are feelings of grief for the climate-related losses we have already sustained. This thesis organizes current literature about climate grief and data about the psychosomatic effects of climate-related losses and examines general grief counseling research, as well as presenting applications of dance movement therapy for grief and loss. Cultural and historical gestures and movements of grieving bodies and portrayals of grief in dance history support the proposal that dance movement therapists are capable of …

The Archeology Of Adoption: Tracing The Journey From Birth Through Adoption Using Pre-Adoptive Artifacts, Ellen Reeve

Educational Studies Dissertations

Adults adopted in childhood often face a heightened susceptibility to psychological and behavioral challenges compared with their non-adopted peers. Scholars examining this phenomenon associate various factors, including an adoptee’s sense of self as an individual within a complex adoption background. This qualitative study utilized a material engagement theory to explore birth through adoptive narratives among adults adopted in closed settings during childhood. Through participatory research, participants examined a range of artifacts related to maternal relinquishment, encompassing foster and adoption records, original birth certificates, letters, photographs, birthmarks, clothing, hair, scars, and DNA test results. The study focused on understanding these artifacts’ …

Navigating Cultural Transitions: A Drama Therapy Exploration Of Culture Shock Among International Students From South Asia And East Asia, Rithika Gopalakrishnan

Expressive Therapies Capstone Theses

South Asia and East Asia drive the recent surge in US global student enrollment, exceeding one million, collectively representing 60.141% of international students, with China and India contributing 53% alone. These figures underscore the need for focused research into the experiences of South Asian and East Asian international students in the United States, an area currently lacking comprehensive study. This thesis examines culture shock among South Asian and East Asian students at a university in the Northeast, exploring relevant theories, role of media portrayals, and drama therapy interventions. It investigates the effects of culture shock, such as strain, loss, rejection, …

Exploring The Effects Of Trance States Through Ritual, Kriya Yoga, And Expressive Arts For Adults With Complex Post Traumatic Stress Disorder, Alexandra (Lexi) Faith Traub

Expressive Therapies Capstone Theses

struggling with substance abuse often have complex post-traumatic stress disorder (CPTSD) and seek altered states beyond the mundane via substances. What if expressive art therapies and ancient spiritual practices creating trance states could meet this need to alter states, while healing CPTSD symptoms by developing self-awareness, affect regulation, and reprogramming the subconscious mind through imaginal realm parts work? This capstone thesis explores this using yogic philosophy, shamanic drumming, Himalayan singing bowls, aboriginal grief rituals, and expressive art therapies rooted in transcendental theater, bilateral stimulation, and natural materials like clay therapy. A methodology combining ancient wisdom, arts, and modern psychological theory …

Playing With International Students From Asia: An Exploration Of Cultural Commonalities And Differences In Developmental Transformations (Dvt), Hazuki Okamoto

Expressive Therapies Capstone Theses

Asian international students in the United States face a multitude of challenges such as language barriers, differences in cultural norms and behaviors, and identity confusion while navigating a foreign landscape. Developmental Transformations (DvT), a form of drama therapy, may apply to these challenges by enabling participants to explore different identities and express themselves creatively beyond the language barrier. This community engagement project was designed for Asian international students to be seen and heard by utilizing DvT. Within an in-person workshop, five participants played with their shared stories, and explored international and cultural roles in group DvT. Key takeaways from the …