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Enhancing Resilience And Reducing Burnout In Oncology Nurse Practitioners Through The “Three Good Things” Intervention, Ernestine A. Muanya

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Burnout among oncology nurse practitioners (NPs) threatens clinician well-being, care quality, and workforce retention. The World Health Organization (2019) defines burnout as a workplace condition caused by chronic unmanaged stress. Nationally, over half of healthcare professionals report burnout symptoms, with high rates in oncology (Deriglazov et al., 2025). In Texas, nearly 48% of advanced practice providers report emotional exhaustion and job-related stress (Patel et al., 2024). Objective: This single-group pre–post quality improvement project evaluated an eight-week, app-based Three Good Things (3GT) intervention to reduce burnout and enhance resilience among 19 breast medical oncology nurse practitioners at a comprehensive …

The Unspoken Workweek: Understanding The Impact Of Menstruation On Work Experiences, Cherie Kuriakose

Psychology Theses

Menstruation remains an underrecognized factor in workplace well-being, despite affecting a large portion of the workforce. Existing research shows significant gaps in understanding employees’ lived experiences and organizational responses. This qualitative study aims to explore how menstruation influences work life, productivity, and perceptions of support within U.S. workplaces. Thirty menstruating employees were recruited using convenience and purposive sampling to participate in semi-structured virtual interviews, and data were analyzed thematically, guided by grounded theory principles. Findings revealed three central themes: (a) stigma and non-disclosure, shaped by internalized norms and workplace culture; (b) invisible effort and struggles that impact work, including productivity, …

The Kids Are Alright: A Preliminary Investigation Of The Effectiveness Of A Microaggression Training Series For Adolescents, Brea M. Banks, Bianca Sierra, Khyati Verma, Giselle Rivera

Faculty Publications – Psychology

Microaggressions are identity-based indignities that lead to significant negative consequences for receivers. Although most research has focused on the microaggressive experiences of adults, adolescents experience these transgressions in schools, and they find these experiences offensive. As such, preparing high school students to address microaggressions when they receive or witness them and to respond appropriately when they receive feedback about their microaggressive behaviour is imperative. Using a quasi-experimental design, we conducted a preliminary investigation of the effectiveness of a microintervention training for adolescents at a high school in the Midwestern United States. The intervention was effective in producing improvement in assessed …

Laila: A Doll Memoir Of 1947 Partition Of India And Pakistan, Maleeha Malik, Maleeha Fatima Malik

Children's Literature (MFA) Theses

This abstract examines a creative and critical work centered on the 1947 Partition of India, which displaced approximately fourteen million people and caused one million deaths. The narrative introduces Laila, an anthropomorphized doll who functions as both witness and archive, embodying the memories and traumas of multiple child survivors. Through Laila’s journey across India, Pakistan, and the diaspora, the text explores themes of identity, belonging, loss, and intergenerational memory.

Blending personal family history with historical analysis, the author situates Laila within lived experiences of migration, silence, and religious marginalization, particularly as part of the Ahmadi Muslim community. The narrative foregrounds …

Exploring Psychological Safety And Workforce Experiences Among Employees In Recovery Community Organizations In The Southern United States: A Qualitative Study, Claire-Lorentz Ugo-Ike

College of Graduate Studies: Theses & Dissertations

This qualitative study explored how employees in Recovery Community Organizations (RCOs) in the Southern United States experience psychological safety and how these experiences shape employee well-being and their intentions to stay or leave their organizations. Guided by Edmondson’s Psychological Safety Theory and the Job Demands-Resources (JD-R) model, the study examined how leadership practices, workplace culture, and the emotional demands of recovery support work shape employees’ perception of safety, support, and sustainability in the workforce. Semi-structured interviews were conducted with 19 RCO employees working in various peer support roles. Thematic analysis identified five major themes: (1) leadership behaviors shape psychological safety …

Intersectionality In Discrimination, Posttraumatic Stress Symptoms, And Suicide Ideation: Black Americans In Appalachian Contexts, Jailyn May Wilson

Graduate Theses, Dissertations, and Problem Reports (ETD)

Racial discrimination is recognized as a race-based traumatic stressor that has been associated with posttraumatic stress symptoms (PTSS) and suicide ideation (SI). However, there remains a paucity of research investigating the impact of racial and other forms of discrimination on understudied populations, including Black Americans residing in Appalachian regions. The current study used an online self-report survey to examine PTSS as a mediator in the association between perceived discrimination and SI and to examine the moderating effect of the number of identity factors with which one experienced discrimination (i.e., race, gender, region) on the relationship between perceived discrimination and PTSS. …

Cross-Cue Reactivity Of Nicotine And Cannabis Vaping Products, Madeline Smith

Graduate Theses, Dissertations, and Problem Reports (ETD)

SIGNIFICANCE. The rewarding properties of nicotine increase when administration is paired with external stimuli, or “cues”, including those related to vaping products. Given the visual similarity between nicotine vaping products (NVPs) and THC vaping products (TVPs), exposure to one product may elicit reactivity (e.g., craving, urge to use) to the other. The present study aimed to develop a set of cues capable of differentiating NVPs from TVPs to inform investigations of cross-cue reactivity. METHODS. Images (n=61 NVPs; n=64 TVPs; 7=unspecified) were obtained via an online search using both generic (“vape”, “vape pen”) and product-specific (e.g., “nicotine vape”, “dab pen”) keywords …

Do Transdiagnostic Factors Predict Emotion Recognition?, Grace L. Wheeler

Graduate Theses, Dissertations, and Problem Reports (ETD)

While emotion recognition deficits have been found in several anxiety and related disorders (e.g., social anxiety, obsessive-compulsive), consistent results have not been established. To clarify the relationship between emotion recognition abilities and anxiety, the current study tested if transdiagnostic factors related to anxiety are predictors of emotion recognition abilities. Data was analyzed from participants (N = 188) recruited via CloudResearch; they completed measures of three transdiagnostic factors related to anxiety (e.g., anxiety sensitivity, intolerance of uncertainty, and rumination), followed by an emotion recognition task. Multiple regression analyses revealed higher levels of anxiety sensitivity predicted worse recognition for anger, disgust, …

Feasibility Of Parent-Child Interaction Therapy-Toddler In Community Clinics In The United States And Japan, Sharon T. Phillips

Graduate Theses, Dissertations, and Problem Reports (ETD)

The toddler age (12-36 months) is characterized by a toddler’s increasing desire for autonomy, which can result in caregiver-child conflict and toddler externalizing problems (Kohlhoff & Morgan, 2014). Clinical levels of disruptive behavior in toddlerhood can be predictive of a host of negative outcomes, including problems with academic achievement and delinquency (Copeland et al., 2007; Milledge et al., 2019). High levels of toddler behavior problems also are associated with poor caregiver-child relationships and poor toddler emotion regulation skills (Beijers et al., 2013; Umemura et al., 2022). Thus, interventions targeting toddler behavior problems need to focus on strengthening the caregiver-child relationship …

Personal Narratives Of Young Adults With Epilepsy: Exploring The Transition To Adulthood Amidst Stigma And Disclosure Fears, Kirby-Estar Gilene Laguerre

Graduate Theses, Dissertations, and Problem Reports (ETD)

Navigating the transition to adulthood presents unique challenges for young adults with epilepsy, particularly concerning stigma and the fear of disease disclosure. While significant social difficulties, such as increased unemployment rates and decreased relationship satisfaction, are prevalent among individuals with epilepsy, current transition programs often fail to address these psychological and social aspects that are vital for an independent adult life. Instead, the majority of the attention for young adults transitioning into adulthood is focused on the shift to adult-oriented healthcare systems. Consequently, there is a critical need for research that goes beyond a healthcare focus and explores the social …

Influences Of Response Rate And Distribution On Accuracy Estimates: The Value Of Replications Based On Analytic Approach, Olivia Brianne Harvey

Graduate Theses, Dissertations, and Problem Reports (ETD)

Accurate observational data are essential for drawing correct conclusions about behavioral phenomena and ensuring the replicability of research findings. Accuracy is the extent to which an observer’s recorded responses correspond with true values (i.e., the actual occurrence of behavioral events). Correspondence is quantified using one of several percentage-based algorithms. However, these accuracy estimates may be influenced by characteristics of the data, such as response rate and response distribution, as well as the algorithm used to calculate them. The purpose of this dissertation was to evaluate how response rate, response distribution, and the algorithm used to evaluate accuracy influences estimates. Across …

Psychometric Assessment Of The Ambivalent Ageism Scale: Investigating Measurement Invariance And Stability Across Groups And Time, Carly Pullen

Graduate Theses, Dissertations, and Problem Reports (ETD)

The goal of the current study was to examine the psychometric properties of the Ambivalent Ageism Scale (Cary et al., 2017) and to provide an understanding of how ageist attitudes might change or remain the same in response to a cultural and societal event. Measurement invariance is the assessment of the psychometric equivalence of a construct (e.g., ageism) across groups or waves of measurement (Putnick & Bornstein, 2016). The first step in measurement invariance analyses is configural measurement invariance, which is the evaluation of the factor structure, with the goal of producing the same number of factors and the same …

Operationalizations Of Adverse Childhood Experiences And Health Prediction, Sarah Josephine Miller

Graduate Theses, Dissertations, and Problem Reports (ETD)

Exposure to adverse childhood experiences (ACEs) has been consistently linked to suboptimal health outcomes and behaviors across the lifespan. As such, there has been widespread adoption of measures like the 10-item cumulative ACEs count measure developed by Felitti and colleagues (1998) across research literature and clinical practice. However, this measure was not developed with consideration of optimal psychometric properties and thus consists of several limitations that inhibit understanding of the specific dimensions of adversity that influence health outcomes. This 3-study dissertation focused on different measurement and statistical techniques to better understand the associations between ACEs and health. In study 1, …

Can Feedback Framing Improve Creative Problem-Solving? Examining The Effects Of Valence And Format, Ellie H. Tran

Psychology Theses

This study examined the role of feedback valence (positive vs. negative) and format (question vs. statement) in influencing creative performance. Grounded in self-determination theory, the study also tested whether feedback acceptance mediated the effects of feedback characteristics on creative outcomes. Psychology undergraduate students (N = 308) completed a creative task in which they generated and developed ideas for community-based projects addressing psychological issues. Participants were randomly assigned to receive positive or negative feedback presented either as a statement or a question, or to a no-feedback control condition. Creative performance was evaluated across three dimensions: originality, quality, and elegance. Results showed …

Patient-Identified Reasons For Premature Termination: A Systematic Review, Jack N. Mizrahi M.S.

Selected Full Text Dissertations, 2011-

Premature unilateral termination has been estimated to occur in approximately 20% of patients seeking psychotherapy. Research has identified a variety of factors including patient, therapist and treatment variables that may contribute to psychotherapy dropout. There is currently quite limited research on patients’ perspective of premature termination, with much of our understanding based on therapist’s perspective. Although therapist perspectives are an important source of information regarding premature termination, therapist judgments about patient progress are often inaccurate, and therapists consistently struggle with foreseeing unilateral termination. In addition, therapists have been found to attribute premature termination more to patient factors than their own …

Mental Health Stigma And Its Associations With Depression, Suicidality, And Help-Seeking Among Muslims Living In The United States, Tarnem Amer M.S.

Selected Full Text Dissertations, 2011-

Muslims living in the United States (MLUS) have higher rates of depression (Sloan & Haner, 2023) and are more likely to report a history of suicide compared to other faith groups (Awaad et al., 2021). Nonetheless, help-seeking rates among Muslims remain lower than those among non-Muslims (Ahmad et al., 2023). Mental health stigma has been identified as a key barrier to seeking care, but its mechanisms and outcomes have been understudied among MLUS. The present study examined three types of stigma (mental health public stigma, mental health self-stigma, and mental health help-seeking stigma) and their associations with psychiatric symptoms and …

The Relationships Among Maternal Stress, Disordered Eating, Depressive Symptoms, And Infertility In Women Throughout The Postpartum Period, Christina Shoshilos

PCOM Psychology Dissertations

The perinatal period is a critical time of psychological, physiological, and social transition that can increase vulnerability to mental health challenges, particularly during the first year postpartum. This study examined the relationships among maternal stress, depressive symptoms, and disordered eating behaviors in postpartum women, with additional focus on differences by postpartum stage (0 to 6 months vs. 6 to 12 months) and infertility history. Participants (N = 248) were cisgender women who had given birth within the past 12 months and completed validated self-report measures of maternal stress, depressive symptoms, and disordered eating behaviors. A multiple regression analysis revealed …

A Brief Measure Of Decisional Balance For Health Equity Engagement Among Health Professionals, Amanda Lee Almond

Publications and Research

Racial health and healthcare inequities are sustained in part by health professionals’ beliefs about the benefits and costs of equity-focused action, yet no validated decisional balance measure exists for this domain. This study introduces and evaluates the Health Equity Decisional Balance (HEDB) scale. Eighty-eight health professionals completed the scale of ten proposed items assessing perceived pros and cons of engaging with health and healthcare equity work, along with a measure of Anti-Racist Efficacy (ARE) (Eschmann et al., 2023). Confirmatory factor analysis and structural equation modeling were used to test the latent structure of the scale and its predictive validity. A …

Exploring The Role Of Pleasure In Cognitive Tasks, Nafisa Kazi Iqbal

Dissertations and Theses

The present study investigates whether the experience of a pleasant-valenced physical stimulus will positively influence performance on a cognitive task. The concept of hedonics is explored as hedonic responses, emotional reactions to stimuli involving feelings of pleasure and displeasure, play a crucial role in various psychological processes. There is a limited amount of literature regarding pleasant smell and its impact on the performance of cognitive tasks. The reported study addresses this limitation by comparing Stroop task performance of participants in two conditions, pleasant scent and neutral scent. These findings add to our understanding of the impact of pleasant smell on …

Storm Of Elysium: How The Most Afflicted Minds Of History And Fiction Made Legacies, Pierce Thompson

A with Honors Projects

Honors project involving historical/fictional characters and how they made history/created legacies with their afflictions/mental health conditions. Historical/book context will be provided, and the condition will be covered through psychiatric research for the particular character.

Interactional Synchrony In Mother-Infant Dyads: Developmental Changes And The Impact Of Maternal Emotion Dysregulation Over Time, Jessica Taylor Kelly

Dissertations and Theses

Infancy is a period of rapid development, while motherhood is often a time of heightened emotionality (Bjelica et al., 2018; Leclère et al., 2014). Synchrony between mother and infant is one of the earliest bonding experiences, with short- and long-term implications for the infant’s development and the mother-infant relationship (Leclère et al., 2014). However, little research has characterized developmental shifts in mother-infant synchrony. Maternal emotion dysregulation is likely to influence mother-infant synchrony (Doba et al., 2022; Lotzin et al., 2015, 2016). Yet little research has evaluated the impact of maternal emotion dysregulation on mother-infant synchrony over time. This project aims …

What Race Means For Health Among Black Americans: How Microaggressions Shape Self-Efficacy And Readiness For Behavior Change, Amanda Lee Almond

Publications and Research

Objectives: Persistent racial disparities in cardiovascular health among Black Americans reflect not only structural inequities in the United States, but also the racialized meanings of cardiovascular disease reproduced through public and private health communication. Drawing on ecological systems theory, this research examines how beliefs linking race and cardiovascular disease are reinforced through routine clinical interactions and how these meanings shape health behavior change. Method: Across two experimental mixed-methods studies, a model integrating ecological, social–cognitive, and behavior-change frameworks was tested. In Study 1 (N = 374), health-message framing was experimentally manipulated to examine effects on self-efficacy and decisional balance while controlling …

Adverse Childhood Experiences And Intellectual Disabilities: A Population-Based Comparison, Sarah Hurst, Astrida S. Kaugars

Modern Psychological Studies

Childhood is a critical time for development, and negative experiences during this period may have lasting consequences. Children with intellectual disabilities (ID) are at greater risk for adverse childhood experiences (ACEs) than children without ID. Using data from the 2022 National Survey of Children’s Health (U.S. Census Bureau), we assessed the frequency of ACEs reported based on IDs. Participants were caregivers of 528 children currently diagnosed with an ID and a random sample of 528 children selected from the remaining 49,755 respondents without an ID. As hypothesized, parents of children with ID reported a statistically significant greater number of total …

The English You Speak Matters: Immigrants, Phonological Roots, And Psychological Perspectives On Accent Discrimination, Sophia Hauschildt

Psychology Honors Papers

Accent serves as a highly salient social cue that influences how speakers are perceived, particularly in multicultural contexts where linguistic diversity is increasing. The present study examined how English accent affects evaluations of speaker warmth and competence, and how individual differences in cultural intelligence and colour-blind racial attitudes shape these perceptions. Using a between-subjects experimental design, participants (N = 225) were randomly assigned to listen to a standardised speech passage presented in one of five accents: General American English (GAE; control), Spanish-accented English, Chinese-accented English, Hindi-accented English, or Filipino-accented English. Participants then completed measures of speaker evaluation based on …

Investigating The Viability Of Fully Online Asynchronous Physics Instruction In Formal Education, Clifton W. Massey-Noel

Physics Dissertations

In this dissertation we present results from two consecutive investigations into the fully online asynchronous modality in Physics Education. We first discuss the efficacy of a fully online asynchronous section of Modern Physics held in Fall 2024. The asynchronous section is compared with four prior partially-flipped sections of the same class, two of which were held in-person, and two of which were held synchronously online. Results suggest that all three modalities can be made to be about equally as effective. We also discuss the efficacy of a fully online asynchronous section of Calculus-Based Introductory Mechanics held in Fall 2025. The …

"It's Dangerous To Go Alone": Examining Npcs As Influential Social Agents In An Original Single-Player Rpg, Chloe Bella Whitfield

Murray State Theses and Dissertations

Parasocial Interactions (PSI) and Parasocial Relationships (PSR) may have the capacity to act as an extension of and supplement for healthy social interaction (Elvery, 2021). In some instances, PSI and PSR may even be used as a means to improve unfulfilled social needs and decrease feelings of loneliness (Jarzyna, 2021). It has been noted that digital media such as video games may produce parasocial encounters that are particularly unique, as they often simulate realistic, back-and-forth social interactions between users and a virtual agent (Elvery, 2022; Hartmann, 2008). The present study observed PSR formation between players and a non-player character (NPC) …

The Relationship Between Physical Activity, Sleep, And Hallucinations In Adults With Charles Bonnet Syndrome, Jarrod Hollis, Rohit Narayan, Eldre W. Beukes, Rosie Lindsay, Aliyah Bharwani, Umair Mughal, Ikra Yaqoob, Justin A. Haegele, Scott Muriden, Peter M. Allen

Human Movement Studies & Special Education Faculty Publications

Physical activity levels, hallucination experiences, sleep quality, and perceived stress were assessed using a survey administered to 57 adults with a confirmed diagnosis of Charles Bonnet Syndrome (CBS). Physical activity demonstrated a significant negative correlation with hallucination severity (r = –0.335, p = 0.011, two-tailed). A significant negative correlation was also observed between physical activity and perceived stress (r = –0.497, p < 0.001, two-tailed). In contrast, no significant association was identified between hallucination frequency and sleep disruption or insomnia. These findings suggest that engaging in appropriate levels of physical activity may help reduce the severity of hallucinations and mitigate stress among individuals with CBS. The observation that higher levels of physical activity are associated with reduced hallucination burden may help the development of evidence-based management strategies for CBS. Additionally, the finding that physical activity was significantly related to hallucination severity, whereas sleep disruption was not, merits deeper exploration in future research.

The Dunning-Kruger Effect In Sixth Grade Adolescents: Improving Metacognition For Self-Regulated Learning, Julie H. Chen

Scripps Senior Theses

The Dunning-Kruger (DK) effect is a cognitive bias where low-performing individuals overestimate their own abilities, and top-performing individuals underestimate their own abilities relative to their peers. The purpose of this proposed study is to investigate the DK effect in sixth grade adolescents and to use metacognition as an intervention to improve self-assessment calibrations. This study will investigate adolescents in Piaget’s formal operational stage, aiming to improve metacognition levels. The study will occur over 12 weeks, and participants will be given a preparation handbook with or without metacognition activities for the purpose of preparing for the California Assessment of Student Performance …

Implementing Gestures Into Vocabulary Instruction To Aid Recall And Retention, Emma Dilley

Masters Theses

This study highlighted the idea of incorporating gestures into vocabulary instruction to help the students recall and retain the new vocabulary words. The researcher predicted that with the incorporation of the strategy of gestures into instruction, kindergarten students will be able to retain more vocabulary words compared to vocabulary instruction that does not include gestures. A total of 22 students and one teacher from a rural town in central Illinois participated in the study. This study was a mixed methods study, which included quantitative data in the form of pretest and posttest and qualitative data in the form of a …

The Relationship Between Obsessive-Compulsive Disorder Symptoms And Reading Abilities And The Moderating Roles Of Parent-Teacher Involvement And Family Emotional Expressiveness, Tatiana Lombana Mims

University of the Pacific Theses and Dissertations

The present study focuses on how obsessive-compulsive disorder (OCD) symptoms influence reading abilities and whether parent-teacher relationships and family emotional expressiveness moderate that relationship. This study provides further knowledge on the relationship between mental health struggles and academic performance and possible risk/protective factors. Structural equation modeling through AMOS 31 was used to construct path analysis models to analyze the significance of OCD symptoms on reading abilities with parent-teacher involvement and family emotional expressiveness, both positive and negative, as moderators. The relationship between OCD symptoms and reading abilities indicated a consistent negative association though not statistically significant. Parent-teacher involvement did indicate …