Digital Commons Network^™

Leveraging Ai To Democratize The Hidden Curriculum In Medical Education: An Implementation Framework, James Keith Martin Ii, Mercedes Byrd

Libraries Scholarship

The “hidden curriculum” in medical education—comprising unwritten rules, values, and expectations—significantly impacts student success, yet remains inaccessible to students from underrepresented backgrounds. This paper presents a theoretical framework and practical implementation strategy for using artificial intelligence (AI) to democratize access to this hidden curriculum. We analyze how cognitive load theory and the Fast/Slow Thinking paradigm explain inequities in professional integration, then propose a comprehensive implementation approach to guide equitable AI integration. This model demonstrates how AI tools, when thoughtfully implemented, can reduce cognitive burdens on disadvantaged students, accelerate professional acculturation, and contribute to building an inclusive medical workforce.

Examining The Impact Of Technology-Enhanced Peer Mentorship On First-Year University Students’ Mental Health And Academic Success, Maya Hareli

Dissertations

Poor mental health among first-year college students has been associated with a plethora of unfavorable outcomes including worsening mental health problems later in college as well as declines in academic performance, rates of college retention, and postgraduate employment and income potential. While demand for mental health services on college campuses is high, there are various barriers to accessing these services. Peer mentoring is a resource-efficient solution for curbing college student mental health and academic challenges; however, the effects of past mentoring programs are inconsistent. Additionally, technology-delivered interventions (TDIs) have been shown to yield positive outcomes for young adults along various …

Fathers' Racial Differences In Perceived Workplace-Induced Stereotype Threat: Impacts On Sense Of Belonging, Job Satisfaction, And Turnover, Frances Evalyne Kealiimahiaiokalani Hampton

Dissertations and Theses

Black fathers (BFs) face unique workplace challenges due to racialized and gendered stereotypes that undermine their legitimacy as men, workers, and parents. Drawing on Stereotype Threat Theory (STT) and Stereotype Embodiment Theory (SET), this study examined how workplace-induced stereotype threat (WIST) affects BFs' job attitudes and turnover intentions (TIs). I hypothesized that BFs would report higher WIST than White fathers (WFs), and that WIST would mediate the effects of race-related perceptions on job satisfaction (JS), sense of belonging (SOB), and TIs. In addition, perceived organizational support (POS) was tested as a moderator on the relationships between WIST and these job-related …

Effects Of Gratitude, Mindfulness, And Goal Setting On College Athletes' Well-Being, Performance, And Motivation, Vanessa E. Vanwoerkom

Student Works

Because of the emphasis of sports in today’s society, athletes experience near-constant pressure from the public, coaches, and fans. This can make it difficult to control feelings of stress, anxiety, and even depression. Positive psychology interventions have been shown to be useful in teaching athletes to cope with difficult emotions and to handle the stress that accompanied advanced competition (Gabana, 2018). The benefits of positive affect have been shown to enhance motivation and attention, facilitate coping with hardship, and increase problem-solving skills (McCarthy, 2011). The practices of gratitude, mindfulness, and goal setting are some of the most effective skills taught …

The Impact Of Social Support On Camouflaging Behaviors Among Young Adults With Autism Spectrum Disorder: Exploring Protective And Risk Factors, Mofoluwakemi Omololu Johnson

Walden Dissertations and Doctoral Studies

The Impact of Social Support on Camouflaging Behaviors Among Young Adults With Autism Spectrum Disorder: Exploring Protective and Risk Factors by Mofoluwakemi Omololu Johnson MSW, University of Ibadan, 2007 BSc, University of Ilorin, 2003 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Clinical Psychology Walden University August 2025   Camouflaging strategies used by individuals with autism spectrum disorder (ASD) to mask or compensate for autistic traits are often linked to adverse mental health out-comes. This quantitative correlational study investigated the relationship between perceived social support and camouflaging behaviors in young adults with autism. Grounded …

More Than Trauma: The Story Of Intergenerational Survival, Tiffany Fang

Dissertations

Parental trauma can have a profound effect on children. The process of passing along traumatic experiences, known as the intergenerational transmission of trauma (IGT) and the process of passing along adaptations to these adverse circumstances, known as the intergenerational transmission of resilience (IGR), have been explored in populations such as survivors of the Holocaust and war refugees (Danieli et al., 2017; Kellermann, 2001; Sangalang & Vang, 2017). This study sought to extend findings to Chinese American immigrant families, many of whom experienced trauma in the form of war, sociopolitical violence, and poverty in 20th-century China. Despite the presence of these …

Exploring General Education Teachers' Awareness Of Ableism In Elementary School, Hana Elizabeth Polachek

Dissertations

Ableism, or prejudice and discrimination on the basis of dis/ability is of growing interest to both practitioners and researchers (Branco et al., 2019; Friedman & Awsumb, 2019). In the United States, there are federal laws that protect public education as a fundamental right regardless of a student’s ability status. Prior researchers found that educators can hold biases with respect to a student’s disability label (Bassey et al., 2020; Donohue & Bornman, 2015; Freer, 2018; Gifford & Knott, 2016; Ko & Boswell, 2013; Lucas, et al., 2009; Nah & Tan, 2021; Pachiţa & Gherguţ, 2021; Röhm et al., 2022; Wüthrich & …

Dynamical Regulation Of Blood Pressure And Cognitive Function, Joshua Sweigert, Tara Gruenewald, Margie Lachman, Teresa Seeman, Maxine Weinstein, Tse-Hwei Choo, Martina Pavlicova, Ramakrishna Mukkamala, Richard P. Sloan

Psychology Faculty Articles and Research

BACKGROUND

Blood pressure (BP) is not steady. It varies over intervals from months to consecutive cardiac cycles, and this variation contains meaningful information beyond mean BP. Variability over multiple clinic visits (VVV-BP) and during 24-h ambulatory monitoring (ABPV) is positively related to risk of stroke and coronary artery disease and negatively associated with cognitive performance. Beat-to-beat BP variation, often quantified as low frequency variability (0.04–0.15 Hz, LF-BPV), is less well-studied. Here, we examine the relationship between LF-BPV and cognitive outcomes in 1953 participants from the Midlife in the US study.

METHODS

Participants completed the Brief Test of Adult Cognition by …

The Development And Validation Of The Measure Of Critical Reflection, Yea Jin Chang

Dissertations

Critical reflection, a component of critical consciousness, is defined as a metacognitive ability that is engaged when identifying, critiquing, and transforming social oppression. This study developed and validated the Measure of Critical Reflection, with items that assess participants’ cognitive ability to critically reflect and are framed to be generalizable across time and social contexts. Items were generated through literature review and interviews with critical consciousness educators and data was collected across two samples for factor structure analysis (N = 300) and replication and validation (N = 286). Results confirmed that a unidimensional model was most appropriate to represent the data …

Investigating Queer Asians' Accultrative Resilience And Wellbeing, Yiyu Cheng

Dissertations

This dissertation examines the role of resilience factors in moderating the effects of acculturative stress on the well-being of queer Asian Americans. A total of 181 survey responses were collected from queer-identified Asian Americans over the age of 18 residing in the United States. Using hierarchical multiple regression analysis, this study explores three models incorporating two identity resilience factors (ethnic identity salience and queer identity salience), two community resilience factors (ethnic community support and queer community support), and two intersectional resilience factors (queer Asian identity salience and queer Asian community support). Well-being was assessed through life satisfaction, negative affect, and …

Youth And Parent Knowledge And Perceptions Of Spina Bifida: Associations With Neurocognitive Factors, Self-Management, And Quality Of Life, Olivia Emery Clark

Dissertations

Spina bifida (SB) is a common congenital birth defect with multiple and varied medical, physical, and psychological impacts. The objective of these studies is to examine youth and parent condition-related knowledge in the context of SB and associations with executive function, quality of life, and medical self-management. Collectively, these studies examine both qualitative and quantitative multi-informant data from youth with SB, their parents, and their teachers. The first study used growth analyses to examine changes in condition-related knowledge over time, predicted by executive dysfunction and inattention, and predictive of medical self-management skills. The second study used qualitative coding methods to …

Coping Strategies Of African American Cisgender Female Veterans After Experiencing Military Sexual Trauma, Denise Loretta Bullock

Walden Dissertations and Doctoral Studies

The United States Veterans Health Administration (VHA) provides care for female veterans who have experienced military sexual trauma (MST), which is harassment and physical assault that occurs while on active military duty. This generic qualitative study involved understanding coping skills of cisgender African American female veterans who experienced MST and the impact of race on their coping skills. A significant gap exists in literature regarding how African American female veterans have coped with MST. This study involved using the transactional theory of stress and coping, which asserts coping responses reflect an imbalance between demands of a person’s environment and what …

A Dutch Translation And Multidimensional Structure Of The Adjustment Scales For Early Transition In Schooling, Robert Hamerslag, Ron Oostdam, Ruben Fukkink, Louis Tavecchio, Paul A. Mcdermott, Zoey Kim

Archives of Assessment Psychology

This study introduces and applies the Dutch translation of the Adjustment Scales for Early Transition in Schooling (ASETS), assessed in 323 kindergarten children across 30 regular schools in the Netherlands. Culturally-tailored, context-informed assessments are essential to address childhood adaptation challenges in early schooling. Starting with a professional translation and back-translation of the ASETS by a translation bureau, a panel of kindergarten teachers critically reviewed the translated items. They ensured reliability, contextual accuracy, and addressed nuances in Dutch school terminology, bridging cultural differences between U.S. and Dutch educational settings. The analysis included Exploratory Factor Analysis, revealing three behavioral problem categories: Aggressive/Oppositional, …

Navigating Grief In The Digital Age: A Phenomenological Study Of Young Widows Using Instagram For Support And Connection, Mariah Jasmine Sandoval

Walden Dissertations and Doctoral Studies

This qualitative phenomenological study explored the lived experiences of young widows who use Instagram for grief support following the death of a spouse. Young widows often face disenfranchised grief and limited access to traditional support systems, which can impede emotional processing and identity reconstruction. Grounded in Continuing Bonds Theory, which posits that ongoing connections with the deceased can be adaptive, the study examined how Instagram facilitates or complicates grief by enabling emotional expression, maintaining bonds, and fostering engagement with a community of shared loss. The central research question asked: How do young widows describe their experiences using Instagram for grief …

The Force Of Resilience: Exploration Of Correlations Between Generational Differences In Occupational Resilience And Turnover Intentions Among Active United States Law Enforcement Personnel, Kaylin Elizabeth Switzer

Walden Dissertations and Doctoral Studies

Law enforcement agencies across the United States are facing critical challenges with the recruitment and retention of officers. This study examined whether differences existed in occupational resilience and turnover intentions across generations of active law enforcement personnel, and whether resilience levels were correlated with turnover intentions. A quantitative, cross-sectional design was used to collect data via an online survey that included the Predictive 6-Factor Resilience Scale and the Expanded Multidimensional Turnover Intentions Scale. The sample consisted of 241 active members of law enforcement. There were two one-way ANOVA tests conducted to assess generational differences in resilience and turnover intention scores, …

An Investigation Of Sex-Specific Effects Of Nucleus Accumbens Dopamine Receptor Signaling In Persistent Reward Seeking Under Punishment, Anna Caroline Toburen

Theses and Dissertations

Addiction involves persistent reward-seeking behavior despite adverse outcomes, with the nucleus accumbens (NAc) critically mediating motivation and cost-benefit decision-making. Dopamine (DA)-responsive neurons in the NAc, specifically D1 and D2 receptors within the NAc are crucial in encoding motivated behavior. However, the specific role of D1/D2 receptors in driving reward-seeking under punishment remains unclear. Preliminary findings suggest a sex-specific effect, with females exhibiting greater sensitivity to the suppressive effects of footshock on natural reward-seeking compared to males. We investigated the differential roles of NAc D1/D2 receptors in modulating reward-seeking behavior under punishment, with a focus on potential sex-specific effects. Using a …

What Are The Lived Experiences Of Policing Professionals With Self-Reported Alterations To Biological Instinct Alongside Operational Demands?, Madyson Wier

Walden Dissertations and Doctoral Studies

Operational demands and training of policing professionals may be a source of conflict leading to a potential increase in risk for both the officer and the general public. Training in a law enforcement academy does not adequately prepare officers for the impacts the career may have on mental health, changes to the biological system, or societal criticism of modern-day policing. The purpose of this qualitative study was to understand how policing professionals experience changes in the autonomic nervous system with exposure to trauma in the field, and how self-reported alterations are further impacted due to operational expectations of their department. …

Neonatal Striatal Volume Is Associated With Infant Anhedonia, Melissa Nevarez-Brewster, Catherine H. Demers, Jessica L. Irwin, Laura M. Glynn, Martin A. Styner, Mercedes Hoeflich Haase, M. Camille Hoffman, Diego A. Pizzagalli, Benjamin L. Hankin, Elysia Poggi Davis

Psychology Faculty Articles and Research

Anhedonia is increasingly recognized as a transdiagnostic risk factor for psychopathology. New evidence demonstrates that anhedonia is present in infancy and early childhood. Structural variability in striatal regions involved in reward processing and pleasure seeking is concurrently linked to anhedonia, yet few studies have examined whether striatal differences presage anhedonia, and none have examined prospective associations before middle childhood. The present study examined whether neuroanatomical markers that confer risk for anhedonia can be detected as early as the neonatal period. Specifically, we tested whether the volume of striatal regions in neonates predicted the emergence of infant anhedonic behaviors at six …

Neonatal Striatal Volume Is Associated With Infant Anhedonia, Melissa Nevarez-Brewster, Catherine H. Demers, Jessica L. Irwin, Laura M. Glynn, Martin A. Styner, Mercedes Hoeflich Haase, M. Camille Hoffman, Diego A. Pizzagalli, Benjamin L. Hankin, Elysia Poggi Davis

Psychology: Faculty Scholarship

Anhedonia is increasingly recognized as a transdiagnostic risk factor for psychopathology. New evidence demonstrates that anhedonia is present in infancy and early childhood. Structural variability in striatal regions involved in reward processing and pleasure seeking is concurrently linked to anhedonia, yet few studies have examined whether striatal differences presage anhedonia, and none have examined prospective associations before middle childhood. The present study examined whether neuroanatomical markers that confer risk for anhedonia can be detected as early as the neonatal period. Specifically, we tested whether the volume of striatal regions in neonates predicted the emergence of infant anhedonic behaviors at six …

Table Of Contents

Journal of Youth Development

No abstract provided.

Examining Student Critical Thinking Dispositions Within The College And Career Readiness Of Students Involved In Ffa And 4-H In Georgia, James D. Scott, Eric Rubenstein, Jason Peake, Nicholas E. Fuhrman Phd, Jori N. Hall

Journal of Youth Development

Preparing youth, primarily as they become high school graduates, to be ready to enter college and careers, has been a primary driving force in primary and secondary education for over 20 years. However, there lacks consistency in the definition and of the true idea of college and career readiness in the twentyfirst century. Additionally, there is a lack of research examining the impacts that student involvement in youth organizations has on the development of college and career-readiness skills. One facet of college and career readiness is the development of critical thinking skills and dispositions, which include enjoying solving problems, respecting …

Dsm-5 Based Algorithms For The Autism Diagnostic Interview-Revised For Children Ages 4–17 Years, Linnea A. Lampinen, Shuting Zheng, Lindsay Olson, Vanessa H. Bal, Audrey E. Thurm, Amy N. Esler, Stephen M. Kanne, So Hyun Kim, Catherine Lord, China Pareneau, Kerri P. Nowell, Jane E. Roberts, Nicole Takahashi, Somer L. Bishop

Faculty Publications

Background: The Autism Diagnostic Interview, Revised (ADI-R) is a caregiver interview that is widely used as part ofthe diagnostic assessment for Autism Spectrum Disorder (ASD). Few large-scale studies have reported the sensitivityand specificity of the ADI-R algorithms, which are based on DSM-IV Autistic Disorder criteria. Kim and Lord (Journalof Autism and Developmental Disorders, 2012, 42, 82) developed revised DSM-5-based toddler algorithms, which areonly applicable to children under 4 years. The current study developed DSM-5-based algorithms for children ages4–17 years and examined their performance compared to clinical diagnosis and to the original DSM-IV-basedalgorithms. Methods: Participants included 2,905 cases (2,144 ASD, 761 …

The Efficacy And Usability Of Motivational Interviewing Just-In-Time Trainings For Youth Mentors, Mackenzie J. Hart, Samuel Mcquillin, Aidyn Iachini, Daniel K. Cooper, Mark D. Weist

Faculty Publications

Using youth mentors to deliver evidence-based psychosocial services has been proposed to increase the reach of treatments, in part given the affordability and ubiquity of mentors in youth settings. Further, tests of mentor-delivered motivational interviewing (MI) have shown increases in youth mentees' academic performance and wellbeing. Yet, traditional methods of training mentors to use MI can be costly and time-consuming. Previous work has suggested the value of asynchronous, brief, just-in-time training (JITT) to help offset these challenges; however, MI JITT for mentors has not yet been formally evaluated. As such, here, we report on a preliminary study of MI JITT …

Preventing Suicidal Thoughts And Behaviors Among Youth: Integrative Data Analysis Of Crossover Impacts Of The Coping Power Preventive Intervention, Heather Mcdaniel, Alexa C. Budavari, Alexandra Tonigan, Ava E. Michael, Stephen G. West, Nisha Gottfredson O'Shea, Nicole P. Powell, Lixin Qu, Lissette M. Saavedra, Anna Yaros, Catherine P. Bradshaw, John E. Lochman, Antonio A. Morgan-López

Faculty Publications

Objective

Method

Early Adult Outcomes Of 4-H Program Alumni: A Propensity-Matched Comparative Study, Steven M. Worker, Roshan K. Nayak, Anne Marie Iaccopucci, Nicole Marshall-Wheeler

Journal of Youth Development

A young person’s engagement in high-quality youth development programs should lead to stronger positive outcomes as a young adult. Theoretical literature advances broad indicators that mark success in young adulthood; however, there is a dearth of empirical publications reporting long-term outcomes to support this assumption. We conducted a cross-sectional survey study to report on three long-term outcomes (economic stability, health and well-being, and community involvement) of young adult (aged 19 to 34) alumni of the University of California 4-H Youth Development Program. We compared 4-H alumni outcomes to matched peers using secondary data sources. The 4-H alumni sample demonstrated more …

Assessing The Psychological Wellbeing And Resilience Of Frontline Health Workers In Uganda: A Cross-Sectional Study, Ahmed Sarki, Joseph Atukwatse, Gideon Mbithi, Sabina Odero, Mary Namuguzi, Bernard Mutwiri, Lestine Bitakwitse, Peninah Wachira, Kevinson Mwangi, Eunice Ndirangu, Amina Abubakar

Institute for Human Development, East Africa

Background: Health workers in the frontline are the major drivers of health systems in low- and middle-income countries. However, these health workers face both chronic and acute shocks and stressors that expose them to mental health problems which are often overlooked. We examined the prevalence of mental health problems, correlates of psychological functioning, and resilience of frontline health workers in Uganda.

Methods: We conducted a cross-sectional study comprising 1800 frontline health workers across all regions of Uganda from August through October 2023. We used tools such as the PC-PTSD-5, PHQ9, PSS, GAD-7, Oldenburg Burnout Inventory, and CD-RISC-10 to assess PTSD, …

I Am Scared Too: A Qualitative Study On The Influential Factors On The Fear Of Childbirth In Black Women, Imani Rivers

Tennessee State University Alumni Theses and Dissertations

Pregnancy and childbirth can evoke a range of emotions, including happiness, frustration, and fear. While some worry during pregnancy is expected, heightened and persistent fear can negatively impact a woman’s mental and physical health. Despite this, fear of childbirth remains underexplored, particularly in the context of Black women’s experiences. Existing literature lacks focus on the contextual and systemic factors contributing to this fear, creating a significant research gap (Reissig et al., 2021). Black women in the United States are disproportionately affected by medical mistreatment, often experiencing dismissal and silencing in clinical settings—an issue frequently rooted in implicit bias and racial …

Understanding Why Individuals Maltreated As Children Do Not Retrospectively Self-Report, Kristin S. Lynch

Dissertations, Theses, and Capstone Projects

Individuals with documented histories of childhood maltreatment who do not retrospectively self-report these childhood experiences demonstrate better emotional and psychological outcomes in adulthood. Understanding why these individuals do not retrospectively self-report is important for the development of effective interventions focused on mitigating the long-term consequences of maltreatment. The current study compared maltreated individuals who did not retrospectively self-report (O-R group) to those who did retrospectively self-report (O+R group) to examine theoretical explanations related to intentional nondisclosure (i.e., social desirability and discomfort during the interview) and memory processes (i.e. infantile amnesia, use of mental health services, avoidant coping …

Interoceptive Forecasting And Recall: The Role Of Anxiety Sensitivity And Disgust Sensitivity, David Lloyd Yap

Dissertations, Theses, and Capstone Projects

Predicting and remembering emotional states (affective forecasting and recall) are adaptive processes that allow individuals to engage with the future and past to guide behavior, yet these processes are prone to bias. Although affective forecasting and recall biases are common across healthy populations, more pessimistically biased affective forecasts and recall have been linked to greater anxiety and depression symptom levels and to emotional disorders. A crucially understudied aspect of affective forecasting and recall is the perception of the somatic (interoceptive) symptoms that accompany emotions. This study investigated forecasting and recall accuracy of somatic symptom levels (i.e., interoceptive forecasting and recall). …

Receptions Of Mental Health Emergency Services In New York City, Daniel R. Samost

Dissertations, Theses, and Capstone Projects

Mental health emergency response has become a highly scrutinized topic following the Black Lives Matter movement and several notable incidents of mental health emergency service users being killed by police responders. Qualitative interviews were conducted with mental health emergency service users to better understand the experience of using mental health emergency services, garner critical feedback of the service, and explore recommendations to improve future response. A total of 23 participants conducted interviews and detailed 40 incidents of mental health emergency service utilization. These interviews were then coded and analyzed. There were a few major findings from the data. Just over …