Digital Commons Network^™

Structured Telehealth Community Health Worker-Clinician Feedback And Diabetes Outcomes: A Randomized Clinical Trial, Elizabeth Vaughan, Xiaoying Yu, Amber Amspoker, Aanand Naik, Ashok Balasubramanyam, Craig Johnston, Christi Ballantyne, Salim S. Virani, Shelton Brown, Kristina Mena

Population Health, East Africa

Importance  Community health workers (CHWs) improve chronic disease management in underserved populations, but scalable integration strategies are limited.

Objective  To evaluate whether a multidimensional intervention incorporating telementored CHWs and a structured participant-CHW-clinician feedback loop can improve diabetes outcomes.

Design, Setting, and Participants  This 12-month randomized clinical trial was conducted at 3 institutionally and geographically diverse community clinics in Texas between September 1, 2023, and April 30, 2025, and included low-income, uninsured White Hispanic adults with type 2 diabetes identified through clinic databases. Data were analyzed between May 1 and July 31, 2025.

Intervention  Individuals were randomized 1:1 to the intervention …

The Effects Of Adverse Childhood Experiences On Female College Students' Social Emotional Development: Is Flourishing Possible?, Kaylee Kirkwood

University Honors Theses

Adverse childhood experiences are events of trauma and abuse that occur prior to age eighteen. High rates of sexual violence against girls and female undergraduate students inspired this study to explore how trauma may impact development and overall college experience. This thesis employed a small exploratory pilot study to investigate childhood trauma and social-emotional development among a small sample of female college students (ages 18-25; n = 41). Participants recruited through the Prolific Database completed an online Qualtrics survey consisting of screeners, demographic questions, measures of trauma history and emotional functioning, and optional open-ended experience-based questions. Measures were guided by …

Disability Experiences Of University Students: An Interview Study, Cece Austin

University Honors Theses

This thesis explores the experiences of college/university students with disabilities within the educational system. Using a qualitative research design, semi-structured interviews were conducted with students who identify as disabled or having disabilities in order to explore impacts of disability on their lives, with a focus on experiences navigating academic environments and accessing accommodations. Findings revealed two recurring themes: 1) the importance of both registered accommodations and accessibility efforts from faculty, and 2) difficulties with accommodations, internalized ableism, and disclosure. This research contributes to broader discussions on disability, inclusion, and educational equity by highlighting the lived experiences of students with disabilities …

The Social Construction Of Risk: How Media Socially Constructs Risk Perceptions Surrounding School Shootings Among College Students, Natalie Jobe

University Honors Theses

Although school shootings are statistically rare events, public fear surrounding them has continuously increased across the United States. This thesis explored how college students perceive the risk of school shootings despite the relatively low probability of experiencing these violent events, with particular attention to the role of media framing, sensationalized reporting, and repeated exposure to violent social and digital media. In order to examine how media framing, social and digital media exposure, as well as ongoing encounters with violent content affect risk perception, this research conducted six interviews with traditionally aged college students from Portland State University regarding their experiences …

Ecological And Political Grief In College Students: Making Meaning In Uncertain Times, Kate Hlad

University Honors Theses

The study aims to explore grief experiences of college students in relation to world issues, namely ecological and political concerns and ways of making/finding meaning, hope, and purpose. To address a gap in research on manifestations of combined and multifaceted world grief experiences, qualitative research was conducted in the form of semi-structured interviews with 6 different college students. Common themes arose from the interviewees' grief experiences including hopelessness, overwhelm, anger, and changed future planning. Additionally, participants shared their experience finding community, engaging in creative pursuits, and taking action against oppressive systems in order to experience hope and purpose individually and …

School Counseling With Indigenous Students In Rural America: The Role Of A Counselor In Supporting An Indigenous Pedagogy Based Curriculum, Donovan Greene

University Honors Theses

Indigenous students are a huge population that are not fully supported by the school psychology field. This is primarily due to cognitive imperialism and the focus on a Western monoculture in education. This has led school psychologists and counselors feeling underprepared and lacking the tools to work with Indigenous students and as a result these  students are harmed academically and in terms of their mental wellness. This essay opens with a literature review of scholarship on school counselors working with Indigenous students. To improve relations, I suggest implementing more culturally focused interventions. Unfortunately there is a lack of research on …

Leadership Revisited, Allen Vean Dmd

Metro Denver Dental Society Articulator Magazine

This Reflections examines the importance of communication, collaboration and human connection in dental practice management. Dr. Allen Vean draws parallels between healthcare teams and organizational leadership models, and discusses how trust, morale and team engagement directly impact patient care and practice culture. The article also explores the evolving role of AI and technology in dentistry while emphasizing that human interaction remains essential to long-term success. The author implores dentists to foster stronger team relationships to create patient-centered practice environments.

Daily Problematic Smartphone Use Predicts Decreases In Self-Control Capacity: Evidence From Random-Intercept Cross-Lagged Panel Model, Adalia Yin Hui Goh, Andree Hartanto

Research Collection School of Social Sciences

Amidst the widespread increase in global smartphone screen time and the phenomenon of ‘The Great Exhaustion’, where multiple surveys indicate pervasive tiredness and feelings of being drained, there is growing concern about the link between problematic smartphone use and the capacity for self-control. While numerous studies have investigated the relationship between problematic smartphone use and self-control capacity, they are mostly cross-sectional. Thus, it is unclear whether the lack of capacity for self-control is an antecedent or consequence of problematic smartphone use. Addressing the research gap, we conducted a 7-day diary study to investigate the bidirectional relationship between problematic smartphone use …

"An Open Mind And A Critical Stance": A Content Analysis Of Information Literacy Integration Into A Course About Poverty And Discrimination, Ashley Shealy, C. Rebecca Oldham, Clay Oldham, Tara L. Griffith

Communications in Information Literacy

The ACRL Framework argues that infusing curriculum with information literacy concepts can improve students’ attitudes and abilities to navigate complex information landscapes. This paper describes how a librarian and a faculty member integrated an information literacy curriculum into an undergraduate upper-division course about poverty and discrimination. Curriculum efficacy was assessed through directed content analysis of student responses to open-ended questions about engaging with news and social media, forming opinions, and having conversations about controversial topics. Responses were analyzed using a coding scheme based on course objectives derived from Framework dispositions and knowledge practices. Results indicated that exposing students to an …

Information Literacy Tutorials For High Enrollment Courses: An Iterative Design-Based Approach, Kimberly Casey, Rebekah Heleen

Communications in Information Literacy

The purpose of this paper is to provide academic librarians practical guidance on how to provide information literacy support to high enrollment, general education courses. It includes a detailed description and analysis of our approach and findings throughout the project, as well as reflections and lessons learned. The project team developed asynchronous information literacy tutorials for first-year students at the University of Arkansas, utilizing a flipped classroom approach, to address challenges in delivering personalized instruction to high-enrollment courses. Collaborating with program directors, the team created online tutorials embedded with feedback surveys, which collected nearly 2,000 student responses. We also surveyed …

Screening Tools For Maternal Mental Health In Africa: A Systematic Review, Joyce Jebet, Irene Mageto, Benard Mutwiri, Abednego Ongeso, Ruth Wagathu, Rose Maina, Denis Munene, Kawira Kithuci, Peter Gatiti

School of Nursing & Midwifery, East Africa

Background:

Maternal health during pregnancy and the postnatal period encompasses mental health, which is a key aspect in enhancing a positive outcome. Despite screening for other possible complications during pregnancy and the postnatal period, very little attention has been paid to screening for mental health. Screening is a key tool in early diagnosis and, eventually, timely diagnosis and management in cases where complications arise.

Aim:

This study aimed to assess the available maternal mental health screening tools and compare the outcome on their utilization during pregnancy and postnatal periods in the African continent.

Methodology:

This was a …

Mapping Structural Mistrust In Medicine, Ashleigh Allgood

ETDs from 2020-2029

Much of the existing literature treats mistrust as resistance or noncompliance. A structural perspective reverses that logic. It views mistrust as a reflection of institutional behavior rather than individual belief. When systems repeatedly fail to protect or repair harm, withdrawal becomes a reasonable and protective response. Structural mistrust represents both an adaptation to inequality and a cumulative record of institutional unreliability. This dissertation develops and tests a theory of structural mistrust as a collective orientation that links institutional design to individual behavior and perceived health. It makes three contributions. First, it conceptualizes structural mistrust as a product of state institutions …

Recognizing Patients In Places: A Multilevel Analysis Of Severe Heat-Related Illness Risk In Birmingham, Al, Andria Cimino

ETDs from 2020-2029

Socially marginalized people face a higher risk of adverse health outcomes from extreme heat—as many as 12,000 U.S. deaths a year are attributable to heat-related illness (HRI), a preventable but multifactorial condition. Where one lives plays a critical role in HRI incidence, with evidence linking historically segregated and disinvested urban environments to a higher risk. The literature also suggests that Black adults experience worse HRI outcomes than non-Hispanic White adults, and that men are often, though not always, at higher risk than women. Individuals with heat-sensitive conditions and socially isolated adults also face elevated risk. Yet the mechanisms by which …

The Guardian The Month Of June 2026, Wright State Student Body

The Guardian Student Newspaper

News articles from The Guardian for the Month of June 2026. The Guardian is the official student-run newspaper for Wright State University. It has been published regularly since March of 1965.

Legends, Lies, & Rewritten Lives: After The Little Bighorn: Forgotten Struggles Of Those Who Walked Away, 2nd Edition, Thomas B. Davidson

DU Textbooks

This Story surrounds an event that occurred one summer on June 25, 1876, along the banks of the Little Bighorn River in what is now the state of Montana. Seen from a 21st century perch, it is a story of a collision between two very different civilizations or empires. Both empire’s military fought in the manner of their society. This narrative will attempt to balance the believable truth of what happened in that contest between the military representatives of both societies while also trying to tell an engaging story, without drifting into naked partisanship, purple prose, or sensationalism. The narrative …

Assessment Of Information Literacy Instruction In Reference: Applying Vanscoy’S Conceptual And Procedural Framework In Practice, Vanessa Arce

Communications in Information Literacy

The instructional aspect of reference work has long been acknowledged, especially in academic libraries. The current RUSA guidelines include helping users develop information literacy as a goal of reference. In this context, investigating the presence and nature of information literacy instruction can be used to assess the quality of reference services. This study applied Amy VanScoy’s conceptual/procedural framework for point-of-need instruction to a sample of chat reference transcripts at Lehman College, City University of New York. One of the assessment’s goals was to determine the prevalence of instruction and type of knowledge addressed in reference interactions. Another goal was to …

Of Climate Justice And Magical Realism, Sonya Ziaja

Michigan Law Review

A review of Climate Justice: What Rich Nations Owe the World—and the Future. By Cass R. Sunstein.

Evidence Brief: Shifting Attitudes And Social Norms On Fgm Through Community-Based Interventions In Isiolo And Narok Counties Of Kenya, Stella Muthuri, Dennis Matanda, Francis Obare, Robert Omondi, Stephen Kizito, Chi-Chi Undie

Sexual and Reproductive Health, Rights, and Choices

The Girl Generation: Support to the Africa-Led Movement (TGG-ALM) programme in Kenya demonstrates that community-based, dialogue-driven interventions can shift social norms, attitudes, and behavioural intentions related to female genital mutilation (FGM), while also strengthening gender-equitable beliefs. Drawing on evidence from Isiolo and Narok counties, this evaluation shows that exposure to intergenerational dialogues, women’s reflection circles, and couple-based engagement is associated with stronger personal opposition to FGM, increased acceptance of uncut girls, and greater willingness to abandon the practice.

Strategic Communication For Population Stabilization: From Narrative To Sbcc Action, Population Council Pakistan

Sexual and Reproductive Health, Rights, and Choices

The Population Council led a landmark national effort to redefine population discourse in Pakistan through the development of a unified, rights-based national narrative—Tawazun (Balance). This narrative, endorsed by the Federal Task Force on Population and adopted at the highest policy forums, reframed population from a fragmented and sensitive issue into a shared national development priority. Tawazun established a clear framework—balancing rights, responsibilities, and resources—positioning family planning within the broader goals of family well-being, human development, and national sustainability. Importantly, the narrative was formally adopted by federal and provincial governments, and integrated into policy frameworks, communication strategies, and development planning processes.

The Five Cs Of Positive Youth Development In Singapore: Building Adolescent Resilience, Teresa Theodora Jing Yi Tan, Li Neng Lee

Journal of Youth Development

The Five Cs of Positive Youth Development (PYD) model is one of the most empirically discussed frameworks on youth thriving. Generalisability of the model was investigated among 210 middle (15-18 years old) and 250 late (19-25 years old) adolescents in Singapore. The Five Cs of PYD was evaluated as a mediator between intentional self-regulation, social-emotional competencies and family functioning, and the outcome of adolescent resilience. Results validate the model among youths in Singapore and show that the Five Cs of PYD positively predict adolescent resilience. The study extends the global application of the model while highlighting the need to consider …

Investigating The Structural Barriers And Opportunities For End-Of-Life Management Of Agricultural Plastic Waste Within California's Strawberry Industry, Rory M. O'Toole

Master's Theses

Agricultural plastic waste (APW) accounts for a significant and growing share of global plastic pollution, yet no study has documented how APW management functions across a specific crop system from production through end-of-life (EOL). This thesis addresses that gap by examining the structures and valuations that shape current EOL management of plastic mulch (PM) and drip tape (DT) in California's strawberry industry, one of the nation's most plastic-dependent crop systems. Drawing on an ethnographic approach that included 27 semi-structured interviews with stakeholders, as well as site visits, this study traces how APW is produced, valued, and discarded within a structurally …

Development Of A Video-Based Tool To Measure Motor Asymmetry In Infants At Risk For Hemiparesis, Roha Ali

Master's Theses

Congenital hemiparesis is a unilateral motor impairment stemming from brain injury in utero or early postnatally. Hemiparesis can be difficult to detect in early infancy with current clinical tools. Yet, early identification of motor asymmetry could play a key role in the design of effective early intervention and rehabilitation strategies. This thesis presents the development and validation of a video-based tool designed to extract infant limb movement data using DeepLabCut’s (DLC) machine learning network. The pipeline was developed using videos of typically developing (TD) infants and infants with Asymmetric Perinatal Brain Injury (APBI), all at or under 3 months corrected …

A Simulation To Compare Models For A Longitudinal Ordinal Response With A Multilevel Cross-Classified Data Structure, Rachel S. Perlin

Dissertations, Theses, and Capstone Projects

This is a simulation study that compares four models for analyzing three-level longitudinal cross-classified data with an ordinal outcome, treatment effect and a category-specific effect. The models include the cumulative model, the sequential model, the adjacent category model, and a metric model. Data were generated for each of the first three models with 27,000 generated datasets each, totaling 81,000. The datasets vary along three continuous variables: the number of level-3 units, the ratio of treatment groups to control groups, and the treatment effect size. The outcome has four ordinal response categories. Each model had two predictor variables: treatment and time. …

Essays On The Economics Of Aging: Structural And Machine Learning Approaches, Alexander S. Kwon

Dissertations, Theses, and Capstone Projects

Population aging has made the study of older workers’ economic behavior increasingly important for understanding labor markets, retirement systems, and public policy. In many advanced economies, rising old-age dependency ratios have increased the need to understand labor-supply, retirement, and savings decisions later in life (OECD, 2025). In the United States, these issues are especially important because Social Security faces long-run financing pressure, with the Old-Age and Survivors Insurance Trust Fund projected to be depleted around 2033 (U.S. Social Security Administration, Office of the Chief Actuary, 2025). Longer life expectancy increases the expected length of retirement and raises the fiscal importance …

Reimagining Power And Practice: Grantee Reporting For Greater Impact, Steven Lafrance, Jamae Morris, Lauri Valerio

The Foundation Review

The evaluation of Robert Wood Johnson Foundation’s (RWJF) Written Reports Alternative Project (WRAP) pilot revealed that Oral and Alternative Reporting (OAR) options offer a practical, values-aligned pathway to equitable, trust-based reporting that reduces burden while improving usefulness with a pathway to scale.

WRAP participants reported strengthened relationships and two-way learning, especially when conversations complemented or replaced written materials.

Recommendations for others considering OAR include: offer and codify choice, center questions that matter, design technology to support multiple formats, compensate grantee time for evaluation or additional learning-related asks, and train staff for relational learning.

RWJF’s experience demonstrates how reporting can be …

Adaptive Learning Partnerships In Action: Insights And Reflections From The Macarthur Foundation’S Big Bet On Nigeria, Julian Williams, Michael Moses

The Foundation Review

This article explores the evolution of the authors’ strategic learning partnership during their work together with the MacArthur Foundation’s Big Bet On Nigeria. The authors share practical insights into how foundations can cultivate learning relationships grounded in trust, aligned with priorities of program staff and grantees, and calibrated to generate timely, actionable insights.

The authors highlight the key principles that enabled them to help the program and grantees identify and adapt to emerging challenges, lessons, and needs, both within the programming context and in the foundation. In doing so, they offer a roadmap for funders and evaluators seeking to embed …

Paying For Participation: Equitable Compensation Models For Community Co-Researchers, Jamie Zimmerman, Prabhneet Girn

The Foundation Review

Community-engaged research is increasingly central to philanthropic practice, yet funders rarely provide guidance for compensating community members who participate as co-researchers. This gap is especially pronounced for youth, who often face administrative, legal, and developmental constraints that complicate what “fair pay” looks like in practice.

This article presents findings from a mixed-methods comparative case study of three youth participatory action-research projects involving 44 youth ages 16–24 across varied organizational settings. Data were collected through youth surveys, focus groups, staff interviews, financial analysis, and document review.

Findings show that each model carries distinct trade-offs related to feasibility, transparency, and administrative capacity, …

Public Acceptance Of Meat-Reduction Policies Across Cultures: Comparing Singapore And Switzerland, Bianca Wassmann, Shu Tian Ng, Mark Chong, Angela K. Y. Leung, Michael Siegrist

Research Collection Lee Kong Chian School Of Business

Purpose – As meat-reduction policies are discussed across the globe, many are met with public resistance. Cultural values may help explain this pushback, yet their role in shaping support for food policy remains poorly understood. This study is the first to apply cultural cognition theory to food policy by examining how cultural worldviews shape the acceptance of meat-reduction interventions in Singapore and Switzerland—two economically developed countries with contrasting cultural profiles. Design/methodology/approach – In an online survey, participants (Singapore: n = 357; Switzerland: n = 495) rated their acceptance of 11 meat-reduction interventions (e.g. taxes, subsidies, labelling). We then analysed to …

The City As Showroom: Singapore And The Rise Of The "Urban Solutions" Industry, Sol Andrew Stokols

Research Collection College of Integrative Studies

This article uses the concept of the “city as showroom” to describe an emergent logic shaping urban development that stems from the growing importance of “urban solutions” as an industry. Focusing primarily on Singapore, the article examines how certain urban districts and high-profile sites are conceptualized as “showrooms” for the infrastructure and urban technologies they aim to export around the world. The idea of the “city as showroom” combines aspects of the curation of a city’s image through showcase districts, as well as “testbed urbanism” seen in certain smart-city projects. Singapore's need to reproduce itself as a model of urban …

An Attachment Perspective For Help-Seeking Intentions Among Emerging Adult Women Child Sexual Abuse Survivors, Dominique Giroux

Dissertations

Child sexual abuse (CSA) is an adverse childhood experience and a global health issue. Approximately one in four girls encounter CSA per year. Research evidence suggests approximately 50% of CSA survivors encounter sexual revictimization during adulthood (Walker & Wamser-Nanney, 2023), but formal help and intervention can mitigate further psychosocial harm experienced by CSA survivors (Widom et al., 2008). Attachment theory has provided a theoretical framework for identifying individuals at risk for revictimization and help-seeking patterns, such that individuals who have insecure attachment styles report more revictimization frequency, but the literature is mixed about attachment styles and help-seeking (Brenner et al., …