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Full-Text Articles in Entire DC Network
Therapeutic Applications Of Tabletop Role-Playing Games In Treatment Of Depressive And Anxious Symptoms In Young Adults, Dash Degrote
Therapeutic Applications Of Tabletop Role-Playing Games In Treatment Of Depressive And Anxious Symptoms In Young Adults, Dash Degrote
Honors Theses
Tabletop role-playing games (TTRPGs) are played by a large population and involve the engagement of social and emotional skills, with the largest portion of the population playing them being adolescents or young adults. The therapeutic application of TTRPGs in the treatment of depressive and anxious symptoms shows potential with this population. In a literature review, three major themes are identified: TTRPG culture, stakeholder perspectives of TTRPGs, and examples of therapeutically-applied TTRPGs. Overall, evidence suggests that TTRPGs can positively impact the concerned symptoms, though more research is needed for games outside of Dungeons & Dragons as well as stakeholder perspectives.
The Importance Of Trauma-Informed Care In The Juvenile Justice System, Kalinowski Lillian
The Importance Of Trauma-Informed Care In The Juvenile Justice System, Kalinowski Lillian
Honors Theses
Trauma is a common experience among justice-involved youth, though its developmental and behavioral impacts are not always fully accounted for within juvenile justice systems. Trauma-informed care has emerged as a promising framework for addressing these challenges, however, limited research has examined how consistently such approaches are implemented in practice. This study explores the implementation and perceived effectiveness of trauma-informed care within the juvenile justice system by drawing on semi-structured interviews with five clinicians who have professional experience working with justice-involved youth in the Midwest. The findings indicate that trauma-informed care is not consistently implemented across institutional settings, with 80% of …
The Benefits Of Handcrafting, Madison Mallory
The Benefits Of Handcrafting, Madison Mallory
Honors Theses
Handcrafting encompasses physical creative activities such as crochet, wood working, pottery, knitting, and many others. This study includes qualitative research to focus on the impact of handcrafting on individuals. This research was conducted via interviews with 11 individuals. The parameters for individuals to be included in this study is being 18 years of age or older and having experience with handcrafting. Through these interviews two interviewees referred to hand crafting as a form of meditation while seven others expressed feeling similarly using words such as feeling present, calm, focused, and relaxed. Two people share experiences of using handcrafting as coping …
Exploring How Experiential Learning Enhances Undergraduate Education: Insights From The Wmu Cold Case Program With Michigan State Police, Maura Killips
Honors Theses
Experiential learning has become an increasingly important component of undergraduate education, particularly in fields that demand high levels of professional judgment, empathy, and technical skills. This thesis examines how the Western Michigan University (WMU) Cold Case Program (CCP), in partnership with the Michigan State Police, serves as a model of experiential learning that both enriches students’ academic experiences and contributes to real-world investigative work. Drawing on literature about experiential learning as well as my firsthand participation in the program, I analyze how structured hands-on engagement with unsolved homicide and missing persons cases has shaped undergraduate development at WMU.
Key program …
The Evolution And Impact Of Fashion Marketing In The Age Of Social Media, Lillie L. Warrington
The Evolution And Impact Of Fashion Marketing In The Age Of Social Media, Lillie L. Warrington
Honors Theses
This research paper aims to analyze the effect of social media on consumer behavior in fashion marketing by investigating how fashion brands have adapted their strategies to leverage social media platforms effectively and exploring the role of social media influencers in shaping brand perception and consumer loyalty. By addressing these objectives, this research seeks to contribute to the growing body of knowledge on digital marketing in the fashion industry, offering valuable insights.
The study will be conducted through a comprehensive review of existing research and primary research, including a survey of 143 participants, to better understand how social media affects …
How Positive Psychology Coaching May Influence Authentic Leadership Development, Amy Lynn Weilbacher
How Positive Psychology Coaching May Influence Authentic Leadership Development, Amy Lynn Weilbacher
Walden Dissertations and Doctoral Studies
Although organizations often articulate values driven missions, failure by leaders to consistently embody these values in practice can erode credibility and effectiveness. Organizational leaders need to understand the role of positive psychology coaching in authentic leadership development because mission credibility depends on the leaders’ enacted values. The purpose of this basic qualitative study was to explore how positive psychology coaching may influence authentic leadership development. This study was guided by a conceptual framework integrating positive psychology and authentic leadership. Data were collected through semistructured interviews with 11 U.S.-based organizational leaders who participated in positive psychology coaching. Six key themes emerged …
The Faces Behind “La Calle Principal”: The Economic Role Of Tourism In Shaping Local Livelihoods In Santa Cruz, Galapagos, Gabriella Alba
The Faces Behind “La Calle Principal”: The Economic Role Of Tourism In Shaping Local Livelihoods In Santa Cruz, Galapagos, Gabriella Alba
Electronic Theses and Dissertations 2020 - Present
Understanding the socioeconomic influences of a region is a complex endeavor, as many variables contribute to the fluctuations of an economic system, many of which intersect at the political and, in this case, ecological level. Specifically, this research aims to analyze tourism as one of those key factors to answer this question: How does tourism impact the socioeconomic livelihood of locals from La Isla de Santa Cruz, Galapagos? The Galapagos is a series of islands off the coast of Ecuador known for its rich ecological history as a site of scientific discovery. This has led to the archipelago’s extreme protection …
Contesting Protection: Digital Moral Discourses On Child Marriage In Bangladesh, Mashaekh Hassan
Contesting Protection: Digital Moral Discourses On Child Marriage In Bangladesh, Mashaekh Hassan
Electronic Theses and Dissertations 2020 - Present
This thesis examines how child marriage is represented and morally negotiated on the official Facebook page of UNICEF Bangladesh. Drawing on transnational and Third World feminist critiques of development, it uses feminist content and discourse analysis to analyze twenty-five campaign posts and 2,677 comments (May–July 2025) to trace patterns of representation and moral reasoning. The analysis identifies three dominant representational patterns: child marriage as a rural girls’ issue, rural girls as constrained and victimized, and education as a universal solution, collectively producing a homogenized image of vulnerable girlhood. Two clusters of moral discourse emerge: pro–child marriage (privileging religious morality, critiquing …
Sense Of Agency And Control, Self-Esteem, And Psychological Distress Among Undergraduate Students In The U.S. And China, Wenqi Zhang, Peiyi Wang, Chuansheng Chen, Yufei Li, Baojuan Ye, Jianmin Shao
Sense Of Agency And Control, Self-Esteem, And Psychological Distress Among Undergraduate Students In The U.S. And China, Wenqi Zhang, Peiyi Wang, Chuansheng Chen, Yufei Li, Baojuan Ye, Jianmin Shao
Psychological Science Faculty Publications
Beliefs about oneself are closely related to one’s psychological distress, yet little is known about how different dimensions of self-perception interact to predict psychological distress and how these relationships vary across cultural contexts. This study examined cultural differences in the sense of agency and control, their associations with psychological distress, and the protective role of self-esteem among undergraduate students. The sample included 501 U.S. students and 336 Chinese students. Results revealed systematic cultural differences in agency and control: U.S. students reported higher levels of sense of positive agency and personal mastery, but lower levels of sense of negative agency and …
Effects Of The Historical, Current, Social, And Political Influence Of White Supremacy On The Young, Black Male In Mobile, Alabama, Nicole Moore
Walden Dissertations and Doctoral Studies
Research has shown the negative effects of White supremacy and its historical influence on societal and political factors in the United States. These negative effects include excessive aggression, hate, and violence toward and degradation of Blacks, Indigenous, and people of color that lead to physical and mental health issues, identity crises, and trauma. However, studies have not examined the specific effects of the influence of White supremacy on the daily life of young adult Black males who have attended community college in Mobile, Alabama. The purpose of this generic qualitative study was to identify the perceptions of such Black males …
Social Support And Weight Management Behaviors Lived Experiences Of Overweight Native Hawaiian Women, Satu Gruenstein
Social Support And Weight Management Behaviors Lived Experiences Of Overweight Native Hawaiian Women, Satu Gruenstein
Walden Dissertations and Doctoral Studies
The Hawaiian Islands have an alarming concentration of obesity and related chronic health issues and many Native Hawaiian women do not have access to culturally sensitive weight loss information. The purpose of this phenomenological study was to increase understanding of the lived experiences of middle-aged Native Hawaiian women, relating to weight loss, weight management, and the impact of social support and cultural factors on those experiences. The conceptual framework for the study included the models of social support and social networks. A phenomenological research design and purposeful sampling were used to conduct semistructured interviews with eight middle-aged Native Hawaiian women, …
Lists Of Selected Full-Text Databases By Subscription In East Asian Studies, Anlin Yang, Michiko Ito, Ellie Kim, Jian P. Lee
Lists Of Selected Full-Text Databases By Subscription In East Asian Studies, Anlin Yang, Michiko Ito, Ellie Kim, Jian P. Lee
Journal of East Asian Libraries
No abstract provided.
Lessons Learned For Improving Trainee Engagement And Utilization Of Education And Training Materials For Cancer Research, Katerina M. Santiago, Tania Galindo, Michaela A. Dinan
Lessons Learned For Improving Trainee Engagement And Utilization Of Education And Training Materials For Cancer Research, Katerina M. Santiago, Tania Galindo, Michaela A. Dinan
Advances in Cancer Education and Quality Improvement
Background: A core component of the National Cancer Institute Cancer (NCI) Cancer Center Support Grant requires cancer centers to coordinate research career enhancement and related activities. The Yale Cancer Center, an NCI-designated comprehensive cancer center, established the Cancer Research Training and Education Coordination (CRTEC) component in 2016. In response to the needs of trainees, CRTEC has developed several initiatives that we have identified and described here as best practices to engage and support trainees.
Methods: We had 2 aims to improve engagement: 1) increasing our visibility and trainee awareness of CRTEC and nurturing bidirectional communication and 2) offering …
Rest For The Weary Soul: A Mixed Methods Psychospiritual Exploration Of Faith As A Path To Mental Health Recovery Among Students, Fremativo A. Vergara, Melvin G. Barete, Evan P. Taja-On
Rest For The Weary Soul: A Mixed Methods Psychospiritual Exploration Of Faith As A Path To Mental Health Recovery Among Students, Fremativo A. Vergara, Melvin G. Barete, Evan P. Taja-On
Journal of Catholic Education
Many individuals turn to faith for strength, guidance, and resilience, particularly at times of emotional hardship. As concerns continue to grow about mental health, particularly that of students, exploring how faith influences coping mechanisms and recovery offers valuable insights into alternative approaches to emotional wellbeing. The study found that students exhibit high levels of resilience and spiritual intelligence, suggesting that faith-based beliefs are crucial in students’ ability to cope with adversity. A strong positive correlation between resilience and spiritual intelligence indicates that students who integrate faith into their lives are more likely to develop the psychological strength needed to navigate …
Scientific Research In Cuba: A General Analysis With A Special Focus On Energy, Agriculture And Technology, Henri Dou, Pierre Fournie
Scientific Research In Cuba: A General Analysis With A Special Focus On Energy, Agriculture And Technology, Henri Dou, Pierre Fournie
International Journal of Islands Research
An analysis of science in Cuba is carried out using data from the OpenAlex database. Examples are developed: agriculture, rice, technology in relation to the current situation: national food supply, energy and medicine. The predominance of research in biology and medicine and the low commitment in the fields of agriculture, energy, medicinal plants and technology are highlighted. Various development schemes are proposed. The conclusion is that research must be directed towards strategic areas: food and energy, must be less dispersed and that technology must be better taken into account. Three proposals are made: the development of a chemical analysis platform …
Silent Struggles: A Qualitative Study On Mental Health Stigma And Help- Seeking Among African Individuals In The U.S, Ololade Ekwere
Silent Struggles: A Qualitative Study On Mental Health Stigma And Help- Seeking Among African Individuals In The U.S, Ololade Ekwere
Dissertations
Approximately one-third of African Americans and Caribbean Blacks who require mental health services seek and utilize them (Evans & Sheu, 2019). Research has shown that stigma surrounding mental health treatment contributes to lower rates of professional help-seeking among Black Americans (Pederson, 2023). Despite the growing diversity within the Black community, limited research exists on how stigma influences professional mental health help-seeking among Africans living in the United States.
The purpose of this qualitative descriptive study was to explore the effect of public stigma on the mental health help-seeking behaviors of Africans living in the United States. Demographic data were collected, …
Leadership Practice And Organizational Culture In Reducing Burnout Among Sud Supervisors, Christine Arismendi
Leadership Practice And Organizational Culture In Reducing Burnout Among Sud Supervisors, Christine Arismendi
Walden Dissertations and Doctoral Studies
Burnout in supervisors/managers working in residential substance use disorder (SUD) treatment settings poses serious threats to the agency, staffing, and client care. Behavioral health leaders need to understand how organizational culture and leadership practices shape burnout and resilience in their teams. This qualitative case study drew on the Leadership and Workforce categories of the Baldrige Excellence Framework to examine the influence of leadership and organizational culture on staff emotional well-being and resilience at a Boston-area nonprofit residential SUD treatment center. The study sought to answer: (a) how organizational culture and leadership affect supervisor and manager well-being and resilience; and (b) …
Self-Concept Clarity And Relationship Satisfaction: The Mediating Role Of Approach And Avoidance Motives For Sacrifice Among Heterosexual Couples, Hannah F. Hatch
Self-Concept Clarity And Relationship Satisfaction: The Mediating Role Of Approach And Avoidance Motives For Sacrifice Among Heterosexual Couples, Hannah F. Hatch
Theses and Dissertations
While individuals often engage in relational sacrifice to promote positive outcomes like connection (approach motives), they may also sacrifice for a partner to avoid negative outcomes like conflict (avoidance motives). These distinct motives for sacrifice have been repeatedly linked with divergent couple outcomes, yet little is known about the personal and relational factors which shape them. The current study addressed this gap using dyadic data from 289 mixed-gender couples to examine how self-concept clarity (SCC) predicted changes in relationship satisfaction via approach and avoidance motives for sacrifice. Participants represented diverse ethnic and sociodemographic backgrounds across all demographic regions of the …
Narratives, Neurons And Narcotics: The Neurological Impacts Of Biased Crime Media And How It Disproportionately Impacts Black And Brown Drug Defendants, Jade Celestine
Honors Theses
This thesis examines how crime media and neurological bias shape the experiences of Black and Brown drug defendants in the United States criminal justice system. Drawing on existing research in psychology and neuroscience, this explanation outlines the role of perception and threat detection in the formation of implicit bias while also emphasizing a need to expand the use of neurocriminology to all legal actors. Particular attention is given towards the influence of media portrayals of criminal cases, especially for drug-related offenses and how that impacts the audiences on a neurological level. An analysis of historical factors, such as the War …
What's The Scoop On Life In New Hampshire? Youth Perspectives On New Hampshire As A Place To Live, Learn, And Work After High School, Elliot Ng, Jayson Seaman, Cindy L. Hartman, Andrew D. Coppens, Kate Moscouver, Hannah Falcone
What's The Scoop On Life In New Hampshire? Youth Perspectives On New Hampshire As A Place To Live, Learn, And Work After High School, Elliot Ng, Jayson Seaman, Cindy L. Hartman, Andrew D. Coppens, Kate Moscouver, Hannah Falcone
Carsey Publications
To support its long-term economic vitality, New Hampshire must cultivate and retain its young talent. This brief analyzes the perspectives of New Hampshire youth and proposes actionable strategies that encourage them to build their futures in the state. While a majority of New Hampshire youth leave the state after high school, retention opportunities lie in leveraging what youth already love about the Granite State: Its natural environment, abundant outdoor amenities, and safe communities. By leveraging these assets and complementary policies such as expanding career-connected learning, promoting the abundance of in-state opportunities, and developing centralized social spaces, New Hampshire can create …
Memory Representations In Cortico-Hippocampal Systems, Angelique Ibanez Delarazan
Memory Representations In Cortico-Hippocampal Systems, Angelique Ibanez Delarazan
Arts & Sciences Graduate Student Theses and Dissertations
Episodic memory often captures both the content of past events (e.g., people, places, and situations involved) and the specificity with which those events are remembered, ranging from summary-level to detailed recollection. Content-based theories, including the PMAT Framework, propose that cortical networks are organized around the types of information memories contain. In particular, the Anterior Temporal Network (ATN) supports entity representations, including characters, and the Posterior Medial Network (PMN) support contextual information, such as locations. Specificity-based theories, including the Trace Transformation Theory, propose that the level of recall specificity maps onto functional gradients within the hippocampus, with posterior regions (pHPC) supporting …
Maternal Age And Income Moderate The Effects Of Infant Sleep Interventions On Maternal Sleep And Mood, Rachel Kerr, Afton Craig, Kara Mcrae Duraccio
Maternal Age And Income Moderate The Effects Of Infant Sleep Interventions On Maternal Sleep And Mood, Rachel Kerr, Afton Craig, Kara Mcrae Duraccio
FHSS Mentored Research Conference
Introduction: Demographic and social factors, including maternal age, number of children, and income, may influence the success of sleep training approaches for infants based on differences in supports available and varying levels of maternal self-efficacy/confidence. This study investigated whether maternal income, age, and number of children moderated the effect of three infant behavioral sleep interventions on maternal sleep and mental health.
Methods: Mothers of infants (ages 5-10 months) were randomly assigned to basic sleep hygiene control, graduated extinction, or responsive parenting interventions to help improve the sleep of their infant. Mothers completed the Pittsburgh Sleep Quality Index, PROMIS Sleep Disturbance …
A Proposed Methodology For Online Asynchronous Therapeutic Dreamwork, Gregory Sparrow, Ryan Hurd, Yih-Jiun Shen, Kim Phetteplace
A Proposed Methodology For Online Asynchronous Therapeutic Dreamwork, Gregory Sparrow, Ryan Hurd, Yih-Jiun Shen, Kim Phetteplace
Counseling Faculty Publications
The COVID-19 pandemic accelerated the acceptance of online “telemental” health as an alternative to sitebased service delivery. Concurrently, therapists have adopted various asynchronous virtual mental health resources, such as bulletin boards/forums, delayed chat, and email, to supplement traditional practice. Asynchronous dream sharing, pioneered in the early 1980s, has since supported online conferences and ongoing dreamwork communities. However, the potential of asynchronous therapeutic dreamwork (ATD) still needs to be explored. This article reviews the evolution of asynchronous online dream sharing and proposes that combining it with “co-creative” dreamwork—particularly the FiveStar Method—may generate distinctive contributions while providing greater safeguards than content-focused interpretive …
Morphology Extraction And Analysis Of Primary Soot Particles And Aggregates And Aggregates In Soot Tem Images Using Machine Learning, Timothy Paul Day
Morphology Extraction And Analysis Of Primary Soot Particles And Aggregates And Aggregates In Soot Tem Images Using Machine Learning, Timothy Paul Day
Master's Theses (2009 -)
Accurate characterization of soot morphology is crucial for understanding soot’s physical and chemical properties and their effects on climate and public health. Morphological characterization requires manual identification and segmentation of individual primary particles and aggregates, a labor-intensive and time-consuming process limits scale and reproducibility and contributes to uncertainty in climate models. Therefore, automated approaches are needed to reliably quantify soot morphology. This work develops SAGE (Soot Aggregate Geometry Extraction), an instance segmentation model and framework to segment primary particles in TEM images and extract morphological properties. Four key questions are addressed: (1) can the model achieve segmentation quality comparable to …
Understanding And Alleviating Teacher Burnout: A Focus On Supports For Teacher Candidates, Meghan Glahn
Understanding And Alleviating Teacher Burnout: A Focus On Supports For Teacher Candidates, Meghan Glahn
Honors Projects
This Honors Project begins by analyzing the overall patterns of burnout, and then narrowing to the experienced pressures by special educators. This research topic highlights how stress arrives early during teacher preparation and increases for individuals entering special education. Research from various sources emphasize the prevalence of burnout and the contributing factors that often lead to mental and physical consequences. This study also has results from a survey involving Intervention Specialist majors that captures their college experiences with academic demands, emotional labor, and field placement expectations. The outcomes supported by literature and the survey demonstrate that teacher burnout is severe, …
Perceptions And Experiences Of Federal Employees Following The Dissolution Of Deia Initiatives, Angela Silva
Perceptions And Experiences Of Federal Employees Following The Dissolution Of Deia Initiatives, Angela Silva
Walden Dissertations and Doctoral Studies
The federal government faces the ongoing challenge of sustaining a workforce that represents the diversity of the American public while navigating through policy changes that eliminated diversity, equity, inclusion, and accessibility initiatives. The federal government is public serving and is one of the largest employers in the United States. The purpose of this generic qualitative study was to explore the perceptions and experiences of government employees navigating the termination of all diversity and inclusion programs through the lens of the antecedents and outcomes of inclusions model, which showed that inclusive leadership, climate and practices contribute to positive employee and organizational …
Psychosocial Characteristics Of North American Male Cannibals, Sheila A. Murphy
Psychosocial Characteristics Of North American Male Cannibals, Sheila A. Murphy
Walden Dissertations and Doctoral Studies
Criminal cannibalism is a rare form of violent offending that remains understudied despite public attention. This gap limits understanding of the psychosocial characteristics and life experiences of individuals who engage in cannibalistic behavior. The purpose of this qualitative study was to explore psychosocial characteristics within the life experiences of North American males who engaged in cannibalistic behavior and identify common themes. Grounded in social control theory and self-control theory, the study examined how weakened social bonds and diminished self-regulation may relate to extreme deviance. The guiding research question focused on identifying common psychosocial characteristics within this population. A descriptive phenomenological …
The Artificial Maintenance Of Relationship Satisfaction: Romantic Ai Companion Usage Sustains Emerging Adults' Human Romantic Relationship Satisfaction While Eroding Relationship Stability, Rebekah M. Hakala
Theses and Dissertations
As artificial intelligence becomes increasingly sophisticated, romantic AI companions--AI systems designed to simulate romantic, emotional, or sexual relationships--have emerged as a novel relational phenomenon. Nearly one in four emerging adults now engage with romantic AI companions, yet little is known about how this usage affects their romantic human relationships. Drawing on Social Exchange Theory and the Investment Model of Commitment, and employing structural equation modeling, this thesis uses data from 2,431 emerging adults in romantic relationships to examine whether romantic AI companion usage influences relationship satisfaction and relationship stability among emerging adults in the United States (ages 18-30), and whether …
Journey Of Becoming: Risk And Self-Determination In The Story Of Self For Adults With Intellectual, Developmental, And Learning Disabilities A Phenomenological Case Study Employing Narrative Inquiry And Thematic Analysis, Christopher R. J. Worth
Journey Of Becoming: Risk And Self-Determination In The Story Of Self For Adults With Intellectual, Developmental, And Learning Disabilities A Phenomenological Case Study Employing Narrative Inquiry And Thematic Analysis, Christopher R. J. Worth
Dissertations
This phenomenological case study, employing narrative inquiry and thematic analysis, captured the first-person voice of emerging adults (ages 20–28) with intellectual, developmental, and learning disabilities to explore how experiences of risk and self-determination shaped their personal narratives, or story of self. Guided by Critical Disability Theory, Foucault’s concept of relational power, and Shogren’s Causal Agency Theory, the study challenged the systemic bubble-wrapping that denies this population the "dignity of risk" (Perske, 1972). Data were collected from six participants through semi-structured interviews, adapted photovoice submissions, and participant selfreflections. The findings revealed that the phenomenon of becoming, catalyzed by intellectual adaptive risk-taking, …
Out-Of-Pocket Costs And Antihypertensive Medication Use Among Veterans: A Natural Experiment, Alexander R. Zheutlin, Alexander Chaitoff, Daniel Addo, Joshua A. Jacobs, Catherine G. Derington, Eric L. Stulberg, Peter A. Glynn, Bernardo Modenesi, Jordana B. Cohen, Adam P. Bress
Out-Of-Pocket Costs And Antihypertensive Medication Use Among Veterans: A Natural Experiment, Alexander R. Zheutlin, Alexander Chaitoff, Daniel Addo, Joshua A. Jacobs, Catherine G. Derington, Eric L. Stulberg, Peter A. Glynn, Bernardo Modenesi, Jordana B. Cohen, Adam P. Bress
Department of Neurology Faculty Papers
BACKGROUND: Blood pressure (BP) control remains suboptimal in the United States despite available low-cost antihypertensive medications. Even small out-of-pocket medication costs may contribute to adherence. We determined whether $0 versus >$0 out-of-pocket costs for antihypertensive medications is associated with differences in adherence, discontinuation, BP control, and cardiovascular outcomes.
METHODS: We included veterans with newly diagnosed hypertension who initiated antihypertensive medication in the Veterans Health Administration from 2004 to 2022. A fuzzy regression discontinuity design with 2-stage residual inclusion leveraged differences in medication copay policy at a 50% service-connected disability threshold (≥50% service-connected disability: $0 out-of-pocket cost versus < 50%: $8 monthly cost). Outcomes included 1-year medication nonadherence (proportion of days covered < 80%), 1-year medication discontinuation (no medication in the final 90 days of the study year), 1-year BP control (systolic BP/diastolic BP < 140/90 mm Hg and < 130/80 mm Hg) and cardiovascular disease events (myocardial infarction, coronary revascularization, peripheral artery disease, or stroke).
RESULTS: Among 417 …