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Lanthorn, Vol. 60, No. 02, August 25, 2025, Grand Valley State University

Volume 60, August 4, 2025 – April 20, 2026

Lanthorn is Grand Valley State's student newspaper, published from 1968 to the present.

A Study Of Rural Health Care For Chronic Care Management Using Machine Learning To Determine Costs, Joanna Maria Keeling

Doctoral Dissertations

Management of diabetes or heart disease may be uniquely challenging for older individuals with multiple chronic conditions[1]. Chronic Care Management would target patients living with comorbidities in Louisiana, who are not receiving sufficient healthcare services and help them receive the care they deserve[2]. This study is aimed at comparing the results of rural Louisiana Medicaid recipients with comorbidities to the National Averages. We will also use Machine Learning to predict Churn and Medical Costs. To help us identify these patients with comorbidities, we decided to use NCQA Quality Measures. We identified several measures from NCQA that we wanted to use, …

Eating Habits, Eating Behavior Mediators, Body Composition And Physical Fitness Among Rotc Cadets, Kaitlin Renee Hanks

Master's Theses

The physical and mental demands of the military and the requirement to maintain body composition standards make healthful eating essential to military service. Reserve Officer Training Corps (ROTC) cadets are a unique subgroup of the United States military, and the combined demands of their military training and educational pursuits may increase their susceptibility to unhealthy eating patterns. The purpose of this study is to describe the relationship between eating habits, eating behavior mediators, body composition, and physical fitness among ROTC cadets. This study used a cross-sectional design that included an online survey, an inperson body composition assessment, and carotenoid measurements …

Socio-Cultural Correlates Of Breastfeeding Behavior Among Latina Mothers And Its Implications For Child Health, Liliana Davalos, Brisa Rodriguez Alcantar, Marissa Martinez, Christopher Johansen

Social and Behavioral Health Faculty Research

Background: Latina mothers in the United States report lower rates of breastfeeding initiation and exclusivity than their non-Hispanic counterparts. Lower rates of breastfeeding in infancy may lead to a higher rate of excess weight in childhood and adverse health conditions. Breastfeeding disparities in Latina women have been previously correlated with socio-cultural factors such as acculturation, education, income, nativity, and marital status. This study examines whether socio-cultural factors are associated with breastfeeding behaviors in Latina mothers in Nevada. Methods: Participants were Latina mothers [n = 214] over 18 years of age, with a child 2–5 years old. A logistic regression was …

Chronic Pain: An Exploration Of The Experience Of Chronic Pain, Andrea Alzalde

Electronic Theses and Dissertations

Chronic pain is a pervasive public health issue within Western society today and amongst humans worldwide. Although chronic pain is something that many people have or will experience sometime in their life, it is a complex experience that does not have a simple universal solution or immediate cure. The causes of pain can be a multitude of things and the treatments that work for some may not work for others. The current research seeks to explore the experience of chronic pain to help fill gaps in the wider research of pain. This study pursues answers to two research questions including; …

Food Insecurity, Diet And Health Outcomes In Pediatric Inflammatory Bowel Disease: A Pilot Study, Nicole Zeky, Alysse Baudier, Colleen Leblanc, Elizabeth Mcdonough, Sarah A. Dumas, Dedrick Moulton

School of Medicine Faculty Publications

Background/Objectives: Food insecurity (FI) is a well-defined factor in pediatric health outcomes and has been associated with lower diet quality. While poor diet quality has been linked to the rising prevalence of inflammatory bowel disease (IBD), little is known about the impact of FI on pediatric IBD. This pilot study explores the feasibility and potential impact of FI on dietary intake and clinical outcomes in children with newly diagnosed IBD. Methods: This pilot study included newly diagnosed IBD patients aged 5 to 18. FI screening was completed using the USDA 6-item and AAP 2-item screeners at diagnosis and 6 months. …

Applying Contextual Behavioral Science To Address Addictions In Monsters, Chase Hollander

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The dominant essentialist paradigm in addiction treatment often conceptualizes addiction as a curse or plague which seizes the individual afflicted by it. Such views are reinforced by neurobiological interventions like Medication-Assisted Treatment (MAT). While MAT can reduce cravings and withdrawal symptoms, its long-term efficacy is mixed, and its emphasis on abstinence as a primary outcome limits its scope. Addiction is a multifaceted phenomenon shaped by physiological, psychological, social, and systemic factors—including stigma, moral judgment, and structural oppression. Essentialist approaches frequently pathologize individuals and obscure these broader influences. In contrast, contextual behavioral sciences and therapies aligned with functional contextualism such as …

Factors Associated With Adolescents' Self-Efficacy To Meet With Their Health Care Provider Alone, Albert C Hergenroeder, Blanca Sanchez-Fournier, Cassandra Enzler, Mary Majumder, Beth H Garland, Constance M Wiemann

Center for Medical Ethics and Health Policy Staff Publications

Adolescents with special health care needs (ASHCNs) must develop self-management skills to effectively transition into adult-based care. This requires having the self-efficacy to meet with their health care provider independent of caregivers. This study aims to identify the factors associated with self-efficacy in meeting with a provider alone among ASHCN preparing for this transition.Eighty-three English-speaking 18-year olds with renal, gastrointestinal, neurologic, or rheumatologic diseases, and their English- or Spanish-speaking caregivers were recruited at a large children's hospital, and completed a one-time assessment as the historical control group for a larger intervention study. The main outcome measure was self-efficacy to meet …

Effects Of Fasd On An Individual’S Life Trajectory, Peyton M. Enders

Master of Arts in Human Services

The consumption of alcohol has been in society for thousands of years. However, the discovery of the impacts of alcohol consumption while pregnant is something that is continuously being learned about. Controversy on the effects of alcohol while pregnant and the level of consumption throughout the last century alone has caused individuals to misunderstand the level of danger that it has on a child. Fetal Alcohol Spectrum Disorder is a multi-layer disorder that causes not only physical deformities but also a change in mental health and cognitive levels of an individual. Throughout any stage of pregnancy a consumption of alcohol …

To Protect And Survive: Acknowledging Adverse Childhood Experiences In Law Enforcement, Melanie Appleman

Master of Arts in Human Services

This literature review explores the influence Adverse Childhood Experiences (ACEs) can have on choosing a helping profession as well as their effect on law enforcement personnel and their ability to cope with occupational trauma. Law enforcement officers are routinely exposed to high-stress, high-risk environments which can exacerbate underlying trauma stemming from early life experiences. Officers with a history of ACEs may be more vulnerable to emotional dysregulation, hyper-vigilance, burnout, and substance abuse which can influence their decision making, relationships, and professional conduct potentially resulting in negative outcomes. Key themes include the identification of risk factors, the development of screening tools, …

The Impacts Of Urban And Rural Education Inequality On Individual Career Development : The Case Of Guangdong Province, Shuang Chen

Lingnan Theses (Doctoral degree)

The study focused on the disparity in educational opportunities between urban and rural areas. This has been one of the most debated topics in China, especially when related to Guangdong Province. This dissertation explored how disparities in urban-rural educational outcomes influence individual career attainment and income levels and discusses the broader socio-economic implications of such disparities. This study positioned its analysis within the structural-functionalist framework and underlined how inequities in educational resources affect career outcomes. This focuses on a household registration policy called the hukou system, which has played a crucial role in determining education's access to resources and career …

Formulation And Impact Of Wellness Tourism Policy On Household Income In Rural China, Zhuoer Zhong

Lingnan Theses (Doctoral degree)

Following the policy "Health China 2030" issued by the Chinese central government in 2016, wellness tourism has become one of the key strategic industries in China. Presently, research on wellness tourism policy in China generally focuses on market development. At the same time, there is a lack of relevant research on the extent to which policies on wellness tourism pay attention to rural revitalization and its effect on rural households. This study mainly aims to explore the Chinese government's attention to wellness tourism policy and the influence of wellness tourism policies on rural residents' income.

By using quantitative research methods, …

Authenticity And Sustainability Of Malay Heritage Food In Kuala Lumpur, Nurzawani Shahrin

Student Works (2020-2029)

Studies on heritage food have gained widespread attention, driven by concerns about its sustainability within the community and its viability as a commodity for economic development. While often associated with tourism, heritage food is fundamentally rooted in local nutritional culture, reflecting the uniqueness of tradition amidst global food variations, particularly in urban settings. This study examines the development, commodification, and consumption of Malay heritage food in Kuala Lumpur using a mixed-methods approach that integrates systematic literature research, observation, interviews, and surveys with key stakeholders, including business actors, experts, practitioners, and consumers. Findings reveal that the development of Malay heritage food …

Beyond The Bottle: The Lifelong Consequences Of Fetal Alcohol Spectrum Disroder, Victoria M. Van Curen Ms.

Master of Arts in Human Services

With increasing numbers of Fetal Alcohol Spectrum Disorder, the focus is on FASD and the impact it has on mothers’, their unborn child, and the consequences that will lead to long-lasting effects. Once women find out that they are expecting, they stop drinking alcohol, but there is still statistic that shows about 8% of women reported that they continue to consume alcohol during their pregnancy. The paper will also include multiple real-life examples of studies that have been conducted on individuals with FASD. With studies focusing on individuals with FASD, it will also include different populations with FASD, and the …

Use Of A Novel Plant Essential Oil-Based Insecticide For Insect Control In Household Gardens And Lawns, Mia Michnik, Alysa Suissa, Liah Brussolo Cremona, Annalise Wellman, Nicholas Nifakos, Alexander Spanoudis, John M. Harlin

Florida Atlantic Undergraduate Research Journal

Insecticide use has increased as population and agricultural demand for crops grows. Commercial insecticides contain active ingredients that are often harmful to humans and the environment. A viable alternative to this concern is developing and using insecticides with low toxicity and minimum risk to the environment. In this study, we sought to empirically assess the effectiveness of an insecticide based entirely on plant essential oil active ingredients, which contain complex secondary metabolites. Our results show that a concoction of several plant essential oils was effective in killing a wide range of household garden insect species and bedbugs, encompassing five orders …

No. 44: Tracking Translocality: Food Remittance Narratives In The Africa-Gulf Migration Corridor, Bernard Owusu, Jonathan Crush

Migration and Food Security (MiFOOD) Network

This paper explores the overlooked practice of food-related remittances in the Ghana-Qatar migration corridor, emphasizing their social, emotional, and cultural significance within translocal households. While cash remittances are widely studied, food remitting remains under-researched despite its critical role in sustaining family ties and addressing food insecurity. Drawing on a mixed-methods study involving household surveys in Ghana and interviews with migrants in Qatar, the paper employs a tripartite conceptual framework incorporating gifting, caregiving, and moral economy to analyze migrant remittance narratives. The paper shows that remitting practices are shaped by cultural norms, kinship obligations, and emotional care, often at significant personal …

Addressing Psychosocial Barriers To Participation In People Experiencing Homelessness: An Occupational Therapy Workshop, Preston E. Bender

Student Capstone Papers

This capstone project addressed the critical gap in occupational therapy education and practice regarding the psychosocial needs of people experiencing homelessness. Despite the occupational therapy profession’s emphasis on holistic, person-centered care, many occupational therapy practitioners and occupational therapy students report feeling a lack of self-efficacy and preparedness to navigate the complex psychological, social, and systemic barriers that hinder occupational participation among this population. This capstone project aimed to address the perceived unpreparedness among clinicians through the creation of an 8-hour interactive educational workshop. The workshop is grounded in the Model of Human Occupation and informed by the Bridging the Transition …

Relationships Between Household Economic Distress And Child Mental Health: Determinants, Mechanisms, And Interventions, Yuanyuan Yang

Brown School Graduate Student Theses and Dissertations

Economic inequality has grown dramatically worldwide, creating serious problems for children and families. At the same time, child and adolescent mental health problems have reached crisis levels, yet many of them cannot access treatment. Researchers have studied how economic inequality affects mental and behavioral health, but most of this work focuses on adults rather than children. This dissertation used recent data from the Panel Study of Income Dynamics (2019 and 2021 waves) to unpack the complex relationships between household economic distress and child mental health across multiple levels, including individual, family, school, and community factors in the United States. This …

Factors Influencing The Performance Of Farmer-Producer Organizations (Fpos) And Their Societal Impact In Tamil Nadu, Arjune S

Theses and Dissertations

Farmer Producer Organizations (FPOs) are formed mainly for the farmers to have better institutional access to acquire them. They are also under the inspiration of the director's abstinence and the incentive of getting more money. These are socio-psychological individual differences and thus of importance to markets, the perception of markets, and market relevance of group interaction. Self-esteem, attitude to participation in group activities, and willingness to participate in these types of activities are of some significance for his/her performance because they have an effect on their performance afterward.

Farmer social empowerment increased but not farmer economic empowerment did so much …

A Reflection Of An Msw Student, Dylan Vogel

Graduate Student Portfolios, Professional Papers, and Capstone Projects

No abstract provided.

Stress Management Is ‘In The Cards’ For Farmers And Ranchers: The Mental Wellness Conversation Curriculum, Alison L. Brennan, Katharine Sutphen, Parker T. Webb, Michelle U. Grocke-Dewey

Journal of Extension

Farmers, ranchers, and other agricultural workers need practical, culturally appropriate stress management resources. The Mental Wellness Conversation Curriculum (MWCC) is a novel approach to health promotion that relies on community facilitators to share stress management information using a customized deck of playing cards organized around specific wellness themes. We implemented and evaluated two facilitator trainings in 2023. Training participants reported increases in relevant knowledge, as well as improved confidence about leading mental wellness events. The MWCC is currently being adapted for use with additional, diverse audiences. Future research should explore the implementation and impact of this innovative health promotion modality.

A Feasibility Study To Mitigate Arsenic Exposure In Well Water In Oregon, Christine Lucas-Woodruff, Veronic L. Irvin, Laura Nielsen, Meghan Megowan, Lilly Anderson, Julia Pavlosek, Molly Kile

Journal of Extension

Approximately 13 million households in the United States rely on private wells for their drinking water. It is the homeowner’s responsibility to manage the quality of water in their private wells. There are many toxic contaminants that can be present private wells that can negatively impact health. Extension Agents are well positioned to assist homeowners in understanding how to manage toxics in private wells. This study demonstrated the feasibility that motivational education provided by an Extension Agent’ trained in motivational interviewing techniques is able to help homeowners with private wells mitigate their exposure to arsenic by adopting appropriate water treatment.

Content Analysis Of Farm Population Mental Health Online Information Resources In The Ces Southern Region, Juliene Porciuncula, Michael Schulman, Andrew R. Smolski

Journal of Extension

Contemporary institutional emphasis on farm stress has led the Extension System to develop a variety of online information resources directed at the mental health of farm populations. We conducted a web-based search and content analysis of online materials on mental health and farm stress from Extension websites from thirteen Southern states and two territories. The content analysis showed that most online farm stress Extension resources emphasized self-help strategies and were directed at the general farming population. In conclusion, we provide recommendations for the development of online farm stress and mental health information resources.

Exploring The Relationship Of Integrated Behavioral And Primary Healthcare With Wellness Profiles: Implications For Counseling Practice, Alexander M. Fields, Dodie Limberg, Angie Starrett

The Journal of Integrated Primary Care

This study utilizes the Indivisible Self Model (IS-WEL) and latent profile analysis (LPA) to investigate the relationship between integrated behavioral and primary healthcare and wellness profiles. A national sample of 466 adults who received counseling services within the last year completed surveys assessing wellness (5F-WEL), integrated care levels, and demographic variables. LPA identified four wellness profiles: Comfortably Well, Managed Well, Approaching Well, and Disconnected Well, each associated with unique demographic, physical, and mental health characteristics. Despite theoretical links between integrated care and wellness, the relationship between reported levels of care integration and wellness profiles was not statistically significant, highlighting limitations …

Nueva Metodología De Análisis Para Determinar El Delito Ambiental De Ecocidio Por Glifosato En Cultivos Permanentes De Coca En Colombia, Rosalina González Forero, Jerry H. Kavouras, Érika González Ruiz

Biology Department Faculty Articles

El crimen organizado transnacional ha sido nefasto para el territorio colombiano, en especial el asociado a la producción de coca en la última década, lo que ha generado impactos económicos y sociales debido al aumento del conflicto e inseguridad en las zonas de influencia del cultivo. Esto se debe a que en el 2023 se tenían 230 000 hectáreas sembradas, lo que representa el 20 % de la superficie del país, con un impacto ambiental no cuantificado en términos penales. Este requiere de acciones de entidades estatales, así como de cooperación internacional, para adaptar estrategias y poder judicializar estos delitos …

Identifying Appropriate Clinical Cutoffs For Traumatic Dissociation In Maltreated Youth, Amanda L. Mraz

UNLV Theses, Dissertations, Professional Papers, and Capstones

Maltreated youth who experience traumatic dissociation are at an increased risk for various severe psychopathological outcomes. Much is still unknown about the risk factors for traumatic dissociation in maltreated youth. The present study aimed to identify dissociation (e.g., dissociative amnesia, absorption and imaginative involvement, passive influence, and depersonalization and derealization) risk factors, via parametric statistical methods, in association with the appropriate clinical cutoff for the total and subscale scores from the Adolescent Dissociative Experiences Scale (A-DES). Investigatory variables included demographic (e.g., age, race, and gender), cognitive (e.g., resiliency and posttraumatic cognitions), and psychological (e.g., posttraumatic stress disorder, anxiety, and depression …

Analyzing Food Access: An Investigation Of Food Insecurity Amongst Latinos In Rural Nebraska, Natalia Santos

Theses & Dissertations

Background: Food insecurity is a public health issue in the United States, with disproportionately higher rates among Latino/Hispanic households. Rural communities face unique geographical, socioeconomic, and systemic barriers that often exacerbate food access disparities. Despite the growing Latino population in rural areas, particularly in Midwestern states like Nebraska, there remains a critical gap in comprehensive research that integrates both objective and subjective understandings of their food environments. Understanding these multifaceted influences is crucial for developing effective, culturally sensitive interventions.

Problem Statement: This dissertation aims to answer the central question: How does food access and food insecurity manifest amongst Latinos in …

Msw Portfolio, Karri Cossabone

Graduate Student Portfolios, Professional Papers, and Capstone Projects

This portfolio provides a reflective account of the knowledge and skills I developed throughout my graduate social work education. Drawing from academic coursework, practicum placements, and professional experiences, I explore my growth in core areas such as ethical practice, cultural humility, clinical assessment and engagement, advocacy, and evidence-based interventions. I also cover my skills utilizing theory in practice, trauma-informed care, social justice frameworks, and the importance of self-awareness in effective client relationships. This paper also discusses challenges and learning opportunities and how they shaped my professional identity and prepared me to grow into a competent, compassionate, and culturally responsive practitioner.

Master Of Social Work Portfolio, Payten Thistlewaite

Graduate Student Portfolios, Professional Papers, and Capstone Projects

No abstract provided.

Msw Portfolio: Becoming Political, Stephanie Herther

Graduate Student Portfolios, Professional Papers, and Capstone Projects

This portfolio captures my transformation through the University of Montana’s Master of Social Work program, shaped by both academic study and years of living and working abroad in under-resourced communities. Over three years, I have come to see the personal as inseparable from the political, grounding my practice in trauma-informed care, culturally responsive engagement, and the power of narrative-therapy. Guided by systems theory, attachment theory, and Critical Race Theory, I have woven together direct practice, community work, and policy advocacy to challenge inequities and honor the dignity of those most impacted by them. Each competency reflects not only skill development …