Digital Commons Network^™

From Incomplete To Impactful—Finalizing Unfinished Nursing Projects In Nart And Polypharmacy For Lasting Improvement, Paula Thanh Nhat Pham, Armine Lianna Chamichyan, Anastasia Yerofeyeva, Stelene Alexis Tragus

Master's Projects and Capstones

This quality improvement project addressed the problem of incomplete or unsustained clinical initiatives at a long-term care facility by introducing Kotter’s Change Model, an evidence-based framework designed to support and sustain lasting improvements in clinical practice. Within the context of a religious-based residential community for older adults with complex chronic needs, the objective was to strengthen the facility’s capacity to implement and sustain change more effectively. By using two previously unfinished initiatives, the NaRT triage tool and Polypharmacy management process, the project applied Kotter’s model to evaluate how structured change strategies can improve staff engagement, leadership alignment, and long-term project …

Is Public Website Design An Administrative Burden? The Case Of Snap, Guangli Zhang, Stephen Roll, Mathieu Despard

Center for Social Development Research

How do websites for public-benefit programs affect access to benefits?

This brief examines the state websites for the Supplemental Nutrition Assistance Program (SNAP), investigating whether there is a relationship between site design and experience of administrative burdens in SNAP. The authors examine page design using Google’s Lighthouse service and draw upon data from the Workforce Economic Inclusion and Mobility Survey of a nationally representative sample of 2,511 low-wage U.S. workers to examine administrative burdens in SNAP. Data from the U.S. Department of Agriculture are used to investigate the relationship between SNAP page design and SNAP quality-control measures. The finding suggest …

Guest Editors’ Introduction, Maurits Bastiaan Meerwijk, Nicolo Paolo P. Ludovice

Philippine Studies: Historical and Ethnographic Viewpoints

This introduction examines the historical evolution of health messaging in the Philippines, tracing its roots from early twentieth-century colonial public health campaigns to contemporary pandemic responses. It argues that health messaging, initially termed “medical propaganda,” has consistently served as a tool for persuasion and governance, intertwining communication, politics, and medicine. The introduction highlights how visual technologies and simplified narratives have been used to normalize biomedical authority, often obscuring complex realities. It concludes by emphasizing the need for a broader epistemic repertoire to navigate health knowledge in an era of misinformation.

Self-Connection As A Mediator Between Exercise And Well-Being, Lauren Esmay

Walden Dissertations and Doctoral Studies

Scientists and health professionals have established the connection among physical activity and overall wellbeing. In more recent years, scholars have also researched the correlation among increased self-connection with increased overall well-being. Nevertheless, insignificant data has been gathered to investigate the impact of predictor variables upon the connection between exercise and wellbeing. This research study examined the mediating effect of self-connection among the relationship between exercise and wellbeing. The current study’s purpose was to gain better insights on how self-connection predicts a person’s physical activity, contributing to comprehensive insights how exercise habits may predict a person’s wellbeing by using a cross-sectional …

Genetically Modified Crops In Africa: Evidence On Adoption, Economic Benefits, Environmental Effects, And Constraints, Aloyce Hepelwa, Innocensia John

Tanzanian Economic Review

Africa faces deep food insecurity with over 300 million undernourished people driven by, low agricultural productivity, and climate shocks. To enhance food production and sustainable development, there is potential seen in genetically modified (GM) crops. To explore the potential of GM crops, this paper examines their production, adoption, economic and environmental impacts, adoption barriers, and policy implications in Africa and globally. This is done using a structured narrative review of peer-reviewed literature, reports, and policy documents (2014–2024) sourced from different databases complemented by stakeholder consultations. The findings show that GM has expanded considerably worldwide driven by high productivity, reduced pesticide …

The Relationship Between Agency Understaffing And Administrative Burdens In Snap And Medicaid, Guangli Zhang, Stephen Roll, Mathieu Despard

Center for Social Development Research

For families trying to enroll in public programs to meet essential needs like food and health care, speed and timeliness can be critical. But people face numerous barriers in enrolling in these programs and in maintaining eligibility once enrolled. This research brief uses a new measure of staff workloads in public benefit agencies for every U.S. state and examines the link between these workloads and the experience of administrative burdens among low-wage workers. The analyses draw upon data from the Workforce Economic Inclusion and Mobility Survey.

Sustaining People And Planet: A Triple Bottom Line Analysis Of The University Of San Diego’S Initiative To Empower The Community And Climate Through Food Waste Reduction, Iris L. Dao

Sustainable Supply Chain Management

Every year, 17% of the world’s food supply is wasted by consumers, contributing to 8-10% of global greenhouse gas emissions. When food is unconsumed and disposed of, food waste rots in landfills and open dumps, which is one of the largest contributing factors to the planet’s drastic climate change. As a result, crop yield, growth, and nutrition are negatively impacted, disrupting the food supply chain and food security, while 3.1 billion people cannot afford a healthy diet. College and university campuses are one of the most concentrated generators of food waste due to large-scale food preparation and buffet-style services. As …

Using Food As A Fun And Effective Teaching Tool In Preschool, Kelly Furr, Melani Duffrin, Eugene A. Geist

Spark! Innovations in Early Childhood Education: A Research-to-Practice Journal for Educators

Food is one of the most engaging, hands-on materials for preschool classrooms. This article highlights research from the Food FAN Academy (Furr, 2023), which demonstrates how food can be used as a teaching tool across early childhood learning environments. Practical strategies are provided for preschool teachers, including detailed lesson plans that connect to early math, science, literacy, and social development. The article emphasizes the importance of using everyday materials, cultural inclusivity, and active learning methods to promote curiosity, health awareness, and foundational skills in young learners.

Communities With Diverse Subsistence Needs Require A Variety Of Functional Tree Traits, Minoseheno Rakotovao, Cortni Borgerson, Kerry A. Brown, Joris P. G. M. Cromsigt, Steig E. Johnson, Onja H. Razafindratsima, Ruth Mendum, Onjaniaina O. Andrianjatovo, Harisoa B. Ravaomanalina, Seheno Andriantsaralaza, Sheila M. Holmes

Department of Anthropology Faculty Scholarship and Creative Works

Tree species preference is an understudied yet crucial component of sustainable forest management, as unsustainable harvesting can lead to non-random loss of functional traits. We examine wood resource preference across five regions of Madagascar's biodiverse eastern humid forests. We asked forest users in 19 men's and 19 women's focus groups to list their preferred tree species for common short- (charcoal, firewood) and long-term (house construction, furniture, tools) uses. We then measured functional traits of 260 preferred and common tree species: height, DBH, bark thickness, specific leaf area, wood specific gravity, and seed dispersal syndrome in the surrounding landscape. Using household …

Adolescent Children’S Risk Of Long Covid-19 Syndrome Based On Diet And Demographic Factors From An Online Survey, Christopher Waskewich

Journal of Social, Behavioral, and Health Sciences

Limited information is available on how coronavirus disease 2019 (COVID-19) has [JG1] affected adolescents regarding long-term health risks. This quantitative study focused on the effect of U.S. adolescents’ daily diet, race/ethnicity, levels of income, family level of education, access to health care, age, and comorbidities on the risks of long COVID-19 syndrome. I used the constructs of the health belief model to understand the impact of those variables. The online survey results (N = 298) found that adolescents whose daily vegetable consumption was more than daily recommendations (2–3 cups) had a lower odds ratio of having long COVID-19 syndrome …

Trauma-Informed Leaders: Shifting The Paradigm Of Professional Suicide Prevention, Janina Cich

Forensic Scholars Today

Trauma-informed Leaders: Shifting the Paradigm of Professional Suicide Prevention highlights how trauma-informed leadership can transform suicide prevention in law enforcement and other high-stress helping professions. Reflecting on current suicide data and first-responder research, the article outlines early warning signs, intervention strategies, and organizational wellness practices that drive agencies from reactive crisis response to proactive, culturally responsive care. Practical recommendations include leader-supported peer teams, sleep and micro-break interventions, and resilience-focused supports that foster psychological safety, reduce stigma, and normalize help‑seeking across the organization.

Forensic Neuroscience: A Brief Introduction, Jerrod Brown

Forensic Scholars Today

Forensic neuroscience is an emerging, multidisciplinary field that applies brain science to forensic mental health, criminal justice, and legal decision-making. This article summarizes how neuroscience can inform assessments, evaluations of criminal responsibility, case planning, treatment, and prevention for justice-involved populations, highlighting complementary disciplines and the need for ethical guidance, replication of findings, and specialized education before broad adoption in legal settings.

The Social Side Of Aging In Place: Community, Belonging, And Cultural Fit, Michael Crespo

University Honors Theses

Aging in place, or the capacity of older adults to remain in their homes and communities as they age has been a central tenet of the field of gerontology and the gerontological social policy area. Although access to physical facilities and service provision has been the main focus of traditional studies, contemporary experience demonstrates that social and cultural issues are equally important as determinants of the quality of life. This thesis discusses the influence of social networks, cultural congruence, and community belonging on the aging in place experience. The content of the study is based on the Ecological Model of …

Psychological Variables That Best Predict Health Related Behaviors In College Students, Arianna Gamaggio

Honors Theses

The present study examined which psychological factors best predicted health behaviors in college students. The psychological factors that were addressed included anxiety, depression, grit, and psychological flexibility. The health behaviors were examined by using a composite variable that included sleep, diet, and exercise. A total of 265 students participated in the study, but only 174 (μ age = 21) met the criteria for inclusion. Participants completed validated self-report measures such as the GAD- 7 (anxiety), PHQ-9 (depression), Short Grit Scale, Psy-Flex-6 (psychological flexibility), as well as health behavior assessments that measured eating behaviors, sleeping, and exercise habits. Correlational analyses indicated …

Criminalizing Difference: An Intersectional Analysis Of Disability In The Criminal Justice System, Rowan Eisleman

Student Scholar Symposium Abstracts and Posters

This research addresses the central question: How do individuals with disabilities intersect with the criminal justice system, and what systemic factors contribute to their overrepresentation and victimization? Despite over 61 million Americans having disabilities, there exists a significant gap in comprehensive scholarship examining disability-criminal justice intersections, particularly regarding how people with intellectual and developmental disabilities experience unique vulnerabilities as both offenders and victims. This study contributes to disability studies and criminology by providing a comprehensive intersectional analysis examining how disability compounds with race and gender to create compounded marginalization. This study conducted a comprehensive literature review, analyzing government statistics from …

Cognitive Behavioral Therapy: The Relationship Between Diet, Anxiety, And Depression And The Moderating Effect Of Cbt, Deborah J. Wright

Doctoral Dissertations and Projects

This study examined how cognitive behavioral therapy (CBT) techniques including cognitive restructuring and positive affirmations affect the relationship between dietary patterns and depression and anxiety symptoms. Research has established that CBT and diet affect depression and anxiety independently, but less research examines their collective impact. The study included 154 adult participants who filled out the Patient Health Questionnaire-9 and the Generalized Anxiety Disorder-7 alongside a Dietary Habits Checklist and a CBT Engagement Checklist during the previous two weeks. The results from multiple linear regressions showed no statistically significant moderation effects of CBT engagement on the relationship between diet and depression …

Educating The Whole Child: The Essential Role Of School-Based Mental Health Partnerships In Student Success, Kellye Palmer

The Journal of Advancing Education Practice

Schools are uniquely positioned to serve as gateways for mental health access, yet many educational systems continue to treat mental wellness as secondary to academic instruction. This paper argues that school-based mental health partnerships are as essential to student success as physical education or standardized assessment. Drawing from the author’s experience coordinating behavioral health services within Baltimore County Public Schools, the discussion highlights how integrated partnerships between schools and clinicians reduce barriers to care, improve collaboration among educators and families, and foster early intervention. The paper also addresses the risks of unrecognized mental health needs being misidentified as behavioral or …

The History Of Celiac Disease Legislation, And How Public Perception Can Impact Its Future, Cassandra Smith

Student Scholarship

No abstract provided.

Food Access And Food Insecurity Among Early Childhood Educators And Staff Prior To And During The Covid-19 Pandemic: A Mixed Methods Pilot Study, Rahel Mathews, Leah Pylate, Will Davis, Elizabeth Thorne, Jamila Taylor, Shecoya White, Bennett Pope, Emma Bryant

Journal of Human Sciences and Extension

Emerging research indicates that 40% of early childhood education (ECE) workers experience food insecurity. The purpose of this study was to describe the food insecurity and food access of Head Start teachers and staff in Mississippi before the COVID-19 pandemic and to understand how COVID-19 affected food access. A mixed-methods design was employed using cross-sectional surveys, at two different time points, and three focus groups. Three Head Start centers from the Mississippi Coast participated. Approximately 52% of teacher and staff respondents experienced food insecurity before COVID-19; during the pandemic, their level of food insecurity worsened from low to very low …

Referral Strategies For Recruitment And Engagement Of Community Adults Into Online Extension Health Programs, Cheryl L. Eschbach, Dawn A. Contreras, Holly B. Tiret

Journal of Human Sciences and Extension

This article shares details behind building organizational capacity to establish program referrals for statewide recruitment of community adults into Cooperative Extension’s online health programs. This study explores the role of intentional recruitment strategies (active and passive) to increase participant program enrollment into health education and shares examples from one state that has created a trained workforce that offers ongoing research- and evidence-based programs. After many years of trying paper, phone, and electronic medical record methods to increase program reach, Michigan State University Extension tried an electronic referral process via a QR code and web link, accompanied by program marketing, to …

Exploring The Educational Needs Of Family Caregivers For Patients With Dementia, Karen L. Franck, Janet Fox, Ann A. Berry, Kristen Johnson, Jessica Taylor, Matt Devereaux

Journal of Human Sciences and Extension

Family members who care for patients diagnosed with Alzheimer’s and dementia often face significant stressors and challenges that impact their quality of life. As part of a project to develop Extension educational materials and resources specifically for family caregivers, we conducted an online needs assessment survey with 196 adults in the U.S. Participants identified doctors, the internet, and caregiver support groups as top sources of information about dementia. They were interested in strategies to help them manage stress, address patient behavioral issues, and access locally available resources. Furthermore, they were interested in attending educational programs with other caregivers. These findings …

Reviving Civil Discourse: A Leadership Imperative In The Age Of Polarization, Katie Herritage

International Journal of Servant-Leadership

This paper examines the current erosion of civil discourse as a pressing leadership challenge in an era defined by polarization and distrust. Civil discourse, the respectful and constructive exchange of ideas, underpins democratic societies yet is increasingly undermined by hostile rhetoric and deepening societal divides. Drawing on servant-leadership and relational leadership theory, this study explores how leaders can counteract this decline by fostering trust, empathy, and open dialogue. The discussion is grounded in the philosophical contributions of bell hooks, Friedrich Nietzsche, Viktor Frankl, Mahatma Gandhi, and Martin Luther King, Jr., whose ideas illuminate pathways for revitalizing civil discourse through compassion, …

Full Issue, The Mcnair Team

McNair Scholars Research Journal

No abstract provided.

Risk And Protective Factors For Suicidal Thoughts And Behaviors For Black Adolescent Males With Exposure To Adverse Experiences Post-Covid 19 Pandemic: Findings From The 2023 National Youth Risk Behavior Survey., Amanda Minogue

Electronic Theses and Dissertations

Suicide is the second leading cause of death among adolescents aged 10-24 in the United States. In 2022, 784 Black adolescent males died by suicide. Recent studies have found that traditionally common associations of risk factors of suicidal thoughts and behaviors are not experienced by Black adolescents, challenging how to determine and detect risk. This dissertation reviewed the variables in the national Youth Risk Behavior Survey that closely align with risk and protective factors of suicidal thoughts and behaviors, and the interaction between these and adverse experiences in Black adolescent males. Results of this study found that among the 9 …

Exploring Speech-Language Pathology In The Age Of Ai, Charis Gray

Communication Studies

Speech-language pathologists (SLPs) constantly strive to find the balance between maintaining efficiency and high-quality therapeutic treatment. Now, with the rapid growth of artificial intelligence (AI), another layer is added into the mix. Many questions and concerns are being voiced about how these technologies will reshape the professional practice. Guided by two research questions, this project interviewed ten practicing SLPs regarding efficiency and the future of AI. Through thematic analysis, five central themes emerged: flexibility with unpredictability, AI’s usefulness for documentation and materials, ethical and professional concerns, commitment to lifelong learning, and the human element. Diffusion of Innovation Theory (DOI) can …

Diabetes And Hypertension Frequencies And Trends In The Health Districts Of Sololá, Alejandro Cerón, Sophie Perfetto, Ana Textor, Sidona Alemayehu, Emilia Alvear Escobar, Adele Beard, Sarah Berson, Rachel Bryant, Jennifer Calzontzi, Rylee Castro, Eva Cress Palencia, Jake Czarnecki, Jordyn Epstein, Nikki Harris, Patience Hinojos, Max Hippisley, Erin House, Jackson Hullett, Nathan Johnson, Amelie King, Saule Lankelyte, Juan Loya, Ashley Mackenzie, Ilana Mighdoll, Molly Morrill, Maria De Jesus Ramos Jimenez, Lilly Teklemedhin, Joseph Trujillo, Lauren Verachtert, Nathan Verachtert, Violet Vreeland, Alex Welch, Jada Wright

Anthropology: Undergraduate Student Scholarship

This report was prepared by the students, Graduate Teaching Assistants, and instructor of “The Social Determination of Health” class taught in the fall of 2025 at the University of Denver. The report was prepared for Dr. Luis Pablo Méndez, of the Vice Ministry of Health Regulation, Surveillance and Control, of the Ministry of Public Health and Social Assistance of Guatemala. The work used the following guiding question: How can available data about service production can be used to inform the planning process for the implementation of the Global Hearts Initiative’s HEARTS technical package in the Distrito de Redes Integradas de …

Impact Of Community College Size And Meeting Types On Leader-Member Conversation Quality In Career And Technical Education (Cte) Leaders: A Mixed Methods Study, Kenneth Wayne Kirkland Jr.

Dissertations

Community colleges are complex institutions with the primary mission of workforce preparation and academic transfer. In many cases, community colleges produce the majority of their local workforces. Political influences upon workforce priorities, increased national calls for transparency in higher education training, complicated infrastructure, and technical expertise requirements for faculty have created substantial challenges for career and technical education (CTE) leaders. These complexities require the 21st-century CTE leader to be as externally focused as their presidents, highlighting the importance of communication effectiveness in both leaders.

The purpose of this mixed-methods study was to investigate the influence of community college enrollment levels …

Rural Mental Health Challenges: Addressing Community-Specific Needs Of Rural Mississippians, Mary Marshall Waller, Mary Nelson Robertson, Holli H. Seitz, Michael R. Nadorff, David R. Buys

Journal of Human Sciences and Extension

America’s mental health crisis uniquely impacts rural areas. Challenges surrounding intention and accessibility to engage in mental health-fostering behaviors exacerbate disparities in rural mental healthcare. In this study, Cooperative Extension personnel assess rural Mississippians’ intention to engage in mental health-fostering behaviors, accessibility to mental health-fostering behaviors, and helpfulness of increased access to resources for mental health challenges to determine if relationships exist between these variables. Rural Mississippi adults were recruited via an online survey panel to complete a 147-item web-based questionnaire (n = 274). Findings suggest rural adults’ intention to engage in mental health-fostering behaviors favored connecting with family and …

The Effects Of The Cooking For One Curriculum On Nutrition, Food Safety, Food Resource Management, And Physical Activity Behaviors: A Pilot Study, Tyler B. Becker Dr., Ronald L. Gibbs Jr, Becky Henne, Erika Garner

Journal of Human Sciences and Extension

The number of single adult households has increased over the previous decades, and few health education interventions address these unique living situations, which come with various economic challenges. The Cooking for One curriculum is a cooking-based intervention designed to improve nutrition, food safety, food resource management, and physical activity (PA) behaviors among single adults. This curriculum includes six lessons, each with an educational and hands-on cooking component. Participants included 1,546 adults recruited through Supplemental Nutrition Assistance Education programs in the state of Michigan. Each of the participants underwent the six-lesson Cooking for One curriculum. Prior to and following the intervention, …

Foundational Phases For Community Development: A Model For Enhancing Cooperative Extension’S Role Within The Community, George Grant, Kristina Hains

Journal of Human Sciences and Extension

The Cooperative Extension System (CES) plays a vital role in community education and development across the United States. The objective of this article is to demonstrate the historical and present-day significance of the CES as a catalyst for community development practice, while overlaying a community development model applicable to CES. A literature review is provided on the historical origins, organizational structure, and leadership responsibilities of agents and specialists relevant to community development research and practice. The researchers suggest a novel conceptual model, the Foundational Phases for Community Development, to assist agents and specialists across all areas of programming for engaging …