Digital Commons Network^™

Ten Questions Concerning Smart And Healthy Built Environments For Older Adults, Sanjay Kumar, Samuel H. Underwood, Julie L. Masters, Natalie A. Manley, Iason Konstantzos, Josephine Lau, Ryan Haller, Lily M. Wang

Durham School of Architectural Engineering and Construction: Faculty Publications

In the past decade, the term ‘global aging’ has gained much attention among researchers, policymakers, civil societies, and governments worldwide. The continuous decline in fertility rates and increased life expectancy have resulted in an ongoing demographic transition where the share of adults aged 65 or older is increasing and outnumbering children younger than five years. In the United States and other developed countries, this rapid demographic transition is expected to continue to strain the existing health infrastructure as it becomes increasingly challenging to ensure healthy living environments for older adults. The ten questions and answers in this paper have been …

“How Scared Are You?” Mapping The Threat Environment Of San Diego’S Elected Officials, Rachel Locke, Carl Luna

Kroc IPJ Research and Resources

Democracy cannot function without individuals stepping up to serve as representatives of their community. The presence and growth of threats and harassment directed towards elected representatives poses a direct risk to our democracy, weakening community cohesion and our ability to address collective challenges. While our research found threats and harassment to be present across political parties, it identified women as far more likely to be on the receiving end both in terms of quantity and severity. If under-represented groups are pushed out of the processes of debate and decision-making, solutions will not be oriented around the diversity of our society. …

Entering Terra Incognita: Adapting Psychotherapists To Work During The Covid-19 Pandemic, Monika Zielona-Jenek, Agnieszka Izdebska, Emilia Soroko

The Qualitative Report

Sudden historical events, such as the COVID-19 pandemic, may critically change the circumstances in which psychotherapy is conducted. The objective of this study was to analyze Polish psychodynamic psychotherapists’ experiences of working with patients at the onset of the pandemic and hence to understand the process of their coping with the external reality challenges. 183 Polish psychotherapists (160 women and 23 men) aged 26-66 years (average 38) completed a survey about their therapeutic work during the COVID-19 pandemic. Data were analyzed in accordance with Braun and Clarke’s thematic analysis framework. Five general themes were identified: (1) Facing a taboo; (2) …

Hoping As A Transformational Imperative In Puerto Rico: A Phenomenological And Grounded Theory Study Within Colonized Space, José Luiggi-Hernández

Electronic Theses and Dissertations

As the United States continues to restrict Puerto Rico’s self-determination and imposes oppressive institutions such as the Oversight Board, the people of the archipelago live in precarity and hopelessness. Limited psychological research on colonialism has focused on the detrimental impact of oppression and its influence on the development of fatalism and the inferiority complex. On the other hand, existing psychological theories of hope fail to describe how it is lived within the post-colonial context and to explain the ways in which this psychological phenomenon arises even in the face of systematic dehumanization. As Puerto Ricans show evident signs of hope …

The African American Dream Deferred: Exploring The Relationship Between The “American Dream” And The Black American Millennial Reality, Simonleigh P. Miller

Seton Hall University Dissertations and Theses (ETDs)

The purpose of this qualitative study is to highlight and bring understanding to the lived experiences of Black American millennials. This study was conducted from the constructivist and critical research paradigms and utilized Reflexive Thematic Analysis methods to analyze qualitative data. The study places specific focus on Black or African American millennials’ associated thoughts and feelings regarding their current reality and positionality within the American context, and its relation to the idealized reality of the American Dream. The influence of the American Dream on the African American millennial reality was explored to gain a better understanding of how, or if …

Racial And Ethnic Disparities In Antifibrotic Therapy In Idiopathic Pulmonary Fibrosis, Joy Zhao, Joseph Fares, Gautam George, Arlene Maheu, Giorgos Loizidis, Jesse Roman, Daniel Kramer, Michael Li, Ross Summer

Division of Pulmonary, Allergy, and Critical Care Medicine Faculty Papers

BACKGROUND AND OBJECTIVE: Racial disparities have been documented in care of many respiratory diseases but little is known about the impact of race on the treatment of interstitial lung diseases. The purpose of this study was to determine how race and ethnicity influence treatment of idiopathic pulmonary fibrosis.

METHODS: Adults with idiopathic pulmonary fibrosis (>18 years) were identified using TriNetX database and paired-wised comparisons were performed for antifibrotic treatment among White, Black, Hispanic and Asian patients. Mortality of treated and untreated IPF patients was compared after propensity score matching for age, sex, nicotine dependence, oxygen dependence and predicted FVC. …

The Role Of Occupational Therapy Practitioners In The Care Of Pets And Animals: A Guide To Aging In Place With Pets And Animals, Blake Randell, Mary Jan Greer, Sherry Pidgeon

Summer 2023 Virtual OTD Capstone Symposium

This capstone project explored the role of occupational therapy practitioners in the care of pets and animals among older adults which has been referred to as the forgotten instrumental activity of daily living (or IADL) for this population. A needs assessment was conducted to determine how to provide facilitators and remove barriers or hindrances to occupational performance in the care of pets and animals among a group of older adults (with a variety of disability- and non-disability-related needs) in independent living communities. This needs assessment identified compounding health disparities of physical and/or cognitive impairments and lack of financial and necessary …

Health Literacy Barriers And Occupation Based Education For Healthcare Providers Serving Hispanic Americans, Serina Subedi, Rocio Alvarenga, Lisa Griggs-Stapleton

Summer 2023 Virtual OTD Capstone Symposium

The purpose of the program was to shed light on addressing health literacy barriers and provide occupation-based education for healthcare providers serving Hispanic Americans, specifically in rural areas. Additionally, the purpose of the program was to close the gap by providing healthcare practitioners with tools and resources to assist in combating the barriers faced to include the lack of occupational therapy services. The pre-and post-survey during the needs assessment helped determine the participant's baseline understanding of various aspects related to health literacy and guided the development of the educational modules and informative resources. Based on the outcomes of the survey, …

Migrant And Refugee Women: A Case For Community Leadership, Whitney Mcintyre Miller, Rabab Atwi

Education Faculty Articles and Research

"The current paper posits that forced migration, as seen as a movement through a liminal space, provides the opportunity for refugee women to build upon their resilience and create social capital to find new ways and spaces to engage in community leadership. Escalating conflict in different parts of the world has led millions of people to flee their homelands in search of safety and protection. Based on recent statistics shared by the World Bank, more than 100 million people were forcibly displaced by May 2022, and two-thirds of the world's poor population is expected to live in settings dominated by …

The Impact Of Social Determinants Of Health And Acculturation On Quality Of Life In Older Chinese American Adults With Chronic Pain: A Quantitative Study, Chi Lam

Dissertations

Despite a rapid increase in the older Chinese American adult population, there are very few research studies examining the impact of social determinants of health and acculturation on the quality of life in older Chinese American adults. The purpose of the study was to determine the impact of social determinants of health and acculturation on quality of life in older Chinese American adults with chronic pain. This quantitative, descriptive correlational study utilized Madeleine Leininger’s Transcultural Theory as its theoretical framework. Two research questions guided this study: (1) Was there a difference in the quality of life in older Chinese American …

Women's Experience Of Work-Life Integration And Infertility, Angela Fant

ETD Archive

The challenges and rewards experienced by participating in both work and life roles for women with children is well documented in the work-life literature. The negative effect of infertility on women is also well documented in the literature. However, there is insufficient research on the work-family interface for women employed in full-time paid positions who experience primary infertility. Given this deficiency, this study investigated how the experience of infertility influences work-life integration for full-time employed women. This research explored the ways work-life integration is distinct and unique for this population, knowing that infertility is a distressing and stigmatized experience. A …

A Call To Action: Person-Centered Care Aligned With Reproductive Justice For Incarcerated Pregnant People With Substance Use Disorder, Essence Hairston, Aunchalee El Palmquist, Andrea K. Knittel, Kevin Mensah-Biney, Crystal M. Hayes, Amelia Mack, Hendrée E. Jones

School of Social Work Faculty Publications

Although research has proven that jails and prisons are ineffective in preventing or reducing substance use among pregnant people, the USA continues to rely heavily on the criminal legal system as its intervention. Pregnant people with an opioid use disorder are more likely to experience incarceration than pregnant people without an opioid use disorder. In some states, pregnant people are transported from jail to prison through the process of safekeeping in order to receive physical or mental health care that the jail does not provide, despite conviction status. When pregnant and postpartum safekeepers with an opioid use disorder experience incarceration, …

"There's No Good, It's Just Satisfactory": Perfectionistic Reactivity In Ncaa Student-Athletes, Daniel J. M. Fleming

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Perfectionistic reactivity is a style of responding to adversity that results in physical, psychological, and social components. Individuals who are high in perfectionistic tendencies are likely to experience anxiety, depression, frustration, and anger when perfection is not attained. The present dissertation utilized two complementary studies to examine perfectionistic reactivity in NCAA golf student-athletes. Results suggested that there is no relationship between perfectionism and performance at a hole-to-hole level. However, athletes highlighted that they experienced reactivity in their thoughts, feelings, and behaviors after both positive and negative performances. Student-athletes frequently cited self-compassion in their interviews, suggesting that the promotion of self-compassion …

Stalking Victimization: Examining The Influence Of Victim-Offender Relationship On Victim Emotional Distress, Abigail M. Neef

Boise State University Theses and Dissertations

Stalking victimization is receiving increasing attention in the media and research. Though research knowledge is growing there are still many aspects of stalking victimization that are not fully understood. This study aims to bring together two literatures relating to stalking: research on the role of victim-offender relationship and research on the emotional effects of stalking on victims. Using 2019 Supplemental Victimization Survey data, this study examines the direct relationship between victim-offender relationship and emotional distress. Findings indicate that victims who were stalked by a current intimate partner express more indicators of emotional distress than victims stalked by a personal acquaintance, …

“My Mother Hates Her Body, She Swears She Loves Mine”: The Effects Of Socialization Through Mothering On Daughters’ Body Talk And Intuitive Eating., Andrea N. Jenkins

Sociology & Anthropology Theses - Archive

This study examines the effects of early socialization about the body within mother/daughter relationships and its impact on the practice of Intuitive Eating (a practice of listening to one’s own body regarding food, rather than following dieting rules). Though researchers have widely explored mother/daughter relationships and dieting, this study seeks to build on this previous research, while also examining it through a new lens of adult women’s experiences with Intuitive Eating. In-depth interviews were conducted with 15 adult women who identify as Intuitive Eaters. Interviews focused on answering three research questions; (1) how does early socialization about food and the …

Racial Disparities In Access To Dbs: Results Of A Real-World U.S. Claims Data Analysis, Michael Frassica, Drew S Kern, Mitra Afshari, Allison T Connolly, Chengyuan Wu, Nathan Rowland, Juan Ramirez-Castaneda, Mwiza Ushe, Claudia Salazar, Xenos Mason

Farber Institute for Neuroscience Faculty Papers

INTRODUCTION: Deep brain stimulation (DBS) is an effective and standard-of-care therapy for Parkinson's Disease and other movement disorders when symptoms are inadequately controlled with conventional medications. It requires expert care for patient selection, surgical targeting, and therapy titration. Despite the known benefits, racial/ethnic disparities in access have been reported. Technological advancements with smartphone-enabled devices may influence racial disparities. Real-world evidence investigations can shed further light on barriers to access and demographic disparities for DBS patients.

METHODS: A retrospective cross-sectional study was performed using Medicare claims linked with manufacturer patient data tracking to analyze 3,869 patients who received DBS. Patients were …

Does Gender And Cultural Diversity Matter For Sustainability In Healthcare? Evidence From Global Organizations, Kylie De Klerk, Favil Singh

Research outputs 2022 to 2026

Global healthcare organizations are fundamental in addressing the healthcare needs of local and global communities. This highly regulated sector means it is under constant scrutiny for health, safety, and ethical compliance risks by federal regulatory bodies. Despite higher monitoring, an increasing number of healthcare companies receive fines for their irresponsible practices, manifesting significant questions about their corporate governance and sustainability practices. Against this backdrop, this study examines the relationship between boardroom diversity on the sustainability performance of companies operating in healthcare. Utilizing a global sample of publicly listed healthcare companies, using panel regression data and the system-GMM estimator accounting for …

Committee Prosecution: Using Expert Opinion To Make Criminal Justice Descisions More Impactful, Ellison Berryhill

University of Michigan Journal of Law Reform Caveat

Those uninitiated to the reality of the United States’ criminal justice framework may believe that judges are the most powerful actors in the system. These casual observers watch crime shows filled with trials where judges make rulings and yell at people who are out of line. Viewers may believe in the adversarial system as a war between zealous prosecutors seeking justice and defense attorneys fighting for their client’s innocence. They may think of judges as neutral arbiter who makes the ultimate decisions. Unfortunately, that is not the case.

Alternatively, casual observers may think that the jury is the most powerful …

End Matter

Comparative Civilizations Review

No abstract provided.

Constructing, Integrating, And Testing The Choice Set For Models Of Offender Decision-Making, Matthew Kijowski

Legacy Theses & Dissertations (2009 - 2024)

Models of offender decision-making are premised on a rational actor weighing the perceived options within their choice set. One will choose to engage in a behavioral option that provides them with the greatest benefits and fewest costs as compared to the other perceived options. Even though the choice set is the foundation from which offender decision-making is built, criminologists, and offender decision-making scholars specifically, have assumed the choice set without directly measuring it. Without appraising the choice set, a multi-step process of decision-making is collapsed into a single step. This precludes an understanding of the composition of the choice set, …

Gender Bias In Cultural Tightness Across The 50 U.S. States And Its Links To Gender Inequality In Leadership And Innovation, Xin Qin, Roy Y. J. Chua, Ling Tan, Wanlu Li, Chen Chen

Research Collection Lee Kong Chian School Of Business

Cultural tightness theory, which holds that “tight” cultures have rigid norms and sanctions, provides unique insights into cultural variations. However, current theorizing has not analyzed gender differences in cultural tightness. Addressing this gap, this research shows that women are more constrained than men by norms within the same society. By recruiting 15,425 respondents, we mapped state-level gender bias in cultural tightness across the United States. Variability in gender bias in cultural tightness was associated with state-level socio-political factors (religion and political ideology) and gender-related threats. Gender bias in cultural tightness was positively associated with state-level gender inequality in (business and …

Tennessee Promise And Two-Year Community College Retention And Graduation In Rural Appalachia, Tammy Dycus

Electronic Theses and Dissertations

The purpose of this quantitative, non-experimental study was to explore the relationship between the implementation of the Tennessee Promise scholarship program and the two-year Tennessee community college retention rates and graduation rates of first-time, full-time Tennessee students from rural Appalachian counties. Results from this study may help higher education stake-holders better understand the features of Tennessee Promise that are influencing an increase in community college retention and graduation rates for Tennessee students from rural Appalachian counties. The theoretical framework that guided this research was the social capital framework. Data including use of Tennessee Promise, county of origin, retention, and graduation …

Household Environments And Functional Decline Among Middle-Aged And Older Adults In China, Dandan Zhao

All Theses

This thesis investigates the associations between household social, economic, and physical environment conditions and the trajectory of self-reported functional limitations over time among middle-aged and older adults in China. Despite the increasing interest in the impact of household environments on functional decline, most existing studies are cross-sectional or concern changes in functioning observed in two waves of surveys, and they primarily focus on the influence of one condition. This thesis explores how the trajectory of functional decline is influenced jointly by multiple household factors, including living arrangement, annual living expenditure per capita, indoor air pollution resulting from solid fuels, and …

Services Provided To Aging Individuals With Intellectual Disabilities: Survey Of Speech Language Pathologists, Claire H. Gatewood

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Purpose: The present study explored current speech-language pathology service provision for aging individuals with intellectual disabilities in the United States, including areas and domains of services, factors restricting service provision, and reported knowledge and confidence of individuals within the field of speech-language pathology in providing services, to identify possible gaps of service and needed improvement.

Methods: Participants (n = 272) from across the United States completed an online survey to gather descriptive information about current speech-language pathology service provision for aging individuals with intellectual disabilities. Participants were recruited through state speech-language hearing associations and universities with speech-language pathology clinics …

Adverse Childhood Experiences Among Adolescent Girls In Residential Treatment: Relationship With Trauma Symptoms, Substance Use, And Delinquency, Akemi E. Mii

Department of Psychology: Dissertations, Theses, and Student Research

Adverse childhood experiences (ACEs) refer to negative events during childhood or adolescence including abuse, maltreatment, and exposure to household dysfunction (Kalmakis & Chandler, 2014). ACEs are associated with negative outcomes including mental and behavioral health concerns and offending (Fox et al., 2015). The risk of negative outcomes associated with ACEs increases when an individual experiences polyvictimization (experiencing multiple types of adverse events; Felitti et al., 1998; Finkelhor et al., 2011). A majority of adolescents served by residential treatment programs (RTPs) have experienced polyvictimization (Briggs et al., 2013). Research examining juvenile offending and youth delinquency has focused on boys. Thus, research …

The Possibility Of A Global Civilization, Robert Elliott Allinson

Comparative Civilizations Review

This article inquires into the question of what is civilization. It considers that a sine qua non of a civilization is a non-violent culture. It investigates the concept of violence and extends the concept to cover examples of citizens who live in conditions of poverty, ill health, lack of food, lack of education, lack of adequate housing, and inadequate living conditions. The argument in the article is that a civilization that allows such conditions to exist perpetrates violence upon its citizens and therefore does not deserve the appellation, ‘civilization.’ Those citizens who do not protest against such violence are not …

Monitoring Wise Civilization By Creating An Index, Andrew Targowski

Comparative Civilizations Review

The Wise Civilization Index will assess how wise we are in developing and living in a sustainable civilization.

Recently, people have started to worry about the state of the climate. This has been reflected in the finding that the climate temperature should be kept to a growth of below two degrees Celsius by 2100 to save our species from a slow death (The Paris Agreement of 2015). After all, raising the human body temperature by two degrees threatens illness and even death by four degrees. The same (relatively) can be done with Earth. However, apart from the climate, the problem …

Integrating Sensor Development, Risk Assessment, And Community Engagement To Support Environmental Justice In The Rural Community Of El Tiple, Colombia, David Bahamon Pinzon

All Dissertations

In Colombia, ethnic communities have traditionally been responsible stewards of natural resources. They recognize the importance of these resources for their livelihood, as well as their ancestral and cultural heritage. El Tiple, a rural Afro-Colombian community, has been affected by the incursion of private corporations that promoted the expansion of sugarcane monocrops in their territory. Since the introduction of the monoculture industry, local freshwater sources have been depleted due to intensive water use for irrigation of the sugarcane crops. Additionally, the intensive usage of agrochemicals has been linked with loss of native flora, damages to family farms, and pollution of …

Gender-Neutral Bathrooms On Campus: A Multicampus Study Of Cisgender And Transgender And Gender Diverse College Students, Merle Huff, Katie Edwards, Victoria Mauer, Heather Littleton, Stephanie Lim, Kayla E. Sall

Department of Educational Psychology: Faculty Publications

Objective: This study examined cisgender and transgender and gender diverse (TGD) college students’ perceptions of gender-neutral bathroom availability across eight U.S. campuses, TGD students’ fear of harassment related to (lack of) availability of gender-neutral bathrooms, and the relation between fear of harassment and TGD students’ psychological distress.

Methods: Participants were 4,328 college students (4,195 cisgender, 30 binary transgender, 103 gender diverse) from eight U.S. institutions of higher education.

Results: The majority (84.2%) of TGD students and 34.6% of cisgender students perceived there were too few gender-neutral bathrooms on their campus. Further, TGD students’ fear of harassment related to a lack …

Implementing An Alzheimer’S And Dementia Library Outreach Program: A Partnership Between The Nebraska Chapter Of The Alzheimer’S Association And Nebraska Libraries, Casey Wilkinson

Theses/Capstones/Creative Projects

This paper focuses on the establishment of an Alzheimer’s and dementia library outreach program in Nebraska, initiated by the Nebraska Chapter of the Alzheimer’s Association. The program aims to address the lack of community resources and support for individuals affected by dementia-related diseases in Nebraska. Extensive research, including interviews with successful library outreach programs globally, informed the program's foundation. A survey distributed to Nebraska libraries had a stellar response rate, with 57 libraries expressing interest in collaborating. An in-depth guide was created and distributed to the interested libraries, outlining program components such as educational programming, support groups, and a designated …