Digital Commons Network^™

Public Image Vs. Patient Experience: A Comparative Study Of Children's Hospitals, Abigail M. Giles

Program in Community Action (PICA)

This study examines the divergence between the curated digital brand identities of children’s hospitals and the lived experiences of their patients. Focusing on how institutions carry out their marketing objectives whilst navigating a “manipulated public sphere” on social media to maintain institutional viability and gain philanthropic support, a qualitative content analysis of 1,618 social media posts from Instagram and Facebook and 239 Google Reviews from 2023-2025 was performed. The analysis compares the difference in content curation of urban children’s hospitals and rural children’s hospitals, collecting posts from Boston Children’s Hospital and Children’s Hospital at Dartmouth. Key findings include the use …

Educational Inequality In Health Insurance Coverage Before And After The Affordable Care Act, Madelaine R. Adamich

Journal of Earth and Life Science

Health insurance and health care accessibility have historically been ongoing issues within the United States. Two key factors associated with the likelihood of an individual being insured are educational attainment and income. The 2010 Affordable Care Act (ACA), which has been the largest overhaul of health care in the US to date, aimed to reduce disparities in health insurance coverage and health care accessibility. My research analyzes the extent to which the ACA succeeded in reducing disparities related to educational attainment. To examine the ACA’s effects, I utilize the US Census Bureau’s American Community Survey data from 2008 and 2015 …

Indigenous Land Seizure & Environmental Injustice: Impacts Of Settler Colonialism, Lydia Moorman

Journal of Earth and Life Science

The fields of conservation and environmentalism prioritize ecosystem health, yet both emerged from western frameworks that displaced and criminalized Indigenous land stewardship. The idealization of “pristine wilderness” narratives served to justify the removal of Indigenous peoples from their homelands and erased millennia of sustainable land stewardship that had maintained ecological balance long before western conservation existed. These narratives not only misrepresented Indigenous relationship with land but also constructed a false dichotomy between humans and nature that positioned Indigenous presence as a threat rather than a source of ecological knowledge. Simultaneously, anthropogenic expansion; such as pipelines, mining, railroads, and other extractive …

Gender-Diverse State Legislative Candidates In The United States: Identity Used Strategically On Campaign Websites, Nicholas Mossman

Honors Theses

In this honors thesis, I evaluate how transgender, nonbinary, and other gender-diverse state legislative candidates in the United States use their campaign websites to communicate messages related to gender identity to voters, and the potential effects of communication on electoral success. I used a dataset of eighty-nine candidates between 2014 and 2024, and coded fifty-four candidate websites to measure how candidates describe their personal identity and communicate about issues related to gender identity, like LGBTQ+ nondiscrimination and gender-affirming care. While existing research evaluates how voters respond to LGBTQ+ candidates, this thesis examines how candidates potentially attract voters through their campaign …

The Great Divide: The Relationship Between Perceived Immorality And The Work Of Artists, Caelyn R. Anderson

Psychology | Senior Theses

The psychological response one has when viewing art depends heavily on contextual understanding. More specifically, when a viewer learns negative biographical information about perceived immorality of an artist, it can negatively affect their relationship with that artist's work (Kaube et al., 2023). The sample was made up of 134 participants randomly assigned to one of two groups exposed to either positive or negative information about the artist Paul Gauguin. After viewing information, participants were shown three different paintings, before being asked to respond to an intentionality scale, and two art reception scales. An independent samples t-test showed that there is …

An Insidious Interstice: Understanding Cognition And Language Behaviour Through The Eyes Of Juvenile Justice Professionals, Anne M. Perrotti, Allison T. Chappell, Tancy Vandecar-Burdin

Human Movement Studies & Special Education Faculty Publications

Introduction

Despite evidence suggesting language and cognition deficits are prevalent for justice involved youth, little research explores how juvenile justice personnel experience language and cognition behaviours in the youth they serve.

Aims

This qualitative study explored how juvenile justice personnel understand language and cognition skills and deficits in justice involved youth.

Methods

Twenty-two U.S. juvenile justice professionals participated in individual, semi-structured interviews. Questions focused on individual understanding of receptive language, expressive language, social communication, and cognition (i.e., problem-solving, predicting consequences and impulsiveness) in juveniles served. Using a phenomenological lens, transcripts were coded identifying themes and sub-themes of participant responses.

Results …

Drag’S Impact On Drag Lives, José L. Oropeza Iii

Anthós

Drag’s Impact On Drag Lives

In light of recent political developments where Drag and Trans identities are being punished, why do people still participate in Drag? If there are repercussion to face for being a Drag Queen, then surely it must affect their lives for the better for them to continue the practice.

Through an autoethnographic approach to researching the Portland, OR Drag community, I collected transcripts of conversations with local Queens, took notes of community interactions, and put myself in Drag for the first time as a Queer man to better understand the Drag community and why they Drag. …

Enhancing International School Implementation Capacity: Supporting Contextualized Learning At An International Baccalaureate School In China, Christopher J. Hayden Iv

Theses and Dissertations--Educational Leadership Studies

International schools allocate substantial resources to implement progressive curricular innovations; however, the advantages offered by these developments are contingent on their effective execution within classroom settings. This mixed methods action research (MMAR) study examined the implementation of the International Baccalaureate (IB) Global Context (GC) Strategy in the Middle Years Programme (MYP) at an international school in China and asked how the school might strengthen its capacity to enact this and similar innovations. Following a sequential MMAR design, a reconnaissance phase combined a whole-staff survey (n=87) with qualitative interviews to diagnose the individual, organizational, and contextual factors shaping implementation. Analyses identified …

From Mandate To Meaning: Designing Implementation Supports For Organizational Readiness In Behavioral Health Service Planning, Lauren K. Mergen

Theses and Dissertations--Education Sciences

Behavioral health agencies often struggle to translate the Transformational Collaborative Outcomes Management (TCOM) framework into practice when implementation is externally mandated. This study examined how educational leaders can support meaningful use of TCOM tools under a Midwestern state’s October 2024 requirement that behavioral health providers use the state Child and Adolescent Needs and Strengths assessment in service planning.

Using a Mixed Methods Action Research design, the study progressed through six phases: Diagnosis, Reconnaissance, Planning, Acting, Evaluation, and Monitoring. The Diagnosis Phase identified a knowledge-to-practice gap and weaknesses in implementation support infrastructure. Practitioner surveys administered immediately after training and six months …

Paradise Lost And Character Motivation: Sinful Behavior Or Inferiority Complex?, Esperanza Barrios

Honors Theses

Sin is a concept that is always viewed through a religious perspective. But, through Paradise Lost, John Milton was able to bring further understanding towards human nature and one’s own sense of committing what’s perceived as sinful behavior without the veil of religion glazing over academics' understanding. In religious terms, sinful behavior is the idea of defying God’s commandments, but for this research, sinful behavior may be described as abnormal behavior that damages our best interests and relationships, usually for selfish gains. Each of Milton’s main characters, Satan, Adam, and Eve, fell from grace because all three damaged their relationship …

“Wandering Between Two Worlds”: From One Marshall To Another, Robert Ellison

English Faculty Research

This personal essay chronicles my journey from Marshall, Texas, where I lived for 14 years, to Marshall University, where I have taught for 17 years. I discuss not only the move itself, but a pivot from Victorian studies to Appalachian studies, a change I made so I could focus on the region in which I live. The essay’s central question is mentioned in the title: how long do I have to live here before I can call myself a West Virginian, and before others will regard me that way as well? Is 17 years enough? If not, will I eventually …

Transformative Paths: Advancing Inclusive Healthcare Education, Morgan Young

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Transgender individuals continue to experience significant healthcare disparities, provider bias, discrimination, and barriers to accessing affirming healthcare services (White Hughto et al., 2015; World Professional Association for Transgender Health [WPATH], 2022). Despite increasing awareness of these disparities, healthcare education often lacks comprehensive training related to gender-affirming care (American Occupational Therapy Association [AOTA], 2021; Office of Disease Prevention and Health Promotion [ODPHP], n.d.; White Hughto et al., 2015). A concurrent scoping review was conducted to answer the research question: Among healthcare providers, how do educational strategies grounded in transgender perspectives and lived experiences affect provider competence in transgender healthcare? The review …

"If I Knew Then What I Know Now": Analyzing Online Narratives Of Regretful Parents, Marina Binti Mohd Hamdan

Graduate Theses, Dissertations, and Problem Reports (ETD)

This exploratory study seeks to understand the extent to which parenthood affects individual self-actualization by identifying the trade-offs, compromises, and sacrifices that parents make within the context of family life. Using a thematic analysis of 221 archived posts from the Reddit community r/regretfulparents, this study examines how social pressures surrounding parenthood may be related to experiences of parental regret. Specifically, it identifies two domains: pressures to be parents, including social norms, familial coercion, and interpersonal conflict, and pressures of parenting, including issues of labor, number of children, and challenging children. Across these domains, this study explores how tensions between personal …

Cultural Perceptions And Willingness Or Reluctance To Use Ai Chatbots For Emotional Support By International African Students In Higher Educational Institutions In The United States, Zakariah Issah

Graduate Theses, Dissertations, and Problem Reports (ETD)

The increasing use of artificial intelligence (AI) chatbots for emotional support underscores the need to understand how cultural perceptions shape their adoption among international African students in higher education institutions in the United States. Guided by the Technology Acceptance Model (TAM) and Social Stigma Theory, this qualitative study explored the perceptions, motivations, and barriers influencing the use of AI chatbots for emotional support. Semi-structured interviews were conducted with 20 undergraduate and graduate students from 10 African countries. The findings reveal that participants viewed AI chatbots as conditional and situational sources of emotional support rather than replacements for human relationships. Convenience, …

Conspiracy And Social Movements, Steffen Seitz

Michigan Law Review

Conspiracy prosecutions of social movements are on the rise. From anti-“Cop City” protesters in Atlanta to pro-Palestinian protesters in California, prosecutors are increasingly wielding conspiracy law to suppress social movements. This development is troubling. Social movements have long served as vital engines of democratic self-governance; they crystallize issues, foster public discourse, and mobilize citizens. Yet conspiracy law endangers these movements— and thus democracy—by targeting what makes them work: public expression and social ties between activists.

This Article makes three significant contributions to our understanding of this threat. First, it demonstrates that a charge of conspiracy requires remarkably little—just the appearance …

Bringing Patriarchy To Looksmaxxing: Identification And Exploration Of Strategies To Restabilize The Patriarchy In The Looksmaxxing Community, Mackenzie Grace Freeman

Graduate Theses, Dissertations, and Problem Reports (ETD)

Research literature on looksmaxxing is subsumed under the incelosphere, which is acknowledged as a white and male supremacist space. Yet, researchers fail to attend critically to the structure of patriarchy, choosing instead to base their analyses within the mainstream hegemonic masculinity paradigm. Using a Bourdieusian framework, this project fills a gap in the literature by transcending the mainstream paradigm to explain how the looksmaxxing community uses the body as a site of crisis management in response to patriarchal backlash, with the ultimate goal of restabilizing the patriarchy. This project uses a community-led survey from a popular online looksmaxxing community. This …

“Black Students Matter”: A Phenomenological Study Of Black Student Experiences At A Predominately White Institution In Appalachia During The Dual Pandemic Of Covid-19 And Systemic Anti-Black Racism, Toni Owens

Graduate Theses, Dissertations, and Problem Reports (ETD)

As the spread of COVID-19 escalated into a global pandemic in 2020, simultaneously, the nationwide media in the United States (U.S.) highlighted coverage of the country’s ongoing incidents of longstanding systemic anti-Black racism in America, another pandemic. In the Summer of 2020, a collective of Black students at West Virginia University (WVU) signed and publicly submitted a petition to the university’s leadership with a list of demands to address their needs as they were further exacerbated by the dual pandemic. This study is guided by the question, “What are the lived experiences of Black Students at West Virginia University during …

Supporting Mothers Within The Criminal Legal System: Programs In Akron And Perceptions Of “Good Motherhood”, Brynn R. Lewis

Williams Honors College, Honors Research Projects

This paper examines the programs and support systems available in Akron, Ohio, for mothers involved in the criminal legal system, including defendants, survivors, and other justice-involved individuals. Using qualitative interviews (n = 6) with professionals across courts, legal defense, community corrections, and advocacy organizations, this study examines how local institutions provide resources and support to mothers. Findings indicate that while programs aim to promote stability and rehabilitation, mothers face persistent barriers such as limited access to transportation, childcare, and communication, as well as heightened stigma tied to societal expectations of caregiving. These findings reveal that institutional support both reflects and …

Locked In: The High Price Of Overcrowding And The Strain Of America's Growing Prison System, Kaitlyn N. Timmerman

Williams Honors College, Honors Research Projects

Over the past several decades, the number of people incarcerated in the United States has increased substantially, placing a significant strain on correctional systems. This project examines long-term trends in incarceration to better understand how population growth may relate to concerns about overcrowding. Specifically, it asks: How has the total incarcerated population in the United States changed from 1925 to 2022? Which type of correctional system (state prisons, federal prisons, or local jails) has experienced the most growth? And to what extent can changes in incarceration counts and facility distribution be used as indicators of overcrowding?

Using historical data and …

The Influence Of Familial Substance Use Disorder On Perceptions And Attitudes Towards Substance Use Disorders And Participant Substance Use Behavior Among Emerging Adults, Elijah M. Lefeld, Jennifer Stanley

Williams Honors College, Honors Research Projects

This research project explores how the lived experience of having an immediate family member with a substance use disorder (SUD) influences a person’s perceptions, attitudes, and behaviors related to substance use. Rather than focusing on the individual diagnosed with SUD, the study examines the reciprocal impact on family members within the social subsystem. Using a quasi-experimental design, the project will compare participant responses using with and without a familial connection to SUD. Data will be collected through Qualtrics surveys distributed via SONA. These measures will record demographic information, personal substance use habits, attitudes toward addiction, perception of substance use disorders, …

Locked And Loaded: The Truth Behind Gun Violence, Alana N. Shroyer

Williams Honors College, Honors Research Projects

Gun control remains one of the most controversial policy issues in the United States. While gun reform advocates argue for stricter firearm regulations to reduce gun violence, pro-gun advocates contend that crime is driven more by individual behavior, socioeconomic conditions, and mental health than by gun availability alone. This research project examines gun control laws in the United States, analyzes gun violence data, explores illegal firearm trade markets, compares international approaches, and evaluates whether gun control laws effectively reduce violence while preserving constitutional rights.

Fact Vs. Fiction: Understanding The Influence Of Crime Procedural Television On College Student Choice Of Major, Mia J. Moore

Williams Honors College, Honors Research Projects

As it continues to gain popularity, crime-based media (i.e., crime procedural television shows, true crime podcasts) contributes to the public’s perception of the criminal justice field. Little research exists on the “CSI Effect,” the phenomenon in which criminal justice majors are drawn to the field based on the glorified depictions of the profession portrayed in the media. Previous research on influences behind choice of major suggest a variety of other influential factors, such as personal interest in the subject, friends or family members, or personality characteristics (Beggs et al., 2008; Hoag et al., 2017; Porter & Umbach, 2006). The current …

Gen Z Perspectives On Mental Health Service Interaction: A Qualitative Content Analysis Of Reddit Discourse, Victor A. Aguiar

Honors Undergraduate Theses

Compared to prior generations, Generation Z engages with mental health and mental health service interaction in distinct ways, frequently using social media platforms to share experiences, concerns, and opinions. Previous research has examined mental health discourse on Reddit; however, much of this work relies on inductive thematic approaches and offers limited focus on mental health service interaction and the factors influencing utilization. Guided by the Theory of Planned Behavior (TPB), this study examines how Generation Z discusses mental health service use through online discourse. Public Reddit posts authored by users identifiable as Generation Z, based on self-reported age, school enrollment, …

Socioeconomic Stressors And Their Association With Anxiety And Depression In Undergraduate And Graduate Students, Shreyaashri Selvakumar

Honors Undergraduate Theses

Socioeconomic status (SES) is a social determinant of mental health that may influence the prevalence of anxiety and depression in undergraduate and graduate students. Students from lower socioeconomic backgrounds often encounter financial, academic, and social stressors, which may contribute to poorer mental health outcomes. This study investigates the association between SES-related factors and symptoms of anxiety and depression in undergraduate and graduate students. Data were collected from a large national survey of students in various degree programs and included measures of financial circumstances, food and housing insecurity, access to mental health services, and other demographic variables. Symptoms of depression and …

The Asymmetric Effect Of Social Connection And The Cumulative Damage Of Comorbidities On Physical And Mental Health Of Older Virginians, Newton Ochoki, Lynn Wiles, Peijia Zha, Vince Falco, Carielle Joy Rio, Jonathan Romero, Leorey N. Saligan

Ellmer School of Nursing Faculty Publications

Objectives

This study explored relationships of social connection with physical and mental health in older adults, specifically examining the effects of comorbidities on these relationships and the influence of sociodemographic variables on the strength of these associations.

Methods

This cross-sectional study enrolled 174 community-dwelling adults aged 60 years and older residing in Hampton Roads, Virginia, USA. Data were collected from April to August 2025. Hierarchical linear regression analyses examined the associations of social connection with physical and mental health. Moderated mediation analysis examined if comorbidities mediated these relationships and whether sociodemographic factors moderate the strengths of these associations.

Results

In …

The Law Of Quitting, Andrew K. Jennings

Faculty Articles

Throughout life, people enter countless positions of authority and trust in relation to one another and the public. These positions include, among many others, being a public official, being a corporate director, and being an employee. Law announces prerequisites for starting such positions, as well as incumbents’ rights and obligations once in them. But no office holds forever. Indeed, incumbents often choose to exit positions before they would otherwise end by expiration, removal, or death. Yet law governs such voluntary relinquishment—often called “resignation” or, more generically, “quitting”—largely as afterthought. That is, law expansively attends how positions of authority and trust …

Out-Group And In-Group Relational Trust In Group Coaching With First-Grade Teachers: A Single Case Study, Jentry S. Barrett, Rachel E. Schachter, Jungwon Eum, Gwen Nugent, Kathleen M. Rudasill

Department of Child, Youth, and Family Studies: Faculty Publications

Coaching has become a prominent professional learning tool for helping early childhood teachers (birth–8) implement curriculum and research-based practices in their classrooms. One coaching strategy that supports positive changes in teacher practice and child outcomes is building trust between the coach and teacher(s). However, there is limited understanding of the nature of trust-building in coaching, particularly in group coaching configurations. There are two types of trust to consider in the context of group coaching: out-group trust between an outside coach and the teachers, and in-group trust between the teachers experiencing coaching who already have a relationship. This case study aimed …

C.A.S. Full Assessment Report: State Of Florida Government Portal, Delante Clark

Graduate Scholarship and Creative Works

The purpose of this assessment is to evaluate the cognitive overhead, transparency, and attentional integrity of

official State of Florida digital interfaces using the Cognitive Attentional Standards (C.A.S.) platform.

While the Florida Digital Bill of Rights (FDBR) establishes strict regulatory guardrails for consumer data

transparency, tracking opt-outs, and attentional safeguards, the State of Florida explicitly exempts its own

government agencies, public universities, and non-profit entities from complying with these rules.

This assessment serves to investigate the tension between legislative intent and government execution. By

analyzing public sector websites through the C.A.S. platform, this project will establish a “state-enforced vs.

state-executed” …

Perceptions And Metaperceptions Of Bison In The West, Riley Rush Comstock

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Effective coexistence between wildlife populations and the people that live with them requires an understanding of how people feel toward the species and their management. Bison occupy a unique place in conservation history and management. Once extirpated across nearly all of their range and only recently introduced to areas outside of large tracts of federal land, they are now a jurisdictionally challenged species, with varying management paradigms across a patchwork of landowners and managers. Recent research has shown how activating different social identities can distort people’s attitudes toward species. Here, I explore whether activating urban and rural identities distorts people’s …

Association Between Caregiver Status And Physical And Mental Health Among National Senior Games Athletes, Chibuzo Uchechukwu Victor Obasi

Graduate Research Theses & Dissertations

As the population ages, more people rely on informal caregivers, which puts many older adults at risk for health problems. Caregiving can be meaningful and strengthen family bonds, but it often leads to more psychological stress, especially for older adults who also have their own health concerns. Research shows that regular physical activity can help older adults build resilience and improve their mental well-being. Still, we know little about the health of older caregivers who stay very active. This study examines the health effects of caregiving among members of the National Senior Games Association (NSGA), a group of highly active …