Digital Commons Network^™

Reflecting On Psychotherapy In Adolescence: A Qualitative Analysis Of Processes Of Change, John Parigger

Electronic Theses and Dissertations

There is a sharp increase in anxiety and depression symptoms in adolescence, and many forms of psychotherapy are shown to be effective. However, most research has examined average effects for manualized treatments that address multiple areas of functioning, which makes it difficult to determine how psychotherapy causes positive change. Process-based therapy postulates that all psychotherapies work through promoting adaptive biopsychosocial patterns of behavior (i.e., processes of change). Research has increasingly focused on the process-based therapy model, and there is a need for qualitative studies to incorporate lived experience into our understanding of change processes. The current study utilized the process-based …

Beyond Symptoms: Examining Perinatal Mental Health Care Among Black, Indigenous And People Of Color With Polyendocrine Metabolic Ovarian Syndrome, Vinaya Thomas

Electronic Theses and Dissertations

Perinatal mood and anxiety disorders (PMADs) are as a public health concern in the United States. Individuals from minoritized racial/ethnic groups face a significantly elevated risk of maternal morbidity, mortality, mental health disorders, and associated adverse outcomes. Emerging studies also reveal a higher likelihood of experiencing perinatal mental health concerns in individuals with polycystic ovarian syndrome (PCOS), currently known as polyendocrine metabolic ovarian syndrome (PMOS). People who identify as Black, Indigenous, or a person of color (BIPOC) face unique healthcare challenges given the added structural and social burdens. This online survey study aimed to 1) understand the relationship between PMOS …

Kinesiology Department Chairs’ Perceptions Of Their Training And Preparation, Kason O’Neil

Electronic Theses and Dissertations

Department chairs are responsible for leading academic departments in higher education.  These individuals regularly make important decisions regarding such things as managing faculty and academic programming, overseeing budgets, and supporting student needs. Despite these responsibilities, many people become department chairs without receiving formal leadership training. This study explored how kinesiology department chairs across the United States viewed their preparation for the role and the importance of leadership training. A total of 111 department chairs completed an online survey about their background, previous training, and the importance of training for different administrative responsibilities. The results showed that most chairs had little …

Kindergarten Teachers’ Perceptions Of Instructional Approaches For Teaching Sequencing Concepts: Worksheet, Hands-On, And Beebot-Integrated Lessons, Savannah P. Partin

Electronic Theses and Dissertations

The purpose of this qualitative multiple-case study was to explore kindergarten teachers’ perceptions of three instructional approaches for teaching sequencing concepts: worksheet-based instruction, hands-on manipulative instruction, and BeeBot-integrated instruction. Sequencing is a foundational early literacy skill that supports reading comprehension, story retelling, and understanding the order of events. Although sequencing is commonly taught through traditional instructional methods, limited research has examined how kindergarten teachers perceive the use of educational robotics as a tool for literacy instruction. The study was guided by constructivist theory, sociocultural theory, and developmental systems theory. Participants included six kindergarten teachers from a public elementary school in …

Computational Studies Of Triplet State Formation In Zinc Dipyrrin Complexes, Reuben Kwabla Adigbli

Electronic Theses and Dissertations

Zinc dipyrromethene complexes are promising earth-abundant photosensitizers due to their strong visible-light absorption and tunable excited states. To rationally design them for photocatalysis and photodynamic therapy, a molecular-level understanding of triplet-state formation is needed, but details of intersystem crossing remain unclear. To study the effect of π-extension, we synthesized an indole-substituted zinc dipyrrin complex: the dipyrromethane ligand was prepared from indole and mesitaldehyde, oxidized to the dipyrromethene, then coordinated with zinc. DFT and TD-DFT calculations determined ground and excited-state geometries and energies in different solvents, modeled absorption spectra, and visualized charge distributions. The results show how solvent polarity shifts energies …

An Assessment Of Accessibility And Affordability Of Inpatient Psychiatric Care In Tennessee, Kailee Havrda

Electronic Theses and Dissertations

Introduction: Access to mental health has seen changes over the past decade, but little research and attention have been given to access to inpatient psychiatric facilities. Inpatient psychiatric care is crucial for patients experiencing mental health emergencies who need immediate access to care. Gaps in spatial accessibility, affordability, and the access and assessment process were identified due to a lack of available information in the field.

Methods: Secondary data from the Tennessee Department of Health were used to assess financial accessibility through payer source charges and patient encounters, as well as through mapping of inpatient psychiatric facilities and conducting drive …

Exploring Competitive Dynamics Between Pseudomonas Baetica And Salmonella In A Polymicrobial System, Braxton E.M. Stout

Electronic Theses and Dissertations

The global rise in antimicrobial resistance has catalyzed a greater focus on polymicrobial research aimed at characterizing microbial interactions and uncovering new therapeutic strategies. Though it has long been of interest, environmental soil-derived bacteria remain largely under-represented in research and thus uncharacterized in this field. This project aimed to identify soil microbes that display inhibitory mechanisms to potential nosocomial pathogens. Soil sample S1S3-2 displayed inhibitory phenotypes toward numerous bacteria and was identified as Pseudomonas baetica. In both planktonic and biofilm growth, P. baetica was able to inhibit Salmonella arizonae through a contact-dependent and temperature-dependent manner. Screening of a transposon insertion …

2026 September 17 - From My Notepads Newsletter, Office Of The President, East Tennessee State University, Brian Noland

From My Notepads: A Newsletter from President Brian Noland

No abstract provided.

2026 September 14 - Faculty Senate Agenda And Minutes, Faculty Senate, East Tennessee State University

Faculty Senate Agendas and Minutes

No abstract provided.

2026 August 31 - Faculty Senate Agenda And Minutes, Faculty Senate, East Tennessee State University

Faculty Senate Agendas and Minutes

No abstract provided.

2026 August 18 - Faculty Senate Minutes, Faculty Senate, East Tennessee State University

Faculty Senate Agendas and Minutes

No abstract provided.

The Internet Did This To Me: Forms, Consequences, And Coping Strategies Of Cyberbullying, Isaac Oppong

Electronic Theses and Dissertations

This study examined self-reported cyberbullying experiences recounted in a subreddit (r/cyberbullying) to identify forms of cyberbullying, its effects, and ways to cope with it. The findings indicate that there are several types of cyberbullying, such as verbal aggression, deceptive manipulation, privacy invasion, and coercive control. These experiences led to emotional, social, and behavioral consequences, including fear, anxiety, withdrawal, and decreased online activity. Based on concepts from Social Information Processing theory and Symbolic Interactionism, this study reveals how cyberbullying can produce the same or similar consequences as traditional bullying. People experienced disturbances in their self-presentation, contended with spoiled identities, and dealt …

Educator Experiences Of Schoolwide Pbis Discipline Implementation: Exploring School Culture In Private Pk–12 Schools, Jessica L. Guarneri

Electronic Theses and Dissertations

The purpose of this phenomenological study was to explore educators’ lived experiences implementing schoolwide Positive Behavioral Interventions and Supports (PBIS) discipline systems and to understand how those experiences influenced school culture in private PK–12 schools. Historically, PBIS focused on specific outcomes, such as reductions in discipline referrals, suspensions, and behavioral incidents. Though these indicators are critical, they do not consider in what way educators experience disciplinary systems, nor how their lived experiences affect routine interactions with students. Educators play a key role in implementing PBIS; their experiences foster consistency, trust, and sustainability. The participants included certified educators and administrators employed …

Bridging The Gap: Educator Experiences Supporting Students During The Transition From Middle To High School, Sarah Little

Electronic Theses and Dissertations

The purpose of this phenomenological qualitative study was to examine the lived experiences of middle and high school educators supporting students during the transition from middle to high school. This study contributes to the literature of middle to high school transition practices by focusing on districts with a single high school and two middle schools. Coherence Theory was the primary framework for understanding how transition systems function in practice, while Transition Theory and Constructivism provided a supporting lens to provide further context to ground the research in analysis of organizational, developmental, and cognitive alignment.

Data collection strategies included one-on-one semi-structured …

A Qualitative Examination Of Tennessee Secondary Stem Teachers’ Perceptions On Professional Development Needs, Amber W. Ogle

Electronic Theses and Dissertations

The purpose of this qualitative phenomenological study was to research secondary STEM educators’ perceptions of PD needs. This study focused on the lived experiences of educators actively teaching in STEM subject disciplines in grades nine through 12. The essential question for this research study was: How do Tennessee secondary STEM teachers perceive the relevance, applicability, and impact of PD opportunities? The research was rooted in Knowles’ (1984) theory of adult learning, Andragogy, and Learning Forward’s (2022) Standards for Professional Learning.

Data were collected through 15 semi-structured, one-on-one online interviews. The transcripts of these interviews were analyzed, and frequently used language …

Distributed Leadership Applied: The Role Of Professional Learning Communities In The Emergence And Development Of Teacher Leadership, Grace M. Bellamy

Electronic Theses and Dissertations

The purpose of this qualitative phenomenological study is to examine the processes through which teacher leadership is fostered and sustained among elementary and middle school educators who participate regularly in Professional Learning Communities (PLCs), with a focus upon schools implementing the DuFour and Eaker PLC model with fidelity during the winter and spring of 2026. This study looked for evidence of the presence of teacher leadership in a middle school and an elementary school. The theoretical frameworks of Distributed Leadership and the Teacher Leadership Standards created by the Teacher Leadership Exploratory Consortium were employed in this study, and observations of …

Implementing Mindfulness Practices To Support Student Self-Regulation: A Qualitative Study Of Elementary Teacher Experiences, Shana Orr

Electronic Theses and Dissertations

The purpose of this phenomenological qualitative study was to explore elementary teachers’ lived experiences of the implementation of mindfulness practices to support self-regulation in students. Although mindfulness practices have increasingly been incorporated into elementary classrooms, limited qualitative research has examined teachers’ experiences implementing these practices and their lived experiences of student engagement. While there is research on the Multi-Tiered Systems of Support (MTSS) and the Collaborative for Academic, Social, and Emotional Learning (CASEL) competencies, the focus on schoolwide implementation of mindfulness strategies expand the literature to close a gap on elementary school teachers’ experiences implementing mindfulness practices in Tennessee.

A …

Navigating Dual Standards: Secondary Educators Integrating English Language Standards To Achieve English Proficiency, Calleigh Herrell

Electronic Theses and Dissertations

English Learners represent one of the fastest-growing student populations in the United States, creating increased demands on secondary educators to support both language development and academic achievement. As accountability expectations continue to emphasize grade-level proficiency in English Language Arts (ELA), educators serving English Learners must navigate the intersection of English language proficiency standards and content-area instructional requirements. While English Language Proficiency Assessment for the 21st Century (ELPA-21) standards are intended to support language acquisition and access to academic content, educators often face challenges integrating language development goals with grade-level ELA expectations. As such, secondary educators play a critical role in …

Health Professions Students’ Perceptions Of Medical Laboratory Scientists: Professional Practice And Scope Of Practice, Thomas W. Williamson

Electronic Theses and Dissertations

Medical Laboratory Scientists (MLSs) are vital yet often overlooked members of the healthcare team. This study investigated perceptions of MLSs among students in medicine, pharmacy, and nursing programs. Grounded in professional identity theory and literature on interprofessional stereotypes, the study utilized a quantitative survey distributed to 1,113 students, with 71 responses analyzed. Nine research questions explored differences in perceptions of MLSs’ professional practice, scope of practice, entry requirements, value as team members, and consultative roles. Results indicate students generally value MLSs as members of the healthcare team and acknowledge their contributions to patient care; however, their understanding is frequently restricted …

Staying The Course: Community College Student Lived Experiences On Program Completion And Motivation, Jessica Leigh Mills

Electronic Theses and Dissertations

The purpose of this phenomenological study was to explore the lived experiences of former community college students who successfully completed an associate degree, certificate, or program of study and to understand how they experienced the personal, institutional, and environmental factors that supported their persistence to completion. The study, guided primarily by Tinto’s (1975,1988) Model of Student Departure and was complemented by Bandura’s (1988) Social Learning Theory (SLT), and Maslow’s (1943) Hierarchy of Needs, explored the extrinsic and intrinsic motivations students attributed to their successful completion of their associate degree, certificate, or program of study. Twelve former community college students who …

Weathering More Than Storms: Understanding The Mental Health Disparities Of Black Farmers In The Appalachian Region, Aliyah Smith

Electronic Theses and Dissertations

Black farmers in Appalachia represent a vital and historically marginalized population within one of America’s most economically distressed regions. Black farmers have endured generations of systemic racism, resulting in land loss, economic hardship, and mental stressors. This study examines the intersection of race, agriculture, and behavioral health to illustrate how structural barriers and cultural stigmas shape the mental well-being of Black farmers across Appalachia.

Findings from the analysis will guide the development of a conceptual model based on constructs from the Social-Ecological Model (SEM), Intersectionality Theory, and Critical Race Theory (CRT). This study will use Key Informant Interviews (KIIs) conducted …

Effects Of Peer-Mediated Constant Time Delay Instruction On Science Vocabulary Acquisition For Students With Moderate Intellectual Disabilities, Amy S. Roberts

Electronic Theses and Dissertations

This study examined the effectiveness of combining peer-mediated embedded instruction with constant time-delay (CTD) procedures to improve Agriscience vocabulary learning among secondary students with moderate intellectual disability who were educated in an inclusive Agriscience classroom. A multiple-probe across participants design was conducted with three students with moderate intellectual disability. Trained peer tutors provided embedded vocabulary instruction during naturally occurring classroom activities. Results showed an increase in independent correct responding for all participants following the implementation of the intervention. Procedural fidelity, interobserver agreement, Tau-U effect size, and social validity data further demonstrated that the intervention was implemented consistently and was viewed …

Reapplication And Credential Completion Among Non-Selected Community College Health Science Applicants: A Social Stratification Perspective, Donna G. Whitehouse

Electronic Theses and Dissertations

Reapplication and Credential Completion Among Non-Selected Community College Health Science Applicants: A Social Stratification Perspective by Donna Whitehouse Community colleges serve as primary access points for healthcare workforce preparation, yet thousands of qualified applicants are not selected for competitive admission health science programs each year. Research on what happens to these students following non-selection is limited, and existing studies focus almost exclusively on nursing, leaving allied health programs largely absent from the literature. This study addressed that gap by examining the reapplication behavior and credential completion outcomes among 2,604 applicants to three competitive admission health science programs, Nursing, Occupational Therapy …

Comparative Analysis Of Rigging Implementations, John E. Thomas

Master of Fine Arts in Digital Media Culminating Experience

Rigging acts as a bottleneck between modeling and animation, yet core rigging principles and procedures have largely stagnated over the past two decades. However, cutting-edge rigging systems have begun appearing recently in software not typically used for animation. These tools are proposed to mitigate the need for rigging artists. These novel systems now force teams to evaluate what system is best for their projects. Artists have focused their analysis of rigging tools on how they interact with, or compare to, existing pipeline structures, concepts, and deadlines. This research centers on the implementation and development of tools and systems ranging from …

2026 June 23 - From My Notepads Newsletter, Office Of The President, East Tennessee State University, Brian Noland

From My Notepads: A Newsletter from President Brian Noland

No abstract provided.

2026 June 18 - From My Notepads Newsletter, Office Of The President, East Tennessee State University, Brian Noland

From My Notepads: A Newsletter from President Brian Noland

No abstract provided.

Quiet Hills, Restless Hearts: An Intersectional Exploration Of Lgbtq+ Religious Journeys In Appalachia, Allison S. Monroe, Stacey L. Williams

McNair Culminating Research Projects

Many researchers have utilized Meyer’s (2003) minority stress model to examine the social factors influencing the daily lives of LGBTQ+ individuals. Previous research has looked at negative mental health outcomes for LGBTQ+ individuals (McGraw et al., 2023), the presence of religious stress for this community (Page et al., 2013), and religious journeys of these individuals (Halkitis et al, 2009).  However, few studies have examined the intersection of religion, LGBTQ+ identity, social support, and the overarching values of Appalachian culture. The proposed study seeks to add to the literature and understand the breadth of these experiences by employing qualitative semi-structured interviews. …

Exploring The Link Between Substance Use Severity And Self-Stigma: The Moderating Role Of Enacted Stigma, Alaya Shelton

McNair Culminating Research Projects

Self-stigma has been shown to negatively impact treatment engagement, recovery, and reintegration outcomes among individuals with substance use and criminal histories (Moore et al., 2023). Further, prior research has shown that markers of an individual’s substance use treatment history (e.g., number of prior treatment episodes and perceived substance use severity; Hammarlund et al., 2018; Luoma et al., 2012; Silveira et al., 2016) and negative experiences with medical professionals (Hoover et al., 2022; Muncan et al. 2020) are closely linked to self-stigma. While these factors independently contribute to one’s level of self-stigma, to our knowledge, no prior work has examined how …

Marketing Tenure And Promotion Criteria [2026], Department Of Marketing

Tenure and Promotion Criteria

No abstract provided.

2026 Spring - Commencement Program, Office Of The Registar, East Tennessee State University

ETSU Commencement Ceremonies and Programs

No abstract provided.