Digital Commons Network^™

Reframing Recovery: Comparing Music Interventions And Traditional Rehabilitation Methods For Cognitive Function In Traumatic Brain Injury Patients, Laura Velez

Honors Undergraduate Theses

Traumatic brain injury (TBI) affects millions annually, often resulting in long-term cognitive deficits that hinder independence and quality of life. While traditional rehabilitation methods address many physical and functional limitations, cognitive impairments—such as deficits in attention, memory, and executive function—often persist. Emerging evidence highlights music-based interventions as a promising complement to standard therapies, yet comparative research remains limited. This integrative literature review examined the effects of music interventions versus traditional rehabilitation methods on cognitive function in adults with TBI. Using a systematic search of databases including MEDLINE, CINAHL Ultimate, APA PsycInfo, and Music Index, eight peer-reviewed studies were selected for …

Consequences Of Artificial Intelligence In Health Insurance: Lawsuits, Policy, And Ethics, Alyssa N. Roberts

Honors Undergraduate Theses

In recent years, the healthcare system has been burdened by a multitude of obstacles that hinder the ability to provide effective, affordable, and timely care. Among these, one of the most significant challenges is the role that health insurance plays in shaping the quality of care. Health insurance companies are designed to decrease financial strain on patients, but they have introduced inefficiencies through delayed coverage approvals, increased denials, and administrative costs. Artificial intelligence (AI) has started to play an integral role in resolving these issues for the health insurance industry. Through its quick automated claim processing, fraud screening, and reduced …

Millennials And Generation Z Customers' Service Recovery Evaluation From A Self-Esteem Perspective, Megan Mcdade

Graduate Thesis and Dissertation post-2024

While a significant amount of research has been conducted to assess the effectiveness of service recovery based on various factors, there is limited research on emerging customer segments, specifically Generation Z and Millennials. Justice theory has been predominant in service recovery literature, however, recent studies suggest that self-esteem can provide valuable insight into understanding customers’ evaluations of service recovery. This research focuses on how Generation Z and Millennial customers evaluate service recovery efforts in the context of restaurants. The main objective of this study is to examine how these customers perceive economic (compensation) and psychological (apology) service recovery strategies, considering …

Transformation To Re-Engagement: A Temporal Analysis Of Tefl Tourism Experiences, Brianna Morman

Graduate Thesis and Dissertation post-2024

This study investigates the psychological and behavioral transformation resulting from long-term cultural immersion, using TEFL (Teaching English as a Foreign Language) tourism as a lens to examine how deep, lasting change unfolds. While prior literature has primarily classified TEFL as a niche form of tourism, its potential to facilitate enduring personal transformation has not been empirically assessed. This research addresses that gap by applying Transformative Learning Theory and the Model of Transformation within the Stimulus-Organism-Response (S-O-R) framework to explore how TEFL experiences lead to transformation, satisfaction, and long-term re-engagement. Uniquely, the study also examines two underexplored temporal moderators – duration …

Investing In Digital Solutions For Firm Value, Mahala Geronasso

Graduate Thesis and Dissertation post-2024

Digital investments have become integral to the strategies of hospitality firms, enabling data-driven decision-making, operational efficiency, and financial growth. This dissertation examines the impact of digital investments, specifically IT investment (CAPEX), research and development (R&D) intensity, and digital marketing intensity, on operational and financial performance within hospitality firms, guided by Innovation Diffusion Theory and Agency Theory. A comprehensive empirical analysis utilized financial data from publicly traded U.S. hospitality firms (2013–2023). Advanced econometric methods, including ARIMA, GARCH, and structured panel regressions, were rigorously assessed to evaluate performance dynamics. Findings reveal IT investments significantly enhance operational efficiency, profitability, and liquidity, despite causing …

Influencing Sustainability: The Impact Of Digital Influencers On Sustainable Tourism Behaviors, Karen C. N. Tavares

Graduate Thesis and Dissertation post-2024

This dissertation investigates how digital influencers shape sustainable tourism communication and behavioral intentions through a multi-method research approach. As influencer marketing increasingly drives destination visibility and traveler decision-making, understanding its role in advancing sustainability is essential for aligning economic growth with environmental and social responsibility. To address this gap, two complementary studies were conducted.

Study 1 applied social media content analysis to examine sustainable tourism discourse, identifying trends in topics, message framing and content. The analysis revealed a largely positive and gain-framed conversation, emphasizing lifestyle identity, collective values, and all three pillars of sustainability. Influencer analysis showed that while institutional …

Inhibition Of Activin A Signaling Slows The Progression Of Barrett's Esophagus Induced Esophageal Adenocarcinoma, Lily A. Giardino

Graduate Thesis and Dissertation post-2024

In 2020, approximately 1.03 billion cases of Gastro-esophageal Reflux Disease (GERD) were reported worldwide, representing a significant global health burden. Chronic GERD is a potent initiator of Barrett’s Esophagus (BE), a precancerous condition in which the squamous epithelium is converted into columnar-like epithelium in the distal esophagus in response to reflux injury. Barrett’s Esophagus is the only known precursor to Esophageal Adenocarcinoma (EAC), a disease with a five-year survival rate of 21%. First line treatments focus on acid suppression and endoscopic mucosal resection but did not result in a decrease of EAC incidence highlighting the importance of new therapeutics. Previous …

Multi-Omics Analysis Of Streptococcus Pneumoniae Serotype 3 Using A Murine Infection Model, Jash Kamlesh Trivedi

Graduate Thesis and Dissertation post-2024

Streptococcus pneumoniae (SPN), a gram-positive encapsulated pathogen, inhabits the human nasopharynx asymptomatically but can cause severe infections, including invasive pneumococcal diseases (IPD). Although targeted by vaccines, serotype 3 (ST3) remains highly prevalent within the United States and globally. Sequence type 180 lineage within Clonal Complex (CC)180 is the predominant lineage of serotype 3 globally. Genetically, Clonal Complex 180 is divided into clade I and II, with clade II recently surpassing clade I in prevalence. However, the molecular mechanisms driving this shift remain poorly understood. Here, we employ a multi-omics approach, combining pangenome analysis and dual-RNA sequencing, to investigate genetic factors …

Comparing Inter-Rater Reliability For Two Coding Methodologies In Meta-Analysis Data Extraction, Christine D. Destefano

Graduate Thesis and Dissertation post-2024

Meta-analyses are critical tools for evidence-based policymaking, but their validity depends heavily on accurate data extraction from primary studies. While previous research has focused on procedural aspects of coding and reliability of effect size extraction, there remains a significant gap in understanding how to improve inter-rater reliability (IRR) for moderator variables that provide crucial context for meta-analytic findings. This study compared two methodological approaches for coding moderator variables: traditional low-inference coding and a novel drill-down questioning technique adapted from database development principles. Using a comparative analysis design, two independent coders extracted data from 18 primary studies included in a published …

The Representation Of Racially And Ethnically Diverse Students Identified With Giftedness In Third Grade In Florida, Ioanna Katsavria

Graduate Thesis and Dissertation post-2024

This study examines the proportional representation of Black, Hispanic, White, and Asian third-grade gifted students across urban and rural school districts in the U.S. state of Florida. It incorporates secondary quantitative datasets for the Fall 2023 and Spring 2024 school terms from the Florida Department of Education (FLDOE, n.d.), collected in the Fall 2024, along with qualitative data gathered in Spring 2025 from the websites of sixty-seven county-based school districts. Significant disparities among all groups of racially and ethnically diverse students were exposed through the quantitative data analysis. Notably, Black, Hispanic, and Asian students, especially in rural areas, were shown …

Beyond Graduation: A Quantitative Analysis Of Earned Wage Outcomes For Individuals With Intellectual Disabilities Participating In Florida Postsecondary Comprehensive Transition Programs, Melanie Lopez

Graduate Thesis and Dissertation post-2024

The study examined how person-centered planning goal setting and integrated paid work experiences predict postsecondary employment stability and earned wages for individuals with intellectual disabilities who completed Florida Postsecondary Comprehensive Transition Programs. Findings indicated that structured transition planning significantly predicts higher postsecondary earnings, while integrated, paid work experiences contribute to greater employment stability and wage progression over time. Institutional differences shape employment trajectories, underscoring the need to evaluate programmatic factors influencing postsecondary outcomes. Limitations include institutional variability in data reporting, unmeasured confounding variables, and the specificity of the sample to FPCTPs in one state. Program implementation differences and regional labor …

Florida Title I School Principals' Characteristics And Practices In Professional Learning As Related To Student Reading Achievement, Sarah K. Hall

Graduate Thesis and Dissertation post-2024

This study explored the relation between Florida’s Title I elementary school principals’ characteristics and how they design professional learning with student reading achievement. This study used Descriptive Statistics, Spearman’s Correlation, Independent Samples T-tests, Pearson’s Correlation, and ANCOVA to explore the relation between 259 of Florida’s Title I public elementary school principals’ characteristics (years of experience, number of state reading certifications, degrees, and level of autonomy) and how they design professional learning with student reading achievement. The research design was quantitative and correlational. Data was collected from 58 districts through a piloted survey using parametric sampling. A statistically significant difference was …

The Impact Of Social And Political Capital On Black Male Educational Leaders Lived Experiences With Hiring Practices: A Convergent Parallel Mixed Methods Descriptive Study, Travis L. Brown

Graduate Thesis and Dissertation post-2024

According to Woodson and Pabon (2016, as cited in Bass, 2020) Black males represent less than 2% of the US public education workforce. This is concerning considering that many schools across the nation are becoming increasingly diverse. Scholars such as Bass (2020) have even cited that classrooms “may never completely rebound” (p. 356) from finding Black men to fill vacant teaching positions which could ultimately lead to a career in educational leadership. filling classrooms with available Black men in the profession. This study employed a convergent parallel mixed method design within a descriptive research framework to examine the impact of …

Multilevel Network Governance For United Nations Sustainable Development Goals: The Role Of European Subnational Entities In Urban Resilience, Hasan Isgandar

Graduate Thesis and Dissertation post-2024

This dissertation investigates the role of subnational actors in European Union (EU) multilevel governance networks focused on reducing urban poverty and achieving the United Nations Sustainable Development Goals (SDGs). Focusing on the SDG #1 (No Poverty), SDG #11 (Sustainable Cities and Communities) and SDG #17 (Partnerships for the Goals) it examines the participation and impact of subnational actors in two case studies: Naples, Italy and Krakow, Poland. Using Social Network Analysis (SNA), the research investigates the configuration and performance of the networks created within the framework of the URBinclusion projects, which are part of the URBACT and Urban Innovative Actions …

Comparing Experiences In Medication-Assisted Recovery Anonymous (Mara) Versus 12-Step Groups: A Qualitative Study, Rachel Totaram

Graduate Thesis and Dissertation post-2024

The United States continues to face an opioid epidemic, with over 80,000 opioid overdose deaths reported in 2023. Although medications for opioid use disorder (MOUDs) are effective treatments for opioid use disorder (OUD), stigma remains a major barrier to their adoption. People taking MOUDs often feel stigmatized within traditional 12-step peer support groups like Alcoholics Anonymous or Narcotics Anonymous (AA/NA), potentially harming the recovery process. Medication-Assisted Recovery Anonymous (MARA) was recently developed as an alternative 12-step support group explicitly open to people using MOUD.

This qualitative mixed methods study retrospectively examines how MARA meetings differ from AA/NA meetings, based on …

Health Behavior In A Culture-Driven Society: Using Mixed Methods Research To Examine Medical Pluralism In Zimbabwe, Stephen Mhere

Graduate Thesis and Dissertation post-2024

This dissertation examined the role of cultural influences on health-seeking behaviors and healthcare choices among Zimbabweans, focusing on medical pluralism – where individuals simultaneously access traditional, faith-based, and allopathic medical systems. It applied the PEN-3 Cultural Model to examine Cultural Identity, Relationships and Expectations, and Cultural Empowerment. Using a convergent parallel mixed-methods design, data were collected via a Shona-language survey on WhatsApp. Multiple choice, closed-ended, and open-ended survey questions were texted to participants, and they responded by text or audio messages. Response data were collected from 137 study participants. Multinomial logistic regression was used for quantitative data analysis, while deductive …

Teacher Retention And The Disabilities-To-Prison Pipeline, Angela P. Mccloud-Bond

Graduate Thesis and Dissertation post-2024

There is an overrepresentation of individuals with disabilities in the criminal and juvenile justice systems. Similar to the commonly known School-to-Prison Pipeline, Christoper Mallet has coined the term the Disabilities-to-Prison Pipeline to refer to this growing problem. Research has not yet determined how individual variables at the school or district levels lead to the expansion of the Disabilities-to-Prison Pipeline. Mallot (2021) presented three possible hypotheses to explain the expansion of this phenomenon: the differential treatment hypothesis, the school failure hypothesis, and the susceptibility hypothesis. There is a significant gap in the literature that focuses specifically on the differential treatment of …

The Effect Of Four Vocabulary Tasks On The Initial Learning And Retention Of Formulaic Language: The Case Of Phrasal Verbs, Eman Barri

Graduate Thesis and Dissertation post-2024

The quasi-experimental study investigated the effect of four vocabulary tasks on the learning and retention of English phrasal verbs (PVs). University Intensive English Program students (91) completed one of the following tasks: One Fill-in-the-Blank, Three Fill-in-the-Blank, Sentence Writing, and Composition Writing. Their knowledge of eight target PVs was measured using a modified vocabulary knowledge scale at three points: pretest, immediate posttest, and delayed posttest (two weeks later). A mixed factorial ANOVA revealed a significant interaction between task and time. Follow-up repeated-measures and one-way ANOVAs showed that the Three Fill-in-the-Blank produced the highest scores on both posttests. Consistent with findings on …

Eating Disorder Patient Experiences With Best Practices During Psychiatric Treatment: An Exploratory Sequential Mixed Methods Study, Pamela L. Dow

Graduate Thesis and Dissertation post-2024

Eating disorders are among the deadliest mental health disorders and represent a significant financial burden to the U.S. healthcare system. However, little is known about eating disorder patients' experiences during psychiatric treatment. Informed by the Picker Principles of Person-Centered Care and recommendations from the American Psychiatric Association, this study explored eating disorder patient experiences with best practices during psychiatric treatment. First, 10 patients were interviewed about their treatment experiences with a psychiatrist. Themes were analyzed using iterative categorization in Dedoose and informed a quantitative survey to examine patient experiences with their psychiatrist performing best practices during eating disorder treatment. The …

Knowledge Kept Or Knowledge Shared? Understanding The Tenure Relationship And The Power Of Knowledge Management In The U.S. Public Workforce, Kristan Avis

Graduate Thesis and Dissertation post-2024

This study examined the relationship between organizational tenure and knowledge hiding behaviors within the U.S. public sector, with a focus on how perceptions of knowledge management systems (KMS) and the relational role of the requestor shape these dynamics. Knowledge hiding, defined as the intentional concealment of knowledge when requested by others, represents a critical barrier to organizational effectiveness, particularly in government settings where collaboration and information exchange are essential. Guided by social exchange theory, the study investigated how employees weigh perceived costs and benefits when engaging in knowledge hiding behavior. A mixed-methods design was employed, integrating quantitative survey data from …

Examining The Impact African American Male Teachers Have On The Math Scores Of Underserved Students, Demetrice Thomas

Graduate Thesis and Dissertation post-2024

This study contributed to a growing body of evidence emphasizing that teacher identity profoundly influences not only how students learn but also how they perceive themselves and their potential. As Gershenson (2022) noted, “Black teachers provide benefits to all students, fostering higher achievement and stronger aspirations,” highlighting the essential role of diverse educators in shaping student success. Consistent academic gains observed among students taught by African American male teachers reinforce the urgent need for educational systems to prioritize equity not only in student outcomes but also in diversifying the teaching workforce. Despite African American male teachers comprising less than 2% …

Longitudinal Analysis Of Skilled Nursing Facilities Outcomes And Patient Populations And The Participation In The Bundled Payments For Care Improvement Model 3 Initiative, Adam Reres

Graduate Thesis and Dissertation post-2024

The Bundled Payments for Care Improvement Model 3 initiative was a pilot program that tested how post-acute care, particularly in skilled nursing facilities in attempts to improve efficiency in healthcare delivery using an alternative payment method called bundling.

This study explores how structural and performance characteristics of skilled nursing facilities relate to participation in BPCI Model 3 initiative, with particular attention to how these factors may influence outcomes, patient population, and participation decisions over time. By examining national data across two time points, the study aims to assess whether an alternative payment model can prompt changes in care delivery, patient …

Fluidity In Structure: Balancing Form And Freedom, Tyler Stevens

Graduate Thesis and Dissertation post-2024

In our postmodern society, there is a natural urge to want to decentralize the metanarratives that make up the standards and structures of defined aesthetics within the theatre landscape. This urge poses a potential threat to the authenticity of the dramatic context, encouraging performers to create narratives outside of the text. This led me to investigate how theatre artists can strike a balance between creative exploration and authenticity of context, of form and freedom. In seeking a way to engage with the effects of postmodernism in the theatre, I follow Hans-Theis Lehmann’s Postdramatic Theatre to a dead end and must …

Queering The Queer Bildungsroman: Literature Of Aids, The Rhizome, And Rat Bohemia, Emma Tolliver

Graduate Thesis and Dissertation post-2024

The advent of the bildungsroman with Johann Wolfgang Von Goethe’s Wilhelm Meister’s Apprenticeship was a seminal moment in literature. From that point onward, the genre, which would come to be known as the “coming-of-age” novel, evolved and as such developed a variety of subgenres. This thesis focuses on the queer bildungsroman, a subgenre which has been dubbed the “coming-out” novel. Through Judith Butler’s work, I conceptualize genre as gender. Additionally, I utilize the Deleuzian concepts of the rhizome, becoming, and minor literature along with literature of AIDS to argue that the queer bildungsroman is not solely the coming out novel. …

Not Just Playing Pretend: Story Drama As Queer And Humanist Praxis, Julia Veiga

Graduate Thesis and Dissertation post-2024

While conventional story time typically involves passive listening and enforced stillness, Story Drama transforms the storytelling experience into a participatory process where children use their voices, bodies, and imaginations to shape the narrative collaboratively. Indeed, Story Drama, combined with queer and humanist learning theory, fosters an inclusive, student-centered environment where youth practice critical thinking, problem-solving, and self-realization. Using the techniques of Story Drama transforms storytelling into a tool for cultivating socially engaged, independent learners, encouraging critical thinking and activism by nurturing empathy, community awareness, and creative agency from an early age.

This thesis explores the reimagining of traditional storytelling practices …

Cigarettes, Flesh, & Other Cravings, Gabrielle F. Decker

Graduate Thesis and Dissertation post-2024

Cigarettes, Flesh, & Other Cravings is a collection of short stories that explores themes of motherhood, death, and desire. Each character struggles with the friction between society's expectations and their desires for happiness, all through the lens of the surreal and the absurd. A destructive raccoon’s nightly visits unravel a woman’s sense of control. A teenager begins an internship with a conspiracy-obsessed clown. A minuscule old woman tumbles out of a chicken egg. A fissure in a kitchen floor births an imp. A Choose Your Own Adventure examines the illusion of choice. In Hell, torture is personalized. Cigarettes, Flesh, & …

The Multifaceted Roles Of Propionic Acid In Autism Spectrum Disorder And Crohn’S Disease, Piotr P. Lagod

Graduate Thesis and Dissertation post-2024

Short chain fatty acids (SCFAs), including propionic (PPA) and butyric (BA) acid, exert a variable and organ-specific effect on the body. They are by-products of human microbiota metabolism and are often used as a food preservative. Studies have shown that PPA and its producers are elevated in autism spectrum disorder (ASD) patients and their mothers. Our lab previously demonstrated that PPA alters neural stem cell differentiation in favor of glia. In this work, we utilized an in vivo mice model, in which dams and their offspring were fed a PPA-rich diet. In the brain, we observed a significant increase in …

High-Efficiency Micro-Display Light Engines, Yizhou Qian

Graduate Thesis and Dissertation post-2024

Augmented reality displays, which integrate digital information with environmental backgrounds, are emerging in our daily lives. To ensure readability under outdoor environments with intense ambient light, AR displays must achieve high luminance levels suitable for human visual perception. However, severe light leakage in waveguide couplers and significant losses during exit pupil expansion limit the overall system efficiency to approximately 4%, requiring the light engine to reach luminance levels over one million nits. In addition, to match visual acuity while keeping a compact light engine size (< 1cc), full-color pixel pitch must be below 4 µm. This dissertation is devoted to addressing the possibility of existing light engines to meet these demanding requirements.

In Chapter 2, we comprehensively analyze the power consumption of existing commercial light engines …

Ethical Concerns And Consumer Perceptions Of Fairness In Gamified Customer Loyalty Programs, Shelley Maccini

Graduate Thesis and Dissertation post-2024

Business organizations use customer loyalty programs as marketing tools by providing incentives for consumer behaviors, which generate customer engagement value for the business. Customer loyalty programs typically use game mechanics common to digital gaming in order to motivate behavior, often referred to as gamification. While studies of gamified programs used for education and training purposes appear frequently in the literature, a gap exists in exploring gamified programs used in a marketing context. This dissertation seeks to understand how consumers view the use of gamified customer loyalty programs as fair under the frameworks of justice. This exploratory study employed a mixed …

Designing Immersive Educational Experiences: An Exploration Of Animal Attractions And Exhibits To Create A National Park Themed Experience, Sarah G. Merrill

Graduate Thesis and Dissertation post-2024

This thesis analyzes the disconnect between immersive environmental storytelling and conservation education at animal attractions. How can designers create immersive educational experiences that engage audiences? Can environmental narrative practices be applied in a new way to develop effective conservation and wildlife education? A literature review assists in defining immersion, discovering the evolution of Modern Zoo design as an immersive experience, and evaluating conversation education in animal facilities. When combined with educational techniques, immersive habitat design improves guest engagement and informal conservation learning outcomes in zoos and animal-related experiences. Using Scott Lukas’ theming and immersion modes, three attractions are analyzed as …