Digital Commons Network^™

Annual Report Town Of Barnstead, New Hampshire Comprising Those Of The Selectmen, Fire Wardens, Fire Department, Trustee Of The Trust Funds, Treasurer, Tax Collector, Town Clerk, Police Department, Highway Department, Other Departments, Committees, And Commissions Year Ending December 31, 2025, Barnstead Town Representatives

Barnstead, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

Implementing Impact Data Collection And Program Evaluation In A Nonprofit, Jamie Devellis

OTD Capstones

This doctoral capstone highlights a gap between data collection practices and nonprofits, which impacts participation rates of children experiencing poverty. This gap is an issue for nonprofits because stakeholders and donors are more likely to fund organizations that can provide impact data about their services. This capstone addresses that gap through creating and implementing data collection and program evaluation for a grassroots nonprofit that funds enrichment programs for children experiencing poverty in southeastern Massachusetts. Data collected found that the program has a positive effect on the children and families of whom they serve that surpass their main goal of building …

Breaking The Boom-Bust Cycle: Supporting Pediatric Fatigue And Participation After Hsct Using The 5-Pet And Caregiver Education, Annelie Claire Kershaw

OTD Capstones

Pediatric patients recovering after hematopoietic stem cell transplant (HSCT) often experience persistent fatigue, physical deconditioning, cognitive changes, and decreased participation after discharge. Fatigue is complex and multidimensional, making it difficult for children to understand, communicate, and manage as they return to school, play, social activities, and daily life. Occupational therapists are well positioned to support participation, activity pacing, caregiver education, and health management for children recovering after HSCT.

This capstone project addressed the need for developmentally appropriate fatigue management resources through the creation of multiple deliverables. The primary deliverable was the 5-Zone Pediatric Energy and Fatigue Scale (5-PET), which is …

Covering The Care: The Fourth Trimester, Susy Hawes

All Materials

The weeks following the birth of a baby are often described as a time of extremes: profound joy paired with deep exhaustion, vulnerability, and adjustment. For birthing people, this period involves physical recovery from childbirth, dramatic hormonal shifts, disrupted sleep, learning to feed and care for an infant, and navigating major emotional changes. While some new parents have strong support systems, others face isolation, housing instability, or unsafe home environments. This critical 12-week period after birth is now widely known as the “fourth trimester.” Although the language is new, the reality is not. Across cultures and history, the postpartum period …

Town Of Gilmanton Annual Reports Of The Officers, Trustees, Agents, Committees, And Organizations Of The Town Of Gilmanton, New Hampshire For The Year 2025, Gilmanton Town Representatives

Gilmanton, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

Seeing Success Through Functional Vision: Screening, Education, And Intervention Within Mtss For Kindergarten Students, Falynne Marie Rzezuski

OTD Capstones

Visual skills are essential for participation in early academic tasks including reading, writing, classroom engagement, and learning. However, functional vision difficulties often go unrecognized in kindergarten students, potentially affecting their academic performance and ability to learn within educational settings. The purpose of this capstone project was to develop and pilot a functional vision screening tool and program using a multi-tiered system of supports (MTSS) framework for kindergarten students. A literature review informed the development of the project, including the creation of the functional visual screening tool, integration within MTSS, Tier 1 and Tier 2 interventions, and educational resources for educators …

Ai And The Illusion Of Knowledge? How Ai-Assisted Searching Affects Confidence And Curiosity, Kara E. Dudley

UNH URC Open (2026 and after)

With the rising worldwide adoption of artificial intelligence (AI), there is a pressing need to investigate how AI affects human cognitive abilities. Prior research has looked at how using the Internet to search for answers to questions leads to overconfidence in one’s explanatory abilities. In the present set of studies, we examine how using AI to search for answers affects an individual’s confidence in their explanatory abilities, as well as their curiosity about answers to questions. The first study consisted of 223 college students from the University of New Hampshire, while the second study consisted of 290 participants from the …

An Evidence-Based Approach To Standardizing Occupational Therapy Services For Functional Neurological Disorder: Protocol Development And Provider Education, Kimberly Yuen

OTD Capstones

Functional Neurological Disorder is a complex neurological condition that continues to be misinterpreted and stigmatized by healthcare practitioners. Occupational therapists play a vital role in the care team for an individual with FND, as their scope of practice helps to empower individuals with this condition to return to daily, meaningful occupations. However, there remains a lack of evidence-based protocols and resources for occupational therapists to utilize when treating functional neurological disorder (FND), resulting in minimized confidence and understanding of how to treat this population. This capstone project addressed these concerns through the creation of multiple deliverables to help improve clinician …

Preparing For Change: Supporting Dementia Transitions Through Occupational Therapy And Caregiver Education, Kelly Ann Mooney

OTD Capstones

This capstone project focused primarily on supporting caregivers of individuals living with dementia within a continuing care retirement community (CCRC). Caregivers of spouses with dementia often experience increased burden, stress, and difficulty navigating the transition from independent living to higher levels of care. Guided by principles of occupational therapy, this project aimed to enhance caregiver knowledge, confidence, and overall well-being through the development and implementation of targeted educational resources and support strategies. 

Interventions included the creation of evidence-based educational handouts addressing common challenges for caregivers such as activities of daily living (ADLs), sleep, mealtime, and behavioral changes. Additionally, a structured …

Gendered Coverage In Sports Media: An Analysis Of Espn’S Representation Of Women’S Sports, Abigail C. Leonard

Honors Theses and Capstones

Despite growing participation in women’s sports, media coverage continues to reflect significant gender disparities. This thesis examines how ESPN, as a leading sports media network, contributes to the construction of gendered narratives through its coverage of women’s sports and female athletes. Drawing on framing theory, agenda-setting theory, and social identity theory, this study analyzes headlines, visuals, language, narratives, and broadcast patterns to explore how meaning is constructed in sports coverage.

The findings suggest that while coverage of women’s sports has increased, it often remains positioned as secondary to men’s sports. Female athletes are more frequently described using language that emphasizes …

Exploring Biopsychosocial Influences On Hookup Culture And Disrupting Compulsory Behaviors In Emerging Adults: A Multidisciplinary Analysis Of A Contemporary Public Health Concern, Catherine Benjamin

Honors Theses and Capstones

Multidisciplinary analysis, including biology, psychology, and sociology, to better understand the compulsory Hookup Culture that exists as a contemporary public health concern among the age group defined as emerging adults. Sexually Transmitted Infections (STIs) diagnoses are steadily rising in the United States and disproportionately affecting college students. Early socialization and current educational resources that contribute to shame and stigma are discussed to explain how lifestyle and social conditions can act as risk factors for individual health outcomes.

Ethical Considerations For Hospice Patients In Inpatient Settings: A Systematic Review And Thematic Analysis, Matthew D. Harry

Honors Theses and Capstones

Hospice care is intended to prioritize comfort, dignity, symptom management, and quality of life for individuals with life-limiting illness. However, when hospice-eligible patients are managed within inpatient hospital settings, significant ethical challenges frequently emerge due to the tension between comfort-focused care and the curative, intervention-driven structure of acute care medicine. This paper presents a systematic literature review and thematic analysis examining the ethical considerations surrounding hospice patients in inpatient settings, with particular attention to clinical decision-making, communication, prognostic uncertainty, moral distress among nurses, and conflicts involving patient autonomy and family wishes. A structured review of peer-reviewed literature was conducted using …

Political Media Hesitancy And Avoidance In College Students, Taylor Mandile

Honors Theses and Capstones

No abstract provided.

Hey, Siri: How Companionate Ai Usage Affects Social Satisfaction And Personal Intelligence, Ryan E. Moran, Marley Ireland

Honors Theses and Capstones

Artificial intelligence is a field that is growing and changing faster than humanity can keep up. While part of the population is benefiting from its unmatched diagnostic power, increased productivity in school and in work, and even its surgical and therapeutic contributions, others are filing lawsuits based on claims that an AI chatbot was a key factor in the mental health crisis of someone they loved. Research has found that reliance on these AI-generated conversational agents can lead to social withdrawal, unrealistic relationship expectations, addictive tendencies, and, in the worst cases, increased or encouraged suicidal ideations, especially in vulnerable populations. …

Stress And Reward Interactions In Substance Use Disorder: An Evolutionary Mismatch Framework, Nicholas L. Castrucci

Honors Theses and Capstones

Substance use disorder (SUD) is a major public health concern characterized by compulsive substance use despite adverse consequences. While contemporary models emphasize biological, psychological, and environmental contributors, stress- and reward-related systems are often examined in isolation. This review integrates these systems within an evolutionary mismatch framework to examine how chronic stress exposure and repeated substance use increase vulnerability to addiction. Stress and reward systems are evolutionarily conserved but may become chronically dysregulated under modern conditions characterized by persistent psychosocial stressors and highly potent rewarding stimuli. This is associated with converging neuroadaptations across stress and reward circuitry, resulting in altered affective …

Phonetics And Orthography In French: A Proposal For A New Course, Kyara A. Crespo Gutierrez

Honors Theses and Capstones

No abstract provided.

Examining The Effectiveness Of Housing First Models On Transitional-Aged Youth Experiencing Homelessness: A Systematized Review, Cadyn Golisano

Honors Theses and Capstones

Abstract

Purpose: The purpose of this review is to examine the outcomes of Housing First (HF) programs or models for transitional-age youth (TAY) experiencing homelessness. Specifically, this review aims to synthesize existing evidence on how Housing First influences housing stability and over-all wellbeing for young adults ages 18-25. By evaluating the effectiveness of these programs within this specific population, the review seeks to identify key benefits, limitations, and gaps in the current literature to inform future practice, policy, and research. The following research question was utilized to guide this paper: How do Housing First principals and interventions impact housing stability …

Preserved Artificial Grammar Learning In Individuals With Parkinson’S Disease: A Systematic Review, Sarah I. Cranna

Honors Theses and Capstones

Abstract

            Implicit statistical learning is a crucial cognitive function that is highly involved in the learning and processing of language. Since both language and implicit statistical learning are supported by the basal ganglia through cortico-striatal networks, disruptions to this network could result in their impairment. Parkinson’s Disease (PD) can therefore be used to model disruptions to this system as it is primarily characterized by dysfunction in the basal ganglia. Thus, this review aims to examine the current literature studying the performance of individuals with PD on artificial grammar tasks in order to investigate the impact of impaired basal ganglia function …

After The Impact: Balance Function In Women With Repeated Concussions, Caroline M. Stack

Honors Theses and Capstones

Balance deficits following repeated mild traumatic brain injuries are well documented, yet research examining the delayed outcomes specifically in college-aged women remains limited. The present study investigated whether women with a history of two or more mTBIs exhibit lasting balance impairments compared to women with zero or one prior mTBI, tested at least six months after their most recent injury. Thirty-four English-speaking women (ages 18-30) recruited from the University of New Hampshire were assigned to a repetitive mTBI group or a control group. Balance was assessed using the Balance Error Scoring System and a MetaMotion inertial measurement sensor positioned on …

Mindfulness Matters: Reducing Anxiety In Prelicensure Undergraduate Nursing Students Using Virtual Reality Meditation Prior To High Fidelity Simulation., Lindsey K. Hildreth

Honors Theses and Capstones

Abstract:

The aim of this study was to evaluate the effectiveness of a 5-minute virtual reality (VR) meditation intervention in reducing self-reported anxiety among prelicensure nursing students immediately prior to their participation in a high-fidelity clinical simulation. Anxiety levels were measured using a Visual Analog Scale (VAS) and compared between students who participated in the VR meditation intervention and those in a control group receiving standard prebrief, and no VR meditation. It was hypothesized that students who engage in VR meditation would demonstrate a reduction in anxiety compared to students in the control group.

Novel Socially Assistive Robot For Alzheimer's And Dementia Home Care; Lived Experiences Of Families, Audrey V. Downs

Honors Theses and Capstones

Informal caregivers for individuals with Alzheimer’s disease and related dementias (ADRD) typically experience high levels of subjective caregiver burden due to strenuous role demands, notably the need to provide frequent reminders and 24/7 monitoring to address care recipient cognitive decline. The purpose of this study was to understand the lived experiences of informal caregivers using a novel Socially Assistive Robot (SAR) to care for individuals with ADRD in a home setting and evaluate SAR impact on caregiver subjective burden. SARs are autonomous, interactive devices that can provide timed reminders and monitor home environments, potentially alleviating some caregiver role demands and …

Perception Of Posed And Naturally Occurring Emotion Expressions In Close Friendships, Kaitlyn M. Mcmullen

Doctoral Dissertations

While relationships are critical to our daily emotional lives, the limited research on emotion perception among close friends presents inconsistent evidence concerning whether differences exist between close friends and strangers. The present work examined the ways in which familiarity between close friends’ shapes emotion perception. In Study 1a, expressors provided both naturally occurring and dynamic posed emotion expressions for seven emotion categories (anger, sadness, fear, disgust, happiness, surprise, and neutral) in order to develop a stimulus set where the stereotypicality of the expressions varies within-subjects. In Study 1b, a self-identified close friend of each expressor viewed and rated the expressions …

The Garden Of The Machine: Simulated Wildness And Digital Domestication In American Literature 1970-2020, Cameron Netland

Doctoral Dissertations

Studying American literature produced during the Information Age, from 1970 to 2020, reveals an evolution of wild human resistance to the increasing powers of digital technology. These increasing powers include capturing attention, fostering dependence, and training behavior through a process I call digital domestication. Digital domestication distances people from wildness, and as William Cronon writes in “The Trouble with Wilderness”, “Learning to honor the wild—learning to remember and acknowledge the autonomy of the other—means striving for critical self-consciousness in all of our actions.” (20). Through this framework of wildness, one reads characters in fictional narratives resisting non-coercive new technologies as …

Temporal Distribution Of Emotional Experiences Across The School Years, Mikaela Grace Newman

Doctoral Dissertations

Prior research has shown that when, in response to emotion prompts, participants either estimate the likely timing of certain life events for a hypothetical person or provide events from their own lives, a disproportionate number of memories accumulate at particular, relevant ages. Other research has shown that memories of school are important for the self-concept and that these memories tend to have a strong emotional component. Inspired by both lines of work, this research sought to elucidate any strong emotion-school year associations, investigating estimates of hypothetical school year memories and real school year memories. Strong school bumps for pride, excitement, …

Development Of An Educational Toolkit For Clinical Staff At Little Rivers Health Care To Guide Shared Decision Making For The Expanded Age Range Of The Hpv Vaccine, Maureen B. Boardman

DNP Scholarly Projects

BACKGROUND: The Human Papillomavirus (HPV) is the most common sexually transmitted infection (STI) in the United States (CDC, 2024). Unlike other common STI's, persistent infection with HPV increases the risk of cancer. A Human Papillomavirus (HPV) vaccination was approved in the United States in 2006 for girls and women aged 9 to 26 and in 2009 it was approved for boys and men in this same age range. Despite 20 years of data on the efficacy and safety of the HPV vaccine, rates of completed HPV vaccine series remain low. In 2019 the Advisory Committee on Immunization Practices (ACIP) expanded …

Nurse Leader Burnout: Exploring Ways To Improve Wellness And Resilience, Kimberly Leger Kenney

DNP Scholarly Projects

BACKGROUND: Burnout among nurse leaders is a growing concern, driven by increasing workload, operational demands, and challenges with work-life balance. Addressing burnout is critical to maintaining stability within the leadership team and to delivering high-quality patient care.

LOCAL PROBLEM: Prior to the development of the QI proposal, engagement survey results showed scores 0.11 points below the benchmark in leadership responsiveness, and more than 50 nurse leader positions have turned over in the past 5 years. The specific aims of this project include: 1. 75% of nurse leaders report that they would implement an activity from the toolkit. 2. Fewer than …

Reducing Healthcare Provider Stigma Toward Opioid Use Disorder: Evaluating An Asynchronous Multimedia Training In Primary Care, Ashley M. Holmes

DNP Scholarly Projects

Background: Stigmatizing attitudes among healthcare providers toward individuals with opioid use disorder (OUD) represent a critical barrier to care, treatment retention, and equitable healthcare utilization.

Local Problem: A primary care practice in Lewiston, Maine, serving a medically underserved region heavily impacted by the opioid crisis. Community Health Needs Assessment identified healthcare provider stigma and treatment access gaps as primary obstacles to OUD in this county.

Methods: Utilizing a Plan-Do-Study-Act (PDSA) quality improvement framework, an asynchronous, multimedia-driven educational curriculum was implemented among primary care clinicians (N = 7 invited; n = 4 completed). A mid-stream pivot from an in-person to asynchronous …

Improving Depression And Anxiety Reassessment In Patients With Type 2 Diabetes In Telehealth Obesity Care, Alyshia M. Casella

DNP Scholarly Projects

Background. Depression and anxiety are common among adults with type 2 diabetes and obesity, yet one-time intake screening may not identify symptoms that emerge or change during treatment. Local Problem. Within a telehealth obesity care program, PHQ-9 and GAD-7 screening occurred at intake, but no standardized reassessment process existed. Methods. A single Plan-Do-Study-Act cycle evaluated electronic PHQ-9 and GAD-7 reassessment among adults with type 2 diabetes and obesity. The primary outcome was reassessment completion, with a prespecified feasibility target of at least 20%. Paired symptom changes, clinical and safety triggers, and follow-up were also evaluated. Intervention. A one-time electronic reassessment …

Utilizing A Mobile App To Enhance Patient Engagement & Self-Efficacy Of Adults With Type 2 Diabetes In Primary Care: A Quality Improvement Project, Melissa Ann Donais

DNP Scholarly Projects

Abstract

Background: Diabetes is a common condition encountered in primary care and requires significant attention to lifestyle factors to be properly managed. The primary care provider may lack the time needed to assist the patient with self-management strategies to improve glycemic control. Mobile applications may be a tool that the primary care provider can use to help improve diabetes self-efficacy and patient engagement.

Theoretical Framework: The Mountain Model guided this quality improvement (QI) project by providing a framework to translate research into clinical practice. The Mountain Model bridged the gap between research and the standard of care in this practice. …

Emotional Complexity In Context: Within-Person Variability In Emotional Granularity, Emotion Covariation, And Emodiversity, Kristen Diann Petagna

Doctoral Dissertations

Key features of emotional complexity include emotional granularity, the ability to identify feelings with precision; emodiversity, the number and evenness of different emotions experienced; and emotion covariation, the tendency to experience positive and negative emotions independently. Prior work has largely treated these features as trait-like. This dissertation examines whether these features are dynamic by investigating how they vary within individuals over time and across contexts. In Chapter 2, participants (N =123) reported their emotions multiple times a day for 6 weeks and completed biweekly assessments of mental health symptoms. Emotional granularity and covariation increased over time, whereas emodiversity decreased, and …