Digital Commons Network^™

Facilitating Conditions And Gender Gaps: Predicting Intention To Adopt Digital Education Resources Among Teachers, Bijaya Shrestha, Virginia Clinton-Lisell

Education, Health & Behavior Studies Student Publications

This study examined factors shaping school teachers’ intention to adopt Digital Educational Resources (DER) in Kathmandu Valley, Nepal, based on the Unified Theory of Acceptance and Use of Technology (UTAUT). Factors included were performance expectancy, effort expectancy, social influence, facilitating conditions, and behavioural intention. Fifty-six (56) teachers completed an online survey measuring those factors. Among all the factors, facilitating conditions were the marginally significant positive predictor of behavioural intention to adopt DER. Male teachers reported marginally higher behavioural intention (p =.05) to adopt DER compared to female teachers. However, gender was not a significant moderator in relationship between behavioural intention …

One-On-One Vs. Group Health Coaching: Impact On Weight, Knowledge And Well-Being., Julie Nelson

Nursing Capstones

This DNP scholarly project completed a retrospective review, comparing the effectiveness of one-on-one versus group-based health and wellness coaching in improving outcomes related to weight loss, health knowledge, and participant perceptions of well-being. The project reviewed existing, de-identified data from adults who previously completed a coaching program focused on healthy behavior change. Coaching was delivered in either a group or one-on-one format, and outcome measures included changes in weight, knowledge of healthy behaviors, and participant reported impressions of overall health and wellness. The aim of the project was to determine if the delivery method of coaching impacts outcomes, thus informing …

Spring Undergraduate Commencement: May 16, 2026, University Of North Dakota

UND Commencement Programs

UND Spring Undergraduate Commencement program from May 16, 2026.

Spring Graduate School Commencement: May 16, 2026, University Of North Dakota

UND Commencement Programs

UND Spring Graduate School Commencement program from May 16, 2026.

Prognostic Predictors Of Developmental And Functional Outcomes In Children With Global Developmental Delay: A Retrospecive Chart Review, Rachel Lynne Kuechle, Sadie Elizabeth Olson, Eliana Hazel Parks, Hailee Lynn Schauer, Mara Marie Vannyhuis, Audrey Elizabeth Whitman

Physical Therapy Scholarly Projects

Background and Purpose: Global developmental delay (GDD) is a broad, global disorder in which children do not reach the appropriate gross and fine motor milestones as expected for their age. GDD’s impact can extend beyond motor skills to include speech and language development, cognitive abilities, social and personal skills, and ADL’s. This study aims to investigate the prognostic predictors of developmental and functional improvement of children with GDD. Our study also examines how the prognosis of children diagnosed with GDD will be affected based on therapeutic intervention in order to offer evidence-based recommendations to support children with GDD and their …

Cardiovascular Health Outcomes In Senior Athletes: A Comparative Study Of Pickleball And Other Recreational Sports, Breana Alise Tretter, Lynsay Leilani Benson, John Thomas Polejewski, Jeremiah Sanders Talley

Physical Therapy Scholarly Projects

Background and Purpose: Pickleball has grown rapidly in popularity among older adults and is often promoted as a beneficial form of exercise for cardiovascular health. The purpose of this study was to evaluate whether senior athletes who participate in pickleball exhibit significantly better cardiovascular fitness compared to peers participating in other sports at the North Dakota Senior Games.

Methods: The data was collected through the Sustained Athlete Fitness Exam (SAFE), a multi-component fitness screening conducted by the University of North Dakota’s Physical Therapy Department. The screening included assessments of vital signs, body mass index (BMI), and mobility. Participants voluntarily enrolled …

Exploring The Impact Of Gut Dysbiosis In Osteoarthritis And The Potential Role Of Microbiota Modulation, Hayden Washatko

Physician Assistant Scholarly Project Papers

Osteoarthritis (OA) is a leading cause of disability among older adults worldwide, characterized by pain, swelling, reduced range of motion, and declining physical function. Current treatments are largely symptomatic rather than disease-modifying and include NSAIDs, acetaminophen, corticosteroid injections, and, ultimately, joint replacement. Emerging evidence suggests a possible link between gut microbiota composition and joint health through the gut-joint axis, whereby gut dysbiosis may increase intestinal permeability, allowing proinflammatory mediators to enter systemic circulation and contribute to synovial joint inflammation. The purpose of this literature review was to examine the potential role of prebiotic and probiotic supplementation in the management of …

Efficacy Of Exercise For Prevention And Treatment Of Postpartum Depression, Benjamin Zimmel

Physician Assistant Scholarly Project Papers

Postpartum depression is a prevalent issue affecting women following pregnancy. Symptoms not only have a significant effect on the health of the mother but also affect their ability to care for their child. Current prevention methods focus mainly on screening at routine visits, whereas treatment often includes psychotherapy and/or antidepressants. Although exercise has been shown to have benefits to the physical health of pregnant women, the benefits to mental health are not yet established. This literature review aims to explore the effectiveness of exercise for the prevention and treatment of postpartum depression. The electronic databases PubMed and ClinicalKey were searched …

Effects Of Exercise Of Cognitive Development In Young Children, Hannah Schlomann

Psychology Student Publications

This paper examines the relationship between physical activity and cognitive development in young children ages 0-5. Increased tablet time and sedentary behavior is becoming common for young children. This paper examines the effect of four categories of movement including screen based sedentary behavior, non-screen based sedentary behavior, light physical activity, and moderate to rigorous physical activity, as well as the effects of motor ability on cognitive development.

Illness, Isolation, And The Fight For Dignity In 1930s North Dakota, Ali Thykeson

History Hawks: A North Dakota History Zine

Behind the Walls of San Haven explores life at North Dakota's tuberculosis sanatorium in the 1930s. Through patient letters, archival photographs, and historical research, the zine reveals how medical practices, public attitudes, and state policies shaped the experiences of those confined to the institution. It highlights the human stories behind San Haven and the reforms that emerged from its challenges.

The Role Of Ot In Enhancing Mental Health Outcomes For Primary Care Patients, Amorelle Upton

Occupational Therapy Capstones

Purpose. Primary care settings often serve as the first point of contact for individuals experiencing mental health concerns. However, occupation-based and function-focused interventions remain underutilized in these settings. The purpose of this Doctoral Experiential Capstone (DEC) was to implement an Occupational Therapy Mental Health Toolkit designed to support holistic and integrative mental health care in primary care settings.

Methods. This project was guided by the ecology of human performance (EHP) model. Methods included a literature synthesis, development of a Memorandum of Understanding (MOU) and structured learning objectives, contextual needs assessment through stakeholder collaboration and site observation, and a product design, …

Supporting Reentry: An Occupation-Based Approach, Savannah B. Ullyott

Occupational Therapy Capstones

Introduction: Individuals transitioning back into the community following incarceration need holistic care to support a successful reintegration process (National Institute of Justice [NIJ], 2023). There are a variety of supports and barriers to successful reintegration that should be considered when guiding programming for this population, as these individuals often face many challenges when transitioning back into the community (Galletta et al., 2021). Specific supports facilitating successful transitions back into the community includes those of basic or daily needs, often related to housing, employment, transportation, social supports, food security, and access to mental and physical health services (Galletta et al., 2021; …

Early Occupational Therapy Services: Addressing Health Disparities Following Discharge From The Nicu, Ellie Maree Schumacher

Occupational Therapy Capstones

Background and Purpose: One out of ten infants born in the United States are admitted to the Neonatal Intensive Care Unit (NICU); a status that has been directly linked to ongoing infant health disparities and disabilities, requiring continued support and education following discharge (Griffith et al., 2022; National Center for Health Statistics, 2025). NICU graduates and their families work with occupational therapy to address or prevent developmental delays and ensure well-being (Craig, 2018; Riley & de Sam Lazaro 2021).

Methodology: A literature review was conducted to determine the needs of the population and context and include NICU admissions, family needs, …

Caregiver Resources For Children With Sensory Needs, Kennedy E. Reimann

Occupational Therapy Capstones

Purpose: Children with autism spectrum disorder (ASD) frequently experience sensory processing differences that impact participation in daily activities, social engagement, and family routines. These challenges often extend beyond the child, influencing caregiver well-being and overall family functioning. Although occupational therapy (OT) plays a critical role in addressing sensory processing needs through sensory-based interventions and environmental modifications, caregivers often report limited access to clear, practical, and evidence-based resources. The purpose of this scholarly project was to develop caregiver-friendly educational materials that translate sensory-based strategies into accessible and practical tools for everyday use.

Methods: This project was guided by the Ecology of …

Achieving Successful Occupational Performance During Transitions In Eating Disorder Treatment, Elise Kay Ramberg

Occupational Therapy Capstones

Introduction: Individuals with eating disorders experience challenges in occupational engagement that stem from contributing meaning, value, and purpose to occupations that support eating disorder behaviors rather than promote quality of life (Mack et al., 2023). Recovery is highly dependent on the transition between both levels of care and back into the patient’s natural environment. Occupational therapists play an essential role in supporting patients as they transition and learn to re-engage in their lives outside of their eating disorder (Mack et al., 2023). The purpose of this project was to create materials for the occupational therapist to employ with eating disorder …

The Therapy Behind The Tractor: An Occupational Therapists’ Guide For Treating Farmers, Allison Haiby

Occupational Therapy Capstones

Background: Historically, farming is known as a highly laborious job, placing farmers at increased risk for injury. Despite an injury, the farm must continue to be cared for. Although occupational therapy cultivates client-centered care, many therapists have limited knowledge of farming culture and best practice methods to integrate the demands of farming into therapy.

Purpose: The purpose of this scholarly project was to develop an educational guide, Built for the Farm: An Occupation-Based Guide for Therapists Working with Farmers, to support therapists treating farmers. The guide promotes culturally informed, occupation-based strategies to strengthen therapeutic relationships and improve the healthcare experiences …

Mitigating The Effects Of Technology Use In The Classroom: An Occupational Therapy Approach, Hannah E. Ibach

Occupational Therapy Capstones

Background: The average child spends three times the recommended time on technology, which is leading to a wide range of consequences affecting education, such as fine motor, cognitive, and social deficits (Christensen, 2021; McGough, 2021; Qi et al., 2023). Parents and teachers play a crucial role in helping children be prepared for their education, yet many are not aware of the impacts of too much technology use (Srivastava, 2022). Developing strong foundational skills early in childhood is critical for setting the stage for long-term educational success. When skills are nurtured from a young age, children are better prepared to adapt …

Development Of Feed In Context: A Context-Responsive Pediatric Feeding Guide For Rural Practice Guided By The Ecology Of Human Performance Model, Jatin Lee Cranmore

Occupational Therapy Capstones

Background: Pediatric feeding participation is influenced by complex interactions among sensory processing, motor coordination, emotional regulation, caregiver routines, and environmental conditions. When feeding challenges occur, the impact extends beyond nutrition and may limit participation in family routines, school environments, and community activities (St. John et al., 2026; St. John & Ausderau, 2024). Access to specialized feeding services can be particularly limited in rural communities where healthcare workforce shortages and geographic barriers reduce the availability of pediatric rehabilitation services (Tak et al., 2022). Occupational therapy practitioners are uniquely positioned to address feeding participation because occupational therapy practice examines the interaction among …

Optimizing Healthy Aging: A Preventative Approach To Support Community-Dwelling Older Adults, Jada Welke

Occupational Therapy Capstones

Introduction: Healthy aging is a complex and multidimensional process influenced by physical, cognitive, psychosocial, environmental, and lifestyle factors across the lifespan. Increasing evidence from researchers suggests that many health care systems continue to rely on reactive models that address decline only after functional limitations emerge. Preventive interventions initiated in midlife have the potential to significantly influence long-term health outcomes, independence, well-being, and quality of life. As a result, there is growing recognition that multidimensional, proactive screening and intervention should begin earlier, before age-related conditions become clinically significant.

Purpose: The purpose of this scholarly project was to address this need through …

From Play To Pressure: Understanding Early Sports Specialization Through An Occupational Lens, Kiley Jade Washnieski

Occupational Therapy Capstones

Background: Youth sport participation plays a significant role in the daily lives of children ages 6-12 (Lee et al., 2018). Participation in organized sports can offer numerous benefits; however, the expectations surrounding youth sports have evolved over time. Increased emphasis on early specialization has intensified training demands and performance pressures placed on youth athletes during critical developmental years (Brenner et al., 2019). Although occupational therapy is well positioned to address both the physical and psychosocial demands of youth sport participation, the profession’s role within this context remains underexplored (Bulan et al., 2025).

Purpose: The purpose of this scholarly project was …

Enhancing Leisure Opportunities For People With Disabilities In Rural Communities, Joslyn Mary Nordmark

Occupational Therapy Capstones

Purpose. The purpose of this scholarly project was to promote access to leisure opportunities for people with disabilities in rural areas. The author addressed unmet needs among this population considering personal, occupational, environmental, cultural, and socioeconomic factors. The goal was to develop a product that provided opportunities regardless of abilities to promote leisure exploration and participation, social engagement, and life skill development for people with disabilities

Methods. The author conducted a needs assessment through a literature review following the Model of Human Occupation (MOHO), collaborations with site staff, and an on-site observation and environmental analysis. Data was examined to identify …

Introduction Of Occupational Therapy Into A Suburban Supportive Housing Organization, Madeline Kuntz

Occupational Therapy Capstones

Abstract: Unhoused individuals experience compounded barriers beyond housing access and are often underserved within occupational therapy practice. This doctoral capstone project partnered with a nonprofit residential program to develop a research-informed onboarding manual grounded in the holistic occupational therapy framework, Model of Human Occupation (MOHO, O’Brien, 2017). The manual was designed to clarify expectations of the supportive housing program, address diverse resident needs, and promote independence as the organization expands. Development was informed by a comprehensive literature review and informal needs assessment of the organization, identifying anticipatory barriers and supports commonly experienced prior to program entry. Key areas of need …

Empowering Caregivers: An Occupational Therapy-Informed Educational Program For Dementia Care In Rural Communities, Maria Lynn Johnson

Occupational Therapy Capstones

Purpose: Hospitalization presents significant risks for individuals with dementia, including increased behavioral and psychological symptoms (BPSD), delirium, functional decline, and reduced occupational engagement (Boltz et al., 2023; Teichmann et al., 2019; Zwingmann et al., 2020). Acute care environments are often overstimulating, unfamiliar, and task-oriented, which can exacerbate cognitive impairment and contribute to caregiver distress. Despite strong evidence supporting nonpharmacological, occupation-based interventions, structured engagement opportunities are rarely integrated into acute care workflows (Burgdorf et al., 2023; Faeder et al., 2023). This doctoral capstone project aimed to develop occupation-based dementia activities for use during hospitalization while equipping formal and informal caregivers with …

Winter Commencement: December 19, 2025, University Of North Dakota

UND Commencement Programs

UND Winter Commencement program from December 19, 2025.

Dynamics Of The Mind: Factors Of Physical Activity And The Affects That Come From Exercise, Samantha Gruendemann

Psychology Student Publications

This paper explores a deep dive into the benefits of physical activity and exercise. In this piece of literature we look at six studies and sources that give you the advantages of how physical activity affects psychology, the dynamics of movements, and the behavioral aspects of one’s mental health. As research continues to come out over the past decades, we see a positive correlation between health and physical activity (Penedo & Dahn, 2005). Studies still show to this day that moderate physical activity may decrease the risk of many diseases and disorders that you may be genetically adaptable to (Miller …

Of Birds And Beef: Expanding The Knowledge Of Rotational Grazing Systems On Grassland Bird Productivity In North Dakota, Taylor James Linder

Theses and Dissertations

Cattle grazing is one of the main economic contributors driving grassland ecosystem existence across the landscape. Cattle grazing can impact a variety of aspects of grassland ecosystems functions, including which wildlife species use them and in what ways. Given the drastic declines in grassland passerines, it is especially important to understand how different grazing practices affect critical population metrics such as reproductive success, clutch size, and number of fledglings. There is a wealth of research on grassland passerine reproductive in response to grazing systems throughout North America; however, most of the existing literature studies more traditional, longer rotational (LR) grazing …

The Role Of Attitude Ambivalence In Extending The Theory Of Planned Behavior: A Mixed-Methods Study Of Factors Predicting Influenza Vaccine Uptake Intentions Among Active-Duty Military Parents For Themselves And Their Children, Walter Eugene Carroll

Theses and Dissertations

This dissertation is a mixed-methods study examining how U.S. military parents form intentions to vaccinate themselves and their children against influenza. The study applies the Theory of Planned Behavior (TPB) and the construct of ambivalence tounderstand how attitudes, social norms, and perceived behavioral control influence vaccination decisions within the unique institutional and cultural environment of military life. Quantitative data were collected from 341 military parents through an online survey distributed across more than 50 military-affiliated Facebook groups. Regression models tested TPB constructs, flu knowledge, and social media use as predictors of vaccination intention and ambivalence. Results showed that flu shot …

Microbial Communities And Host Plants Of Megachilidae In The Greater Grand Forks Area (Ggfa), Sara Margit Wallace

Theses and Dissertations

Although Megachilidae are important pollinators in the United States, there is still much to learn about the health and functionality of these bees. Megachilids are threatened by competition from non-native pollinators and other environmental factors. The species distribution and composition of the gut microbiome in megachilid bees are not well known for the Greater Grand Forks Area (GGFA). My research seeks to answer the questions: what megachilid species are in the GGFA, where are they, and what symbionts are in their gut microbiomes? I collected and identified solitary bee specimens from North Dakota and Minnesota, dissected their gut contents, and …

Financial And Behavioral Health For Helping Professionals, Jeffrey Anvari-Clark

Books

This open access book brings together decades of research and practice on the intersections among financial and behavioral health concerns. By framing financial health as comprised of financial precarity, financial efficacy, and financial well-being, this new addition to the field of behavioral health helps readers understand and address the surge of interest in financial health and wellness from a holistic, psychosocial perspective. The text explores not only how financial difficulties impose hardship on individuals, couples, and families, but also how these concerns shape our feelings, perceptions, attitudes, and behaviors and thereby our health. Case examples throughout illustrate the concepts and …

Effect Of Whole-Food Plant-Based Diet On Ldl Cholesterol: A Scoping Literature Review, Joel Gregory Mueller

Nursing Capstones

Background: The whole-food, plant-based (WFPB) diet includes whole grains, whole plants, unrefined sugars, beans, and legumes. The diet excludes meat, dairy, and added fats. The diet has been popularized by documentaries .The diet claims to lower total and LDL cholesterol to a safe level as both a primary and secondary mode of prevention.

Purpose: Review existing studies to see whether the WFPB diet will lower LDL cholesterol in adult males over a 14 day or more duration.

Methods: A scoping literature review was completed of the University of North Dakota’s library system for keyword combinations. The returned 102 studies were …