Digital Commons Network^™

A Holistic Program Manual For Permanent Supportive Housing: Integrating Housing First And Occupational Therapy Approaches, Melody Mackenzie

Occupational Therapy Capstones

Background: Individuals experiencing chronic homelessness often face complex challenges including trauma, mental health conditions, and barriers to daily living. While permanent supportive housing provides long-term housing with supportive services, gaps exist in resources tailored for both residents and residential support staff. Many existing permanent supportive housing programs emphasize behavioral or mental health approaches, with fewer addressing the full range of occupational participation needs. Occupational therapy, with its holistic and client-centered perspective, offers a valuable lens to enhance service delivery in permanent supportive housing.

Purpose: The purpose of this scholarly project was to develop two compatible tools–a Permanent Supportive Housing Residential …

Supporting Students’ Sensory Needs: A Guidebook For Educators Using Sensory Closets, Emmy L. Bishop

Occupational Therapy Capstones

Introduction: Occupational therapy practitioners can provide holistic, client-centered care that considers each student’s physical, cognitive, social and emotional needs. The Individuals with Disabilities Education Act considers occupational therapists to be specialized instructional support personnel (Pfirman et al., 2023). Pfirman et al. (2023) demonstrated the need for school-based programming and how interdisciplinary teams can help with prevention and wellness. As occupational therapists, we can bridge the mental and behavioral health needs and the skills the students need to be successful in school and life. Literature also showed occupational therapists work as instrumental and beneficial for therapy teams in providing sensory interventions. …

Enhancing Engagement: Integrating Sensory-Based Strategies For Students With Emotional Behavior Disorders In Genereal Education Classrooms, Hailey Boline

Occupational Therapy Capstones

Purpose: This scholarly project aims to develop and implement a toolkit designed to support teachers and paraprofessionals in managing the sensory, behavioral, and educational needs of students with Emotional Behavioral Disorders (EBD) and those who have experienced childhood trauma in general education classrooms. By integrating occupational therapy techniques and sensory-based interventions into classroom settings, this project seeks to enhance students' ability to self-regulate, ultimately improving academic engagement and social participation.

Methods: A multi-phase approach guided by the Ecology of Human Performance Model (EHP), beginning with a comprehensive literature review to identify best practices in sensory-based interventions for students with EBD …

Occupational Therapy’S Role In Working With Children With Complex Medical Needs, Maci Layne Bakken

Occupational Therapy Capstones

Background: Children with medical complexity (CMC) spend a lot of time in various medical facilities due to their conditions. One of the medical facilities available to families in the Midwest is a respite and hospice home for medically complex children. There are only three other homes like this in the United States. Due to symptoms of their conditions, functional limitations in skill development, and decreased opportunities to engage in the occupation of play, these children can experience occupational deprivation and decreased quality of life. At this specific respite and hospice home, there are many volunteers who sacrifice their time to …

Energy Systems Optimization Techniques In The Oil And Gas Industry With Special Attention On Oil Field Reciprocating Compressors, Sean Jainarine

Theses and Dissertations

The oil and natural gas exploration and production industry is undergoing rapid growth, resulting in an increased number of operational wells and heightened potential for air emissions from oil and natural gas sources. Within production sites, compressors play a pivotal role and are often regarded as the "heart of a manufacturing plant" in the oil and gas sector. These crucial devices are designed to compress air or other gases to pressures higher than atmospheric pressure. Gas compression is typically achieved using devices with rotating blades or cylinders featuring reciprocating compressors while are essential for operations demanding high-pressures in small packages. …

Virulence Of Emerging Tick-Borne Pathogens, Borrelia Miyamotoi And Borrelia Mayonii, Dawn Cleveland

Theses and Dissertations

As climate change leads to global expansion of tick habitats, tick borne diseases are becoming more prevalent and widespread, and emerging tickborne pathogens Borrelia miyamotoi and Borrelia mayonii warrant increased study. Both B. miyamotoi and B. mayonii are vectored by the same tick species as B. burgdorferi, the causative agent of Lyme disease, with B. miyamotoi causing a relapsing fever-like disease known as Borrelia miyamotoi disease (BMD), and B. mayonii causing a Lyme disease-like illness with atypical clinical presentations. This dissertation has two aims. The first aim encompasses B. miyamotoi infection and growth, isolation of clonal populations, and characterization of …

Autonomous Corrosion Detection In Steel Structures Using Different Non-Contact Techniques, Amrita Das

Theses and Dissertations

Metallic corrosion is an electrochemical process that can occur due to the formation of aqueous adlayers on the metal surface. It is often described as reverse metallurgy, as corrosion drives refined metals back to their lowest energy state, namely an oxidized, ore-like form. Environmental factors that promote corrosion include precipitation, high humidity, and chemical condensation, which can result from the hygroscopic nature of pollutants deposited on the surface. There is a significant impact of metallic corrosion on the U. S. economy including infrastructure, transportation, utilities, production, and manufacturing. The total direct cost of corrosion in the United States has been …

Get In The Zone: Utilizing A Food Skills Survey To Assess The Education Needs Of A Blue Zones Project Community, Sophia Kathryn Dunlap

Theses and Dissertations

Under-resourced communities often demonstrate little to basic knowledge and skills regarding food and nutrition-related practices, such as cooking and meal planning, nutrition label reading, and gardening. This can be attributed to various factors such as education level, socioeconomic status, available education programs, and overall interest in these topics. Limited research is available discussing the current knowledge, skills, and interests of nutrition topics and healthy eating patterns within Blue Zones Project (BZP) communities. To explore this gap in the literature, a cross-sectional design was implemented via a food skills survey completed by the residents of a modest-sized college town and site …

Learning To Teach Digital Literacy: Faculty As Learners, Nicole Marie Maier Derenne

Theses and Dissertations

Rapid developments in artificial intelligence technologies and widening digital divide inequities have made digital literacy instruction an urgent priority in higher education. This qualitative, interpretive case study examined how faculty learned to teach Digital Information Literacy at an instructional development workshop facilitated by academic librarians, following a mandate to integrate digital literacy into the institution’s general education program. Using transformative learning theory as a framework, data were collected from a purposive sample of faculty, librarians, and administrators involvedin the workshop through field notes, interviews, a focus group, document reviews, and journaling, and then hermeneutically analyzed. Findings revealed that although demonstrations …

Analysis Of Job Satisfaction Factors Influencing Pilot Retention In The United States Coast Guard, Margaret Morgan

Theses and Dissertations

United States Coast Guard (USCG) aviation is facing increasing challenges in pilot retention. A survey was designed to explore job satisfaction constructs and pilots’ intention to separate from the USCG to determine how gender, airframe, and retirement plan influence retention. The survey was distributed to Active Duty USCG pilots with 183 valid responses. Statistical analysis for job satisfaction found that female pilots are less satisfied with work-life balance. Differences between gender were not significant for the other job satisfaction constructs or intention to separate from the USCG. The analysis found that fixed wing pilots have a higher intention to separate …

Seismic Design And Ductility Evaluation Of Concrete-Filled Thin-Walled Steel Tubular Columns Modeling As Bridge Piers, Njiru Mwaura

Theses and Dissertations

Accurate numerical modeling is essential for evaluating the seismic performance and load-bearing behavior of partially concrete-filled thin-walled steel tubular columns, particularly those used as bridge piers under complex seismic conditions. This study investigates the performance of such columns enhanced with embedded energy-dissipating shell plates and/or partial concrete infill, subjected to unidirectional and bidirectional seismic loading. A validated finite element model (FEM), developed in ABAQUS and incorporating geometric and material nonlinearities—including the modified Two-Surface Model (2SM)—was employed to simulate cyclic behavior and predict structural response.The model was benchmarked against experimental results and used to analyze a broad range of parameters, including …

Investigation Of Surfactant-Enhanced Oil Recovery In High Salinity And High Temperature (Hsht) Reservoir Conditions: A Case Study In The Bakken Formation, Tomiwa Isaac Oguntade

Theses and Dissertations

This study investigates improved strategies for enhancing oil recovery (EOR) in challenging reservoir conditions by combining chemical surfactant flooding and data-driven optimization techniques. Given rising global energy demand and the depletion of conventional oil reserves, chemical EOR methods, particularly surfactant flooding, are gaining popularity for their ability to mobilize residual oil via mechanisms such as reducing interfacial tension, altering wettability, and inhibiting asphaltene formation. The research begins by examining the effectiveness of surfactant applications across various reservoir conditions, emphasizing the need for surfactants capable of withstanding challenging environments characterized by high temperatures, high salinity, and low permeability. Laboratory experiments demonstrated …

Teacher Skills Needed For Effective Participation In Multi-Tiered Systems Of Support (Mtss): A State Framework Analysis, Melissa Osborne

Theses and Dissertations

This study is a secondary data analysis that uses a validated rubric to score the degree of alignment between the teacher skills (TS) necessary for the effective implementation of Multi-Tiered Systems of Support (MTSS) and the preservice teacher training standards (PTS) across five states located in the North Central United States. This investigation also assessed whether states employing an MTSS process to establish special education eligibility for specific learning disabilities (SLD) exhibit higher alignment between TS and PTS compared to states that do not follow that process. Literature outlines the TS needed in an MTSS framework, but there is limited …

High-Fidelity Surface And Environment Simulation Using Immersive Virtual Reality For Lunar Analog Training, Shriya Pedaparthi

Theses and Dissertations

The study explores the integration of high-fidelity Virtual Reality (VR) into astronaut training for lunar analog missions. A realistic VR simulation was developed to represent lunar terrain, allowing participants to perform critical tasks under simulated lunar conditions. Specifically, participants navigated from a compromised lunar habitat (ILMAH) facing a pressure breach, to a secure facility, testing their ability to respond effectively to emergency scenarios. Participants underwent three sequential trials to assess how VR and physical constraints influence gait and performance: (1) a baseline trial measuring natural gait without equipment; (2) a trial incorporating a real spacesuit and lunar gravity simulated through …

Nutrition Implications In Hypermobile Ehlers-Danlos Syndrome (Heds)/Hypermobility Spectrum Disorder (Hsd), Lauren Steiner

Theses and Dissertations

Hypermobile Ehlers-Danlos syndrome (hEDS) and hypermobility spectrum disorders (HSD) are a poorly recognized and under researched group of genetic connective tissue disorders that have widespread impacts on the human body, including gastrointestinal (GI) symptoms. The role of dietary and supplemental interventions in GI symptom control in this patient population has not been researched. This study used an exploratory survey to collect data on diets and supplements that the patient population has used to combat GI symptoms. The low histamine, gluten free, dairy free, anti-inflammatory, and intermittent fasting diets, as well as magnesium, probiotic, coenzyme Q10, vitamin C, vitamin B12, and …

Negotiating Gender: A Qualitative Analysis Of Trans-Parasocial Relationships With Gen Z Social Media Users, Hannah Grace Scheffer-Wentz

Theses and Dissertations

The growth of social media and its functions as an online, international forum has been a growing topic of interest for researchers and the public alike. With the rise of native influencing and the incorporation of “organic” advertising, Social Media Influencers have grown in not just following and publicity with affiliate marketing and brand partnerships, but they have grown in social interest, as well. With the rise in technology and the introduction of Gen Z, who are digital natives, this has challenged previous understanding of online relationships, specifically with the expansion of Parasocial Relationship Theory to the online application of …

The Relationship Between Social Determinants Of Health And Maternal Risk Factors With Severe Maternal Morbidity, Rebecca Smith

Theses and Dissertations

Severe maternal morbidity (SMM) remains a significant public health concern in the United States, with rates rising despite advancements in obstetric care. While extensive research has examined the role of clinical risk factors in SMM, less attention has been given to the influence of social determinants of health (SDOH). Factors such as financial insecurity, food access, housing stability, intimate partner violence, social connectedness, and transportation barriers may contribute to maternal health disparities. This study aims to assess the relationship between SDOH and SMM, evaluating how these non-clinical factors shape maternal health outcomes. Additionally, this research explores the impact of maternal …

Public Perceptions Of Fracking And Anti-Fracking Activism: A Theory Of Planned Behavior Approach And Its Implications For Environmental Policy, Okhumode Hector Yakubu

Theses and Dissertations

Hydraulic fracturing, or fracking, has become one of the most contentious energy technologies of the 21st century, drawing support for its economic and energy security benefits and opposition due to its perceived environmental and health risks. This study applies the Theory of Planned Behavior (TPB) to examine the psychological, social, and informational factors that shape public perceptions of fracking and motivate anti-fracking activism. Using a nationally representative sample of U.S. adults (N = 522), this research investigates how attitudes, subjective norms, perceived behavioral control, and domain-specific knowledge predict support or opposition to fracking, as well as intentions to engage in …

Congolese Refugee Narratives Of Belonging, Grief, And Cultural Continuity In Appalachia, Kayla Davis

Theses and Dissertations

This research examines the communicative challenges that Congolese refugees face after resettlement, particularly as they strive to reconstruct a sense of belonging in the United States that reflects their experiences in either their home country or secondary countries where they endured protracted displacement in refugee camps. Narrative qualitative research methods were used to conduct interviews with five Congolese refugees in Appalachia. Through qualitative thematic and lexical analysis derived from the interviews, the study reveals patterns of linguistic isolation, community continuity, and emotional displacement. A key finding is that participants often conceptualize community not as a geographic entity, but as an …

Strengthening The Health And Well-Being Of American Indian And Alaska Native Elders, Andria Begay

Theses and Dissertations

Health is a holistic concept within Indigenous communities, emphasizing the balance and interconnectedness of mind, body, and spirit. This dissertation explores the health and wellbeing of American Indian and Alaska Native Elders, with each of the products for this three-part portfolio, targeting different health matters that are often overlooked among Elders, aged 55 years and older. Using secondary data from National Resource Center on Native American Aging’s 2020-2023 cycle of the Identifying our Needs: A Survey of Elders, I conducted three quantitative research analyses with chi-square tests and binary logistic regressions to assess the association and differences in variables. Manuscript …

Characterization Of Methylated Histone Modifications During Simian Virus 40 Early Transcription, Jacob Otto Haugen

Theses and Dissertations

Modifications of histone proteins play an important role in transcription. These modifications regulate how chromatin is compacted by the histone proteins and either made available for transcription or prevents transcription machinery from proceeding. The modifications can be added or removed by histone acetyltransferases and histone methyltransferases for the former, and histone deacetylates and demethylases for the latter. To explore the dynamicity of these modifications we used the simple but effective Simian Virus 40 (SV40) model. SV40 continues to be an important tool in understanding eukaryotic transcription. It experiences similar processes as cellular chromatin, utilizing host proteins to propagate its own …

Predicting Social Media Addiction: The Influence Of Paralinguistic Digital Affordances And Cognitive Processes On Social Media Use, Dakota Krebs

Theses and Dissertations

Social media has become an increasing staple in everyday life for numerous people. Yet, excessive and repetitive social media usage may become problematic, to the extent that the behavior takes the form of a psychological addiction. The primary objective of this study was to explore prospective factors that could predict the psychological dependency on social media applications, characterized as social media addiction (SMA). Paralinguistic Digital Affordances (PDAs) are “likes” one receives on social media and may predict SMA via the expected gratification attained when a PDA is received. Cognitive processes, assessed with a general executive functioning index and the n-back …

Measuring The Clinical Effectiveness Of Telenutrition Medical Nutrition Therapy Among American Indian And Alaska Native Adults Newly Diagnosed With Type 2 Diabetes, Charisse Lindsey Holiday

Theses and Dissertations

The COVID-19 global pandemic was the impetus of the transition from in-person medical nutrition therapy (MNT) visits to telephone MNT. This occurred without evaluation of its clinical effectiveness, especially for American Indians and Alaska Natives (AI/AN). It is known that in-person MNT is clinically effective at lowering hemoglobin A1c (A1c) and that people with diabetes who experience food insecurity have poorer health. However, research characterizing food insecurity among AI/ANs is limited. This retrospective observational analytical study was conducted at the Phoenix Indian Medical Center (PIMC) in Phoenix, Arizona to assess the clinical effectiveness of telephone delivered MNT services by a …

Creating A Neonatal Intensive Care Unit Evidence Based Evaluation Protocol, Mary Redlin

Occupational Therapy Capstones

Background: Neonatal Intensive Care Units (NICU) in the United States admit approximately 300,000 infants annually (Valencia et al., 2023). Upon admission, neonatal occupational therapists assess a range of factors, including neurobehavioral, neuromotor, musculoskeletal, and sensory systems, as well as family/caregiver interactions and activities of daily living (Craig et al., 2018). This comprehensive evaluation underscores the need for effective assessment tools, efficient protocols, and adequate support for therapists. However, practitioners often face challenges that impact the quality of care, such as limited resources, lack of specialized training, and inconsistent organizational standards (Kaur et al., 2021). Occupational therapy has emerged as a …

Promoting Wellness In Community-Dwelling Older Adults: An Occupational Therapy Approach Guided By The Eight Dimensions Of Wellness, Mckenzie Ulrich

Occupational Therapy Capstones

Background: Wellness is a process where an individual intentionally makes choices to support a satisfying lifestyle and is aware of their choices (Swarbrick & Yudof, 2015). In the United States, unhealthy lifestyle choices and the high prevalence of chronic conditions negatively influence one’s health, wellness, and quality of life (Li et al., 2018). Additionally, age-related changes can negatively influence one’s overall well-being. Examples of age-related changes may include changes in strength, mobility, coordination, balance, gait, and cognitive functioning (Bello-Haas et al., 2018a; Bello-Haas et al., 2018b; Judge & Dawson, 2018). Occupational therapy's role in health promotion and prevention includes promoting …

Occupational Participation Through Harm Reduction, Allie Reiffenberger

Occupational Therapy Capstones

Purpose: Individuals who have experienced homelessness face higher risks of physical disabilities, mental illnesses, and substance use disorders (SUD), which often co-occur, compared to the general population (Mosel, 2024; Parker & Scaffa, 2020; SAMHSA, 2023a). Due to past experiences and unmanaged chronic conditions, substance use, and negative health behaviors are common. The high prevalence of SUD, mental illness, and chronic health conditions in this group severely affects their ability to engage in daily activities, influencing overall health and well-being (Marshall et al., 2020a). While complete abstinence is often deemed ideal, it can be unrealistic for this population. Harm reduction seeks …

Accessibility Of Higher Education: Supporting Student Self-Advocacy, Morgan Diane Halliday

Occupational Therapy Capstones

As of the 2020-2021 academic year, 1 in 5 undergraduate students reported having a disability (National Center for Education Statistics, n.d.). College students with disabilities (CSWD) face social and physical environmental barriers to higher education due to exclusive policies, procedures, and designs. In turn, occupational engagement is decreased, inhibiting participation in education. A college education can support career opportunities, financial stability, and personal development (Plotner & May, 2019). Therefore, it is essential that CSWD have equitable access. Despite efforts from college campuses to become more accessible, gaps remain that require CSWD to be self-advocates. The purpose of this project was …

A Guide To Occupational Therapy Intervention Planning For Individuals With Migraines In Rural Communities, Angelina M. Caron

Occupational Therapy Capstones

One in ten individuals in the world experience migraines (Amari et al., 2022). Migraines are a debilitating condition that presents with symptoms of intense head pain, aura, and nausea (American Migraine Foundation, 2018; Mayo Clinic, 2023). These symptoms have a global effect on an individual’s life and affect the meaningful and necessary tasks they do each day including work, school, family and social life, and their emotional health and cognitive functioning (Buse et al., 2019; Estave et al., 2021). Occupational therapy (OT) can be used with individuals with migraine by addressing factors such as routines, migraine self-management, cognitive strategies, and …

Coming To Your Senses: A Guide For Sensory Considerations In Higher Education, Aspen D. Delano

Occupational Therapy Capstones

Background: Sensory stimuli bombard humans at every point during their day. Senses are the avenue through which humanity interacts with its world. Individuals have varying thresholds of sensory stimuli. When people face more stimuli than they can cope with, they struggle to interact with the world around them. This can pose a significant challenge for graduate-level college students due to the already strenuous mental load required for formal education. The association between sensory processing and stress has strengthened in recent years, with individuals reporting a positive feedback loop between these constructs (Harrold et al., 2024). Stress leads to greater sensory …

2025 North Dakota American Indian & Alaska Native Maternal Child Health Profile, Kilyn R. Parisien

Public Health Student Publications

This report was created to identify and address the health needs and inequities of American Indian and Alaska Native (AI/AN) women and their children who reside in North Dakota

Data in this report has been collected from a variety of federal and state agencies, such as the North Dakota Department of Health and Human Services, U.S. Census Bureau (American Community Survey), and Centers for Disease Control and Prevention. The NDDoH’s approach for this report was to focus on having high-level discussions for each of the sections of AI/AN maternal and child health. This report is one of four components in …