Digital Commons Network^™

Neurosymbolic Knowledge-Grounded Planning And Reasoning In Ai Systems, Amit Sheth, Vedant Khandelwal, Kaushik Roy, Vishal Pallagani, Megha Chakraborty

Faculty Publications

To build AI systems capable of decision-support assistance, such as AI-assisted healthcare, it is essential to develop user-centric decision-making processes that are robust, interpretable, and capable of effectively processing and acting on natural language interactions. Instruction-based prompting of large language models has demonstrated considerable success in supporting humans with information assistance tasks, including creative writing and content generation. However, recent studies reveal that language models exhibit limitations in performing complex reasoning and planning tasks, such as constructing compositional or hierarchical plans involving multiple reasoning steps. To address these challenges, we propose a neurosymbolic framework that integrates large language models with …

Villain Or Victor: Advocating For Middle Level Students In The Face Of Systemic Challenges, Dywanna Smith, Kenesha Johnson, Jada Williams, Myles-Anthony Johnson

South Carolina Association for Middle Level Education Journal

Middle level students often face significant systemic challenges that can hinder their academic and personal development, positioning them in narratives where they are perceived as “villains” instead of “victors.” This paper explores the role of educators as advocates for these students, drawing parallels between the concept of superhero villains— figures who, like many students, are misunderstood or marginalized by society. Preservice educators will examine historical examples of heroes, who were initially viewed as villains for challenging the status quo but later celebrated for their transformative impact. Grounded in the principles of This We Believe (2020) by the Association for Middle …

Predicting Diabetes Self-Management Education Engagement: Machine Learning Algorithms And Models, Xiangxiang Jiang, Gang Lv, Minghui Li, Jing Yuan, Z Kevin Lu

Faculty Publications

Introduction Diabetes self-management education (DSME) is endorsed by the American Diabetes Association (ADA) as an essential component of diabetes management. However, the utilization of DSME remains limited in the USA. This study aimed to investigate current DSME participation among the older population and to identify comprehensive factors of DSME engagement through employing various machine learning (ML) models based on a US nationally representative survey linked to claims data.

Research design and methods Data from the Medicare Current Beneficiary Survey were employed, and this study included data on US Medicare beneficiaries with diabetes from 2017 to 2019. Comprehensive variables following the …

How Agency From Precollege Experiences Empowers Black Student-Athletes To Succeed And Find Belonging At Pwis: A Phenomenological Study, Deborah V. Hogan

Journal of Issues in Intercollegiate Athletics

In the ever-changing college football landscape, Division I (DI) student-athletes seek to maximize their athletic and financial potential while navigating the academic and social challenges of college life. For Black student-athletes (BSAs) at predominantly White institutions (PWIs), the campus racial climate shapes their college experience and sense of belonging. The current phenomenological study explores how DI Black football student-athletes (BFSAs) use agency from precollege experiences to navigate racial climates and find belonging at PWIs. Using Critical Race Theory (CRT) and sense of belonging frameworks, semi-structured interviews were conducted with 13 former BFSAs from DI PWIs. The study revealed three main …

A Survey On Food Ingredient Substitutions, Hyunwook Kim, Revathy Venkataramanan, Amit P. Sheth

Publications

Diet plays a crucial role in managing chronic conditions and overall well-being. As people become more selective about their food choices, finding recipes that meet dietary needs is important. Ingredient substitution is key to adapting recipes for dietary restrictions, allergies, and availability constraints. However, identifying suitable substitutions is challenging as it requires analyzing the flavor, functionality, and health suitability of ingredients. With the advancement of AI, researchers have explored computational approaches to address ingredient substitution. This survey paper provides a comprehensive overview of the research in this area, focusing on five key aspects: (i) datasets and data sources used to …

Exploring The Potential Of Large Language Models For Assisting With Mental Health Diagnostic Assessments: The Depression And Anxiety Case, Kaushik Roy, Harshul Surana, Darssan Eswaramoorthi, Yuxin Zi, Vedant Palit, Ritvik Garimella, Amit Sheth

Publications

Large language models (LLMs) are increasingly attracting the attention of healthcare professionals for their potential to assist in diagnostic assessments, which could alleviate the strain on the healthcare system caused by a high patient load and a shortage of providers. For LLMs to be effective in supporting diagnostic assessments, it is essential that they closely replicate the standard diagnostic procedures used by clinicians. In this paper, we specifically examine the diagnostic assessment processes described in the Patient Health Questionnaire-9 (PHQ-9) for major depressive disorder (MDD) and the Generalized Anxiety Disorder-7 (GAD-7) questionnaire for generalized anxiety disorder (GAD). We investigate various …

Comparing The Representations Of Order And Behavior In James Joyce’S “The Dead” And Samuel Beckett’S Endgame, Araav Thakker

The Oswald Review: An International Journal of Undergraduate Research and Criticism in the Discipline of English

No abstract provided.

Navigating “Being Seen”: Experiences Of Older Adult Arab Immigrants And Family Caregivers Accessing Health Care Services In Ontario, Selma Tobah, Lorie Donelle Phd, Rn, Fcan, Jodi Hall, Lloy Wylie, Sandra Regan

Publications

Immigrants to Canada face unique barriers to accessing health care including communication barriers, socioeconomic limitations, and a lack of health care system navigation knowledge. Arabs in particular face mainstream negative attitudes, propagated through political discourses as well as entertainment media. We sought to understand how older adult Arab immigrants and family caregivers accessed and experienced health care in Ontario. We conducted a critical constructivist grounded theory, using Charmaz’s approach to grounded theory. A critical constructivist grounded theory method asks not only “what” social processes are happening and “how” but also “why” and “who” benefits. Both older adult immigrant Arabs and …

Development And Validation Of A Revised Multidimensional Digital Health Literacy Scale: Secondary Analysis Using Cross-Sectional Data From The 2022 Getcheckedonline Community Survey In British Columbia, Canada, Ihoghosa Iyamu, Pierce Gorun, Hsiu Ju Chang, Rodrigo Sierra-Rosales, Devon Haag, Heather Pedersen, Sofia Bartlett, Nathan Lachowsky, Geoffrey Mckee, Catherine Worthington, Troy Grennan, Lorie Donelle Phd, Rn, Fcan, Daniel Grace, Mark Gilbert

Publications

Background: Digital technologies are reshaping health care, making digital health literacy (DHL) a critical competency for navigating online health information. Although widely conceived and measured as a unidimensional measure of DHL, the literature increasingly supports a multidimensional framing of the eHealth Literacy Scale (eHEALS). Studies propose alternative factor structures that can better inform population-level interventions, but these studies have not accounted for the ordinal nature of eHEALS response data. Objective: This study aimed to identify and validate an alternate multidimensional structure of eHEALS accounting for its ordinal response scale. Methods: Data were drawn from the 2022 GetCheckedOnline community survey of …

Integrating School Mental Health Services: How Therapeutic Alliance May Improve Outcomes In A Mental Health Literacy Intervention, Alena Quinn

Theses and Dissertations

The youth mental health crisis continues to face persistent barriers of stigma, workforce shortages, and fragmented service delivery systems. Schools play a pivotal role in addressing these challenges, as youth are six times more likely to access mental health services in schools than in community settings. Frameworks such as the Comprehensive School Mental Health Systems (CSMHS) and the Interconnected Systems Framework (ISF) have improved access and quality of school-based mental health services through integration and partnership efforts. However, stigma remains a persistent barrier for seeking help and perpetuating untreated mental health difficulties. Research has found that mental health literacy (MHL) …

Investing In The Development Of The Next Generation Of Mch Leaders, Karen A. Mcdonnell, Jamal Percy, Lisa Anders, Monique J. Brown Ph.D., Mph, Alice R. Richman, Julianna Deardorff, Monica S. Ruiz, Jihong Liu Sc.D., Kelli Russell, Audrey Snyder, Cassondra Marshall

Faculty Publications

The public health landscape is constantly evolving to address the strengths and needs of the community. Training for the public health workforce is leading the way, establishing an ecosystem approach that integrates individuals within social, political, and environmental contexts to promote health equity within a framework of social justice. One area of public health that is innovatively preparing the next generation of leaders is maternal and child health (MCH). In the United States, key indicators of health disparities within MCH remain stagnant, highlighting the need for training programs that develop future MCH professionals from diverse backgrounds. These professionals will deliver …

Knowledge And Ontology Enhanced Approach To Natural Language Understanding (Koe-Nlu) In Computational Social Media And Healthcare, Naga Usha Gayathri Lokala

Theses and Dissertations

Natural Language Understanding (NLU) faces both opportunities and challenges as the amount of social media and healthcare data grows. This is particularly evident in context-sensitive applications such as evaluating cognitive health, identifying mental health symptoms, and monitoring drug abuse. Even though traditional NLU models work well for processing language in a wide range of areas, they often lack the ability to understand language in a specific domain, reason in context, and incorporate structured external knowledge. This dissertation talks about the Knowledge and Ontology Enhanced Approach to Natural Language Understanding (KOE-NLU), a new framework that is meant to make NLU systems …

“Digital Shame Shift”: From Telling The Pain To Recording The Truth — Black Maternal Health And Digital Counter-Narrative Storytelling On Tiktok, Odera Covenant Ezenna

Theses and Dissertations

This dissertation explores how digital storytelling on TikTok is used to challenge medical racism, with a particular focus on Black maternal health. Guided by Critical Race Theory (CRT) and Critical Technocultural Discourse Analysis (CTDA), the study examines how TikTok users—ranging from Black mothers to healthcare professionals—create and circulate counter-narratives through two prominent campaigns: #BlackMaternalHealthWeek and #BlackMamasMatter. These digital stories serve as acts of resistance, disrupting dominant medical discourse and amplifying the lived experiences of Black birthing individuals. The research analyzes over 2900 TikTok videos posted between 2021 and 2024, identifying key themes, storytelling strategies, and rhetorical shifts over time. The …

Cerebellar Contributions To Speech And Clinical Outcomes In Stroke: A Multimodal Investigation Of Structural Integrity Across Chronic And Acute Cohorts, Makayla Joy Gibson

Theses and Dissertations

This dissertation investigates the critical role of the cerebellum in speech production, with a focus on chronic post-stroke apraxia of speech (AOS), lesion-related cerebellar degeneration, and age-related changes in cerebellar structure among healthy individuals. While speech deficits have traditionally been attributed to cortical lesions, mounting evidence suggests that the cerebellum contributes significantly to speech-motor planning, execution, and error correction. Using multimodal neuroimaging, lesion-symptom mapping, and standardized speech assessments, this research examines cerebellar gray matter volume (GMV) across three complementary studies.

Aim 1 evaluates the association between cerebellar GMV and AOS severity in individuals with chronic left hemisphere stroke. Findings support …

A Math Teacher’S Reflexive Journey Into The Opportunity Gap, Richard A. Ball Iii

Theses and Dissertations

This multiple case study sought to determine what educational factors, if any, impacted Black students in a public school located in the South-eastern United States, to enroll in a lower-level math course. The study also aimed to view the mathematical identities of these students and have myself reflect on my practice both locally and globally. This, however, is a result of the Problem of Practice, the opportunity gap. H. Richard Milner’s (2012) opportunity gap framework served as the theoretical framework for this study and for which all findings were situated. The data was analyzed using deductive coding, with the elements …

Verbal Working Memory And Syntactic Comprehension Segregate Into The Dorsal And Ventral Streams, Respectively, William Matchin, Zeinab K. Mollasaraei, Leonardo Bonilha, Chris Rorden, Gregory Hickok, Dirk Den Ouden, Julius Fridriksson Ph.D.

Faculty Publications

Syntactic processing and verbal working memory are both essential components to sentence comprehension. Nonetheless, the separability of these systems in the brain remains unclear. To address this issue, we performed causal-inference analyses based on lesion and connectome network mapping using MRI and behavioural testing in two groups of individuals with chronic post-stroke aphasia. We employed a rhyme judgement task with heavy working memory load without articulatory confounds, controlling for the overall ability to match auditory words to pictures and to perform a metalinguistic rhyme judgement, isolating the effect of working memory load (103 individuals). We assessed non-canonical sentence comprehension, isolating …

Visual Causal Question And Answering With Knowledge Graph Link Prediction, Utkarshani Jaimini, Cory Henson, Amit Sheth

Publications

The ability to answer causal questions is important for any system that requires robust scene under- standing. In this demonstration, we develop a prototype system that leverages our causal link prediction framework, CausalLP. CausalLP framework uses a visual causal knowledge graph and associated knowledge graph embedding for two visual causal question and answering tasks- (i) causal explanation and (ii) causal prediction. In the live demonstration sessions, the participants will be invited to test the efficiency and effectiveness of the system for visual causal question and answering.

How Do Scholars Conceptualize And Conduct Health And Digital Health Literacy Research? Survey Of Federally Funded Scholars, Mayank Sakhuja, Brooks Yelton Ma, Lmsw, Simone Kabarana, Lauren Schaurer, Jancham Rachel Rumthao, Samuel Noblet, Michelle Angelique Arent, Mark M. Macauda Phd, Mph, Lorie Donelle Phd, Rn, Fcan, Daniela B. Friedman Ph.D.

Faculty Publications

Background: The concept of health literacy (HL) is constantly evolving, and social determinants of health (SDoH) have been receiving considerable attention in public health scholarship. Since a 1-size-fits-all approach for HL fails to account for multiple contextual factors and as a result poses challenges in improving literacy levels, there is a need to develop a deeper understanding of the current state of HL and digital health literacy (DHL) research. Objective: This study examined scholars’ conceptualization and scope of work focused on HL and DHL. Methods: Using a search string, investigators (N=2042) focusing on HL, DHL, or both were identified from …

How Do Scholars Conceptualize And Conduct Health And Digital Health Literacy Research? A Survey Of Federally Funded Scholars, Mayank Sakhuja, Brooks Yelton, Simon Kavarana, Lauren Schaurer, Jancham Rachel Rumthao, Samuel Noblet, Michelle Angelique Arent Rd, Mph, Cscs, Cissn, Mark M. Macauda Phd, Mph, Lorie Donelle Phd, Rn, Fcan, Daniela B. Friedman Ph.D.

Publications

Background: The concept of health literacy (HL) is constantly evolving, and social determinants of health (SDoH) have been receiving considerable attention in public health scholarship. Since a 1-size-fits-all approach for HL fails to account for multiple contextual factors and as a result poses challenges in improving literacy levels, there is a need to develop a deeper understanding of the current state of HL and digital health literacy (DHL) research.

Objective: This study examined scholars’ conceptualization and scope of work focused on HL and DHL.

Methods: Using a search string, investigators (N=2042) focusing on HL, DHL, or both were identified from …

Disclosure Patterns Of Opioid Use Disorders In Perinatal Care During The Opioid Epidemic On X From 2019 To 2021: Thematic Analysis, Dezhi Wu, Minnie Ng, Saborny Sen Gupta, Phyllis Raynor Phd, Aprn, Pmhnp-Bc, Youyou Tao, Yang Ren, Peiyin Hung, Shan Qiao, Jiajia Zhang, Jennifer Fillo, Xiaoming Li, Constance Guille, Kacey Eichelberger, Bankole Olatosi

Publications

BACKGROUND: In 2021, the United States experienced a 14% rise in fatal drug overdoses totaling 106,699 deaths, driven by harmful opioid use, particularly among individuals in the perinatal period who face increased risks associated with opioid use disorders (OUDs). Increased concerns about the impacts of escalating harmful opioid use among pregnant and postpartum persons are rising. Most of the current limited perinatal OUD studies were conducted using traditional methods, such as interviews and randomized controlled trials to understand OUD treatment, risk factors, and associated adverse effects. However, little is known about how social media data, such as X, formerly known …

Hyo-Shin Na's Chamber Works, 'From Korea To America- 120 Years And Beyond' And 'Song Of The Fog': A Stylistic Analysis And Performance Guide, Jiyeon Lee

Theses and Dissertations

This study analyzes two chamber music works by Korean composer Hyo-shin Na, Song of the Fog and From Korea to America, focusing on how the fusion of Eastern and Western instruments contributes to musical expression and timbral characteristics. It includes an examination of the role of instrumental arrangement and reveals the composer's narrative and emotional intentions. The aim is to present an insight into Hyo-shin Na’s ensemble style.

Song of the Fog uses the Japanese koto with Western chamber instruments to depict the imagery of the accompanying poetry through changes in timbre, dynamic contrasts, and various performance techniques. Despite …

The Effects Of Guided Induction Completed Individually And In Groups On The Development Of Negation In Palestinian Arabic An Analysis Of Accuracy, Processing, And Rule Structure, Hana Baalousha

Theses and Dissertations

The effectiveness of different instructional interventions and the various ways such interventions promote L2 learning and processing has been the topic of recent research in the subfield of Instructed Second Language Acquisition (ISLA). Previous research on the effects of guided inductive instruction (GI) in the second language classroom has left various lacunae to be addressed, such as the effect(s) of linguistic complexity, proficiency level, modality of instruction, and the target language (Ranta, 2022). A plethora of studies in the current literature compares the efficacy of GI to deductive instruction as students work individually in computer-assisted language learning contexts (CALL) revealing …

Leveling Up The Power Of Voice: The Impact Of Gamification On Speaking Participation Of Multilingual Learners In The Cybersecurity Classroom, Philip Peavy

Theses and Dissertations

The United States has a growing number of multilingual learners in its classrooms, but many schools are not prepared to support these students, especially in computer science education. There is a shortage of qualified teachers and few resources available in languages other than English. As a result, many multilingual learners are not actively participating in their computer science classes. This is a problem because computer science is a growing field with many opportunities for employment. One way to support multilingual learners in computer science education is through gamification. Gamification is the use of game-design elements and principles in non-game contexts. …

In Search Of Cognitive Justice: One District’S Approach To Implementing Culturally Responsive Practices, Anne Marie Mancini

Theses and Dissertations

This action research study examined district leaders' approach to integrating culturally responsive practices into classrooms in a medium-sized urban Connecticut public school system. The framework for this study was supported by two theories: transformative learning and culturally responsive pedagogy. Following a case study model of design, the project focused on the work of the Supervisor of Professional Learning and the Department Supervisor for English Language Arts (ELA) as they provided training, support, and resources to the Grade 7 team. Two research questions guided this study: (1) What successes, if any, did district leaders experience in implementing culturally responsive teaching practices …

Factors Affecting The Transition From Pediatric To Adult Care Among Culturally Deaf Young Adults And Young Adults Who Are Deaf Or Hard Of Hearing, Anna Strickland Kell

Theses and Dissertations

Introduction: Adolescence to adulthood is marked by many transitions, including the transition from a pediatric to an adult medical home, also referred to as a health home. For young adults who are culturally Deaf, deaf, or hard of hearing, this transition may be complicated by population-specific needs related to language, literacy, and accessibility. Prior research with transition-age adolescents and young adults who are culturally Deaf, deaf, or hard of hearing has primarily focused on education or hearing health exclusively. The purpose of this research was to investigate the transition of health care from pediatric to adult services among culturally Deaf …

Beyond Narrow Views On First-Grade Reading Instruction In Saudi Arabia: Insights From First-Grade Saudi Reading Teachers, Ali Alzughaibi

Theses and Dissertations

Recent development in reading research and instruction has highlighted the need to unpack certain claims about how children learn to read and how reading is taught. These claims where challenged by different scholars in the field, pointing to the complexity of reading. Much of this research, however, was done where English is taught as a first language (e.g., United States, UK). Lacking supporting evidence, a review of the literature on early Arabic reading instruction in Saudi Arabia has highlighted different claims about how Arabic early reading is taught and what teachers know about early reading. For example, teaching Arabic early …

Empowering Science Educators: A Study Of Self-Efficacy, Phenomenon-Based Instruction, And Community Of Practice In Arabic Language Classrooms., Rolla Elsaiary

Theses and Dissertations

In the dynamic realm of science education, a crucial demand exists for customized teacher professional development (PD) initiatives that address diversity and the Next Generation Science Standards (NGSS). These programs should be designed to accommodate varied student demographics, explicitly addressing the needs of those engaging with science education in less commonly taught languages (LCTLs), such as Arabic. Four fundamental questions guide this research. First, it should assess teachers' self-efficacy in teaching science in the context of Arabic instruction. Secondly, it needs to explore the impact of phenomenon-based instruction (PBI) on elevating teachers' self-efficacy in delivering science education in Arabic. Thirdly, …

Exploring Culturally Relevant School Leadership Practices: An Autoethnographic Study, Kezia Myers

Theses and Dissertations

The focus of this autoethnographic study was on the implementation and impact of Culturally Responsive School Leadership (CRSL) within an elementary school. The school is comprised of approximately 400 P-5 students, with a predominantly Black student body (77%), along with students who identify as Hispanic, multiracial, White, and other ethnic backgrounds.

Three research questions were posed: 1) In what ways have I, as a school principal, integrated culturally relevant leadership practices into the decision-making framework at the school? 2) How might what I learn about other principals’ implementation of CRP in their respective schools inform my understanding of its effectiveness …

If We Only Had A Wheelbarrow: Asset-Based Pedagogy In The Elementary Classroom, Elizabeth Bedell

Theses and Dissertations

The challenges facing today’s educators are much and many. Among them ranks the persistent underachievement of students from racially and culturally diverse backgrounds. Attempts to remedy this have historically taken a deficit approach, one that attempts to “fix” students by melding them to the norms of the dominant culture, ultimately diminishing their cultural ways of knowing and being and perpetuating inequity. Although educators want to do better, most have simply not been provided with the professional learning that would support their centering students’ voices and experiences as essential to learning

With a focus on asset-based pedagogy, this convergent mixed methods …

Impact Of A Mathematics Review On Students' Chemistry Self-Efficacy And Problem-Solving Skills In An Undergraduate Chemistry Course, Antoinette Marie Gayle

Theses and Dissertations

Mathematics is an integral part of chemistry courses, and the application of arithmetic and algebraic knowledge is important for solving calculation-based problems in undergraduate general chemistry. Students begin undergraduate chemistry with varying levels of mathematics skills and experience which may impact their ability to solve problems and understand the content in chemistry courses. Utilizing a convergent mixed methodology, this action research study evaluated the impact of an in-class mathematics review intervention on students’ chemistry self-efficacy and problem-solving abilities in general chemistry. Mathematics review sessions were conducted in undergraduate general chemistry classes with 40 first-year students at a small university college …