Digital Commons Network^™

Future Orientation Among Children Affected By Parental Hiv In China: An Exploratory Analysis Of Complex Interactions, Heather L. Mcdaniel, Sayward Harrison, Amanda Fairchild, Xiaoming Li

Faculty Publications

We utilized an exploratory analytic approach to examine predictors of children's future beliefs, an internal asset associated with resilience among children affected by HIV, with emphasis on complex interactions among multisystem factors. Children (N = 1221) affected by parental HIV in China reported on psychosocial functioning, as well as internal, familial, and community resilience assets. Exploratory data analysis was conducted using a binary segmentation program. Six binary splits on predictors accounted for 22.78% of the variance in future expectation, suggesting interactions between children's perceived control of their future, loneliness, caregiver trust, and social support. Four binary splits accounted for …

Effect Of Behavioural Practice Targeted At The Motor Action Selection Network After Stroke, Jill C. Stewart, Jessica F. Baird, Stacy L. Fritz, Julius Fridriksson Ph.D.

Faculty Publications

Motor action selection engages a network of frontal and parietal brain regions. After stroke, individuals activate a similar network, however, activation is higher, especially in the contralesional hemisphere. The current study examined the effect of practice on action selection performance and brain activation after stroke. Sixteen individuals with chronic stroke (Upper Extremity Fugl–Meyer motor score range: 18–61) moved a joystick with the more-impaired hand in two conditions: Select (externally cued choice; move right or left based on an abstract rule) and Execute (simple response; move same direction every trial). On Day 1, reaction time (RT) was longer in Select compared …

“The Worst Part About My Pregnancy Was Stuff That Didn’T Have To Do With My Pregnancy”: Medicaid Beneficiaries’ Pregnancy Intentions & Experiences In South Carolina, Andrew Michael Chen

Senior Theses

Low-income women and women of color experience adverse birth outcomes at disproportionately higher rates in the United States than most people who give birth. This thesis examines individual interviews conducted with 30 low-income women whose most recent birth was covered by Medicaid, the United States’ largest means-tested public health insurance program. The aim of this thesis is to examine how the women in the study thought about pregnancy, and how they described their intentions to become or avoid becoming pregnant at various times in their life. While public health researchers often frame pregnancy as an event that is either intended …

Improving Self-Efficacy In Heart Failure Care, Tracy Bennett Mcleod

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Heart Failure contributes significantly to the morbidity and mortality of the adult population and is one of the leading causes of 30-day readmissions. The cost of heart failure is a substantial healthcare burden. Purpose: The purpose of this project was to determine if implementing the “Rise Above Heart Failure” educational program would improve heart failure knowledge, weight monitoring, and reduced re-admission rates in heart failure patients. Methods: A pre-test and post-test survey named The Dutch Heart Failure Knowledge Scale was utilized. Van der Wal, Jaarsma, Moser, and Van Veldhuisen (2005) developed this questionnaire to evaluate patients' knowledge. The …

Pediatric Patients In Diabetic Ketoacidosis: A Pathway To Improvement, Rebecca Russell Vincent

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Pediatric patients in diabetic ketoacidosis (DKA) frequently present to non-pediatric specific care centers initially for medical management where providers may or may not be familiar with standards and treatment guidelines particular to this specialty population. Purpose: The purpose of this project was to establish a pediatric DKA clinical pathway (CPW). Pediatric patients require precise treatments tailored to age and weight specifications. A pediatric DKA CPW identifies treatment order sets, goals, and outcomes customized to the patient’s metabolic demand. Commonalities within a predictable course of treatment for patients with a shared clinical diagnosis result in accelerated care, improved patient …

Patient Activation In Individualized Coaching For Congestive Heart Failure Patients, Jessica Marie Thomas

Doctor of Nursing Practice Scholarly Projects

Adult patients diagnosed with congestive heart failure suffer from high hospitalization rates, recurrent readmissions, decreased quality of life, increased healthcare expenditures, and increased mortality. This project aimed to determine if individualized coaching plans based on patients’ activation scores impacted emergency room visits and hospital readmissions. A pretest-posttest design was used. The 13-item Patient Activation Measure® (PAM®) tool was administered before and after completing 30-day individualized coaching. Seventy-five participants were recruited from referrals to the outpatient Continuum Case Management (CCM) program. Inclusion criteria included English-speaking adult patients diagnosed with congestive heart failure 18 years of age. The intervention consisted of individualized …

The Impact Of Nurse-Patient Engagement With Health Information Technology On Patient Portal Usage, Quyen Thuy Vo

Doctor of Nursing Practice Scholarly Projects

The patient portal, a Health Information Technology (HIT) tool, was created to promote patient engagement with available health information to improve health outcomes. Low patient portal use of available educational interventions with a HIT tool is an identified problem at a rural hospital in North Carolina. Low usage could be related to nurses’ unfamiliarity with HIT tools. This DNP project provided nursing staff with a flipped classroom learning module on utilizing available HIT tools within the hospital setting, increasing nurses’ engagement with the patient portal. A sample of Registered Nurses (RNs) from two units who were previously taught to utilize …

Impact Of The Resident Mentor Role On Student Worker Mental Health, Lauren Cartwright

Senior Theses

What do stress and burnout look like for RMs at a flagship university in the southeast during the early Covid-19 epidemic? How would the average student worker rate the RM role in terms of satisfaction, recommending the role to others, and weekly workload?

To answer these questions, I surveyed 51 Resident Mentors (RM) at the University of South Carolina (UofSC) in Spring, 2021 to gather information on their general backgrounds, workload, and overall satisfaction with the RM role. Results generally showed high workloads and stress levels. I argue that these findings may be reflective of role ambiguity and changes in …

The Role Of Motivation Into The Conceptual Model Of Motor Development In Childhood, Cristina Menescardi, An V. De Meester, Sofie Morbée, Leen Haerens, Isaac Estevan

Faculty Publications

The aim of this study was twofold: first, to investigate whether perceived motor competence (PMC) mediates the relation between actual motor competence (AMC) and physical activity (PA) according to the conceptual model of motor development, and second to examine the role of different motivational regulations (i.e., intrinsic, identified, introjected, and external regulation) in the relationship between PMC and PA. A sample of 504 Spanish students (46.2% girls, 8–12 years old) voluntarily participated in this study. In relation to the first aim, structural equation modeling revealed that PMC indeed mediates the association between AMC and PA. In relation to the second …

The Role Of Motivation In The Conceptual Model Of Motor Development In Childhood, Cristina Menescardi, An V. De Meester, Sofie Morbee, Leen Haerens, Isaac Estevan

Faculty Publications

The aim of this study was twofold: first, to investigate whether perceived motor competence (PMC) mediates the relation between actual motor competence (AMC) and physical activity (PA) according to the conceptual model of motor development, and second to examine the role of different motivational regulations (i.e., intrinsic, identified, introjected, and external regulation) in the relationship between PMC and PA. A sample of 504 Spanish students (46.2% girls, 8–12 years old) voluntarily participated in this study. In relation to the first aim, structural equation modeling revealed that PMC indeed mediates the association between AMC and PA. In relation to the second …

Understanding The Unseen: Invisible Disabilities In The Workplace, Ann Abney, Veronica Denison, Chris Tanguay, Michelle Ganz

Faculty and Staff Publications

Approximately 61 million (or 1 in 4) adults in the United States have a disability. Despite this prevalence, many people cannot name a coworker who is disabled, possibly due to the number of people who have invisible disabilities. This lack of understanding of both causes and prevalence can cause both the disabled and their supervisors or managers to be unaware of how to address a disabled person’s needs. In this article, the authors shed light on how to improve the professional environment for disabled archivists, staff, and patrons. People without disabilities or those with unrealized disabilities can all benefit when …

Neurochemical, Molecular, And Behavioral Effects Of Intranasal Insulin, Jennifer Marie Erichsen

Theses and Dissertations

Age-related cognitive decline (ARCD) is one of the most dreaded aspects of growing old and a public health concern. Unfortunately, there is currently no treatment that effectively ameliorates ARCD. In recent decades, intranasal insulin (INI) has demonstrated promising memory enhancements for rodents and individuals with Alzheimer’s disease, both in basic science research laboratories and multi-center clinical trials. Other studies have shown INI improves memory and cognition in healthy rodents and humans, indicating that INI may hold promise as a successful ARCD therapeutic. However, there is a glaring lack of evidence regarding how INI produces these effects. The goal of these …

Physical Activity And Breast Cancer Prevention Among Asian American Women, Jingxi Sheng

Theses and Dissertations

Asian Americans (AsAm) comprise about 7% of the United States population and are the only racial group for whom cancer is the leading cause of death. Breast Cancer (BrCa) is the most commonly diagnosed cancer in this population, with the highest incidence in the age of 45-49 years, which is 30 years younger than for non-Hispanic Whites. The incidence of BrCa has been increasing for over three decades in AsAm.

Physical activity (PA) is a modifiable protective factor for BrCa. Unfortunately, AsAm women have a low PA prevalence of meeting PA recommendations. The increased BrCa risk, younger age at diagnosis, …

Using Video Analysis As A Professional Development Tool In Order To Discern How To Better Foster The Engagement Level Of High School English Learners In A Content Area Class, Jennifer Lynne Ochwo

Theses and Dissertations

Many teachers struggle to engage English Learner students in the classroom as they feel students may be disconnected both academically and socially. In addition, many teachers have minimal intercultural experiences and limited training that could help them connect with these students. This qualitative study seeks to explore the use of video analysis as a professional development tool that would serve as a mirror for teachers who are focused on enhancing English Learners’ engagement in the classroom. The study participants were six teachers who teach sheltered English instruction classes at the Freshman Academy and High School. Data was collected over a …

Differences In Aggression And Alcohol Use Among Youth With Varying Levels Of Victimization And Popularity Status, Sarah T. Malamut, Molly Dawes, Tessa A.M. Lansu, Yvonne Van Den Berg, Antonius H.N. Cillessen

Faculty Publications

Awareness that high-status adolescents can be targets of aggression has grown in recent years. However, questions remain about the associations of the confluence of victimization and popularity with adjustment. The current study fills this gap by examining the joint and unique effects of victimization and popularity on aggression and alcohol use. Participants were 804 Dutch adolescents (50.2% boys, M_age = 13.65) who were followed for one year. High-status victims were more aggressive and drank more alcohol than lower-status victims. High-status victims were also more proactively and indirectly aggressive and self-reported more bullying than high-status non-victims. Thus, the findings demonstrated …

Sports Nutrition- And Strength And Conditioning-Based Interventions To Bolster Health And Human Performance In Male And Female Tactical Personnel, Harry Paul Cintineo

Theses and Dissertations

Military and law enforcement personnel are required to possess sufficient physical and cognitive fitness to perform their official duties. Tactical athletes must have fast reaction times (RT), high levels of various aspects of muscular performance, including power, strength, and endurance, as well as high anaerobic and aerobic capacities. The purpose of this dissertation was to investigate acute sports nutrition and chronic strength and conditioning strategies to improve health and human performance in tactical athletes, including law enforcement officers, active-duty military service members, and Reserve Officers’ Training Corps (ROTC) cadets and midshipmen.

The first study tested the effects of a combination …

Wandering And Wondering: Mapping The Confines Of The Introspective Spaces Of Julio Cortázar, Sergio Chejfec, And Samanta Schweblin, Tamara Alisa Morgan

Theses and Dissertations

This dissertation explores the juxtaposition of time and space and how they affect the relationships of the protagonists with the people and places around them. I examine works by the Argentine writers Julio Cortázar, Sergio Chejfec, and Samanta Schweblin, to trace a genealogical connection of techniques and universal themes within their texts regarding place and the search for human identity and belonging in the globalized world. Engaging the theoretical notions of space, power, and subjectivity (Henri Lefebvre, Giuliana Bruno, Marc Augé), as well as flânerie and phantasmagoria (Walter Benjamin), I contend that the protagonists of these works are incomplete beings …

Hiv-Related Stigma, Sexual And Gender Minority-Related Stigma, And Health Outcomes Among Msm Living With Hiv: Measurement, Impact, And Intersectionality, Tianyue Mi

Theses and Dissertations

Background: Many men who have sex with men (MSM) living with human immunodeficiency virus (HIV) experience suboptimal health outcomes compared to nonMSM males living with HIV, including a faster decline in CD4 count before initiating antiretroviral therapy (ART), slower immune recovery after initiating ART, more mental health problems, suboptimal ART adherence, and lower retention in care. MSM living with HIV are often exposed to multiple layered stigmas, including, but not limited to, stigma related to being infected with HIV and stigma related to sexual and gender minority (SGM) status. Although various scales of HIV-related stigma have been frequently used for …

White Blindness: An Investigation Into Teacher Whiteness And Racial Ignorance, Mary Katharine Brasche

Theses and Dissertations

White supremacy and domination are the backbone foundation of the United States and have been long documented in its history. The prevalence of whiteness and white supremacy is not isolated to social situations or commerce but fundamentally ingrained in the education system. While Brown v. the Board of Education abolished the notion of separate but equal, the education of a diverse American student population remains predominantly at the hands of White, female educators. This action research study, using an investigative mixed-methods design, attempted to address educator whiteness at a small, rural high school in the Southeastern United States. Treatment …

Transforming Instructors’ Resistance To Change Mindset Using Eti-Based Content Sequence Of The First Courses In Financial Accounting Reform Initiative, Mujtahid Subagyo

Theses and Dissertations

As an accounting professor who has been teaching subjects in the domain of Financial Accounting (FA) for more than 10 years, I have observed the worrying phenomenon of reform stagnation in my accounting education program. There have been several reform efforts, mostly designed in a top-down mechanism, both in the aspect of curriculum and instruction aimed to improve the quality of education service in our institution in general. Unfortunately, most of them failed to be executed and some of them did not even make it to the planning stage mainly due to general resistance from the faculty. The current research …

Mixed Methods Action Research: How Integrating Student Response Technology And Case Studies In A Largely Populated University Course Influences Student Engagement, Feedback, And Learning, Scott L. Matteson

Theses and Dissertations

The purpose of this study was to determine if implementing student response technology (SRT) and case studies into a largely populated university undergraduate course would influence student engagement. When student engagement is influenced the potential for positive learning outcomes occurs leading to a higher likelihood of student success (Swap & Walter, 2015). Four research questions guided this study: How and to what extent does incorporating SRT and case studies in a largely populated undergraduate course at MSU influence: (1) student motivation; (2) cognitive, emotional, and behavioral engagement; (3) feedback; and (4) What are the effects of SRT and case studies …

Physical Activity And Stress Between American Students And Asian International Students At The University Of South Carolina, Hao Lei

Theses and Dissertations

Many college students are physically inactive and have high levels of stress, and this may be worse among increasing number of international students studying in the US. This study investigated the relationship between physical activity and stress among American students (n=92) and Asian international students (n=64). The Mann-Whitney test was used to compare MET minutes/week from the International Physical Activity Questionnaire short form between those two groups. The independent-samples t test compared the mean of stress from the Perceived Stress Scale between those two groups. Chi-square test was used to compare the percentage of Asian international students and American students …

Null Hypothesis Statistical Testing: A Survey Of The History, Critiques, And Alternative Methodologies, Bradley David Rogers

Theses and Dissertations

Considered normative from the second half of the 20th century (Danziger, 1990), null hypothesis statistical testing (NHST) has received consistent, largely unheeded criticism. Critiques have received more attention in recent years with the recognition of the replication crisis in the social sciences and the American Statistical Society’s statement and special issue on p values (Wasserstein & Lazar, 2016; Wasserstein et al., 2019). This paper seeks to provide a framework for understanding the issue by looking at the history of NHST and investigating some alternatives to the methodology. A brief review of the history, spread, and critiques of NHST is provided …

A Hawaiian Heroine’S Journey: The Early Life And Career Of Dancer Jean Erdman Campbell, Diane B. Mcghee

Theses and Dissertations

This biographical study covers the early life and career of dancer, choreographer, and avant-garde theatre artist, Jean Erdman Campbell (1916-2020). Based on extensive research of historical literature and archival materials, the manuscript traces Erdman’s ancestry and follows the subject through age 32, when she became established as a star of modern dance and prepared for a world tour. The guiding question for this study was what influences shaped the life course, identity and artistry of Erdman, and how might the subject be presented as biography? The researcher examined the influences on Erdman as related to various dance traditions, especially Hawaiian …

Sensory Processing In Male Children With Fragile X Syndrome And Idiopathic Autism: Implications For Maladaptive Behavior And Within-Syndrome Heterogeneity, Chandler Knott

Theses and Dissertations

Proficient sensory processing affords adaptive responses that are necessary for daily functioning. Atypical sensory processing patterns are common across neurodevelopmental disorders, including autism spectrum disorder (ASD) and fragile X syndrome (FXS), two disorders with a high degree of phenotypic overlap. However, little is known about whether types of atypical sensory processing in FXS vary as a function of genetic etiology or the presence of ASD. Atypical sensory processing has been also associated with maladaptive outcomes in certain clinical populations; however, the impact of these impairments on internalizing and externalizing behavior remains unknown in FXS. Study participants included 37 male children …

Trajectories, Prevention Strategies, And Health Impacts Of Perinatal Depression, Sabrina Karim

Theses and Dissertations

Background

Perinatal depression is one of the most common and underdiagnosed obstetric complications. Extant research on perinatal depression is mostly focused on white women and women who are not at risk for depression. Little is known about the trajectories, prevention strategies and adverse outcomes of perinatal depression among high-risk populations, for example, women with overweight and obesity or women of color or low socioeconomic status.

Purpose

Our study examined the longitudinal trajectories of perinatal depression, effect of a behavioral lifestyle intervention on perinatal depression and association between prenatal physical activity and perinatal depression among women with overweight and obesity. We …

Healthy Aging Beyond Sex And Gender Binaries, Nicole M. Lampe

Theses and Dissertations

An estimated 2.7 million sexual and gender minority (SGM) adults 50+ reside in the United States (US) with this number projected to increase to more than 5 million by 2060 (Flatt et al. 2022; Fredriksen-Goldsen and Kim 2017). Medical research, education, and practice in the United States (US) often erase sex and gender variation, thus ignoring the experiences of older adults living beyond Western sex and gender binary systems (e.g., female/male and women/men), particularly transgender, non-binary, and/or intersex (TNBI) populations. Such erasure stems from TNBI older adult structural incompetency or the failure to understand how macro-level systems, institutions, and structures …

Disproportionate Discipline: Race/Ethnic And Gender Disparities In Rates Of Lunch Detentions And Subjectivity In Teachers’ Reasons For Those Punishments, Paul Michael Fram

Theses and Dissertations

The intent of school discipline policies, practices, and procedures is to shape student behavior to create an optimal learning environment for all students. However, school discipline falls short of this goal because it is rife with race/ethnic and gender disparities. These disparities contribute to inequitable academic and life outcomes that plague, in particular, African American children. This dissertation addresses these disparities through a thematic literature review, a quantitative analysis of inequities in rates of lunch detention, and a mixed methods analysis of subjectivity in reasons for lunch detention.

The literature review explains the problematic aspects of school discipline, the racial …

A Finding Place: Social Justice Poetry Toward Empathy In The Secondary English Language Arts Classroom, Patricia Vicino

Theses and Dissertations

This study examined the effects of a combined reader-response and close reading approach to social justice poetry on the empathy levels of secondary level English Language Arts students in my classroom. This action research study occurred over a six-week period during a Fall 2021 English elective course with six student participants in a high school within South Carolina. Research was conducted via a mixed methods approach that analyzed both quantitative and qualitative data from prestudy and poststudy Likert scales along with surveys, interviews, observation notes, and artifacts. The data revealed that student empathy levels were elevated after the study unit …

Boys, Reading, And Video Games: A Mixed-Methods Case Study Examining The Effects Of Using A Recreational Video Game To Improve Reading Comprehension Performance At An Elementary School In Texas, Donald Wayne Meyer Jr.

Theses and Dissertations

The fifth-grade boys at an elementary school in Texas consistently perform lower than girls on the State of Texas Assessments of Academic Readiness (STAAR) reading portion. The gender gap in reading is not exclusive to this school. Boys score lower than girls on state-administered reading assessments each year in the United States (U.S.) and have done so for decades (Bozack & Salvaggio, 2013; Clinton et al., 2014; Schwabe et al., 2015; Schwanenflugel & Knapp, 2018). This study explored the effects of using a recreational video game on fifth-grade boys struggling with reading comprehension in a six-week-long reading intervention program.

This …