Digital Commons Network^™

The Effectiveness Of Equivalence-Based Instruction On Time-Telling Skills In Children With Moderate Developmental Disabilities Including Autism Spectrum Disorder And Intellectual Disability, Rongzhi Li

Theses and Dissertations

The purpose of this study was to evaluate the effectiveness of equivalence-based instruction (EBI) on teaching time-telling skills to children with moderate developmental disabilities including autism spectrum disorder (ASD) and intellectual disability. Three children with ASD or intellectual disability participated in the study. The experiment was conducted using a concurrent multiple baseline design across subjects. During the acquisition training, each participant was taught 24 discrimination relations including matching 12 picture analog clock faces and 12 printed digital clocks to their dictated times. After the training, the participants were assessed to see whether their visual-visual responses (transitivity relations) and oral naming …

Placebos, Rhetoric, And The Power Of Expectation, Jennifer M. Reeher

Theses and Dissertations

Placebos, Rhetoric, and the Power of Expectation examines the relationship between persuasion and health to determine what interventions rhetoric could make in the interdisciplinary field of placebo studies. This exploration of the relationship between rhetoric and placebo responses relies on non-anthropocentric definitions and theories of rhetoric as well as a multifaceted archive that includes patient narratives, clinical intake forms, and peer-reviewed scientific studies of condition-specific placebo responses. The impact of this investigation spans the practical and the theoretical. First, rhetorical study highlights the importance of a patient’s perception of care in patient recovery. To this end, rhetoric offers audience-focused methods …

Healthcare Assistance Challenges-Driven Neurosymbolic Ai, Kaushik Roy

Publications

Although Artificial Intelligence technology has proven effective in providing healthcare assistance by analyzing health data, it still falls short in supporting decision-making. This deficiency largely stems from the predominance of opaque neural networks, particularly in mental health care AI applications, which raise concerns about their unpredictable and unverifiable nature. This skepticism hinders the transition from information support to decision support. This presentation will explore neurosymbolic approaches that combine neural networks with symbolic control and verification mechanisms. These approaches aim to unlock AI’s full potential by enhancing information analysis and decision-making support for healthcare assistance.

Automatic Uncovering Of Patient Primary Concerns In Portal Messages Using A Fusion Framework Of Pretrained Language Models, Yang Ren, Yuqi Wu, Jungwei W. Fan, Aditya Khurana, Sunyang Fu, Dezhi Wu, Hongfang Liu, Ming Huang

Publications

Objectives: The surge in patient portal messages (PPMs) with increasing needs and workloads for efficient PPM triage in healthcare settings has spurred the exploration of AI-driven solutions to streamline the healthcare workflow processes, ensuring timely responses to patients to satisfy their healthcare needs. However, there has been less focus on isolating and understanding patient primary concerns in PPMs-a practice which holds the potential to yield more nuanced insights and enhances the quality of healthcare delivery and patient-centered care. Materials and Methods: We propose a fusion framework to leverage pretrained language models (LMs) with different language advantages via a Convolution Neural …

Toward Concurrent Identification Of Human Activities With A Single Unifying Neural Network Classification: First Step, Andrew Smith, Musa Azeem, Chrisogonas O. Odhiambo, Pamela J. Wright Phd, Ms, Med, Rn, Cen, Hanim E. Diktas, Spencer Upton, Corby K. Martin, Brett Froeliger, Cynthia F. Corbett, Homayoun Valafar

Publications

The characterization of human behavior in real-world contexts is critical for developing a comprehensive model of human health. Recent technological advancements have enabled wearables and sensors to passively and unobtrusively record and presumably quantify human behavior. Better understanding human activities in unobtrusive and passive ways is an indispensable tool in understanding the relationship between behavioral determinants of health and diseases. Adult individuals (N = 60) emulated the behaviors of smoking, exercising, eating, and medication (pill) taking in a laboratory setting while equipped with smartwatches that captured accelerometer data. The collected data underwent expert annotation and was used to train a …

Black And Latiné Parents' Perspectives On Supporting Their Children's Emotional And Physical Health, Daniel K. Cooper, Jayxa K. Alonzo, Tracey Goldson, Isabel R. Jordan, Fatima Jatoi, Isabella Mallozzi, Francesca Lupini

Faculty Publications

Informed by integrative models of cultural resilience, the purpose of this study was to (a) explore how parents are promoting their children's emotional and physical health, with a focus on race and ethnic-racial socialization strategies, and (b) identify the barriers and challenges parents are experiencing in supporting their children's health. Ethnically racially matched qualitative interviews were conducted with 33 parents (82% women, 64% Black, 36% Latiné). Results of thematic analysis revealed three overarching themes: (a) Strategies for Promoting Children's Physical and Emotional Health, (b) Challenges Promoting Children's Physical and Emotional Health, and (c) Impact of Racism on Parenting and Children's …

The Youth Tax In Parole Hearings, David M. N. Garavito, Amelia Hritz, John H. Blume

South Carolina Law Review

No abstract provided.

The Children Are Our Future (Not Our Future Criminals): Protecting South Carolina's Youngest Citizens By Setting A Minimum Age Of Juvenile Court Jurisdiction, Peggy D. Nicholson

South Carolina Law Review

No abstract provided.

Alone & Afraid: The Need For Elimination Of Solitary Confinement In South Carolina, Sydney Ford

South Carolina Law Review

No abstract provided.

Rethinking Youth Release: An Analysis Of The South Carolina Board Of Juvenile Parole In The Context Of The Evolving Landscape Of Reforms Of Juvenile Release Authorities, Aleksandra Chauhan

South Carolina Law Review

No abstract provided.

Evaluation Of A Team-Based Model Of Nursing Care In The Acute Care Setting, Vanetta W. White

Doctor of Nursing Practice Scholarly Projects

Problem: The current nursing shortage is much different than the ones we have experienced in previous years. It is predicted that it will have long-lasting effects. With this shortage of nurses, especially in the acute care setting, alternative methods to deliver patient care beyond the current use of primary care models need to be explored. These alternative models of care which include team-based nursing must maintain quality and safety for patients cared for.

Purpose: This project will evaluate the outcomes of returning to a team-based nursing model of care on a medical-surgical unit while continuing to provide safe, quality care …

Implementation And Evaluation Of A Neonatal Resucitation Program Protocol In Stand-Alone Emergency Department, Hannah Collins Walden

Doctor of Nursing Practice Scholarly Projects

Problem statement: Within nursing there are some skills that hold a significant amount of risk. This includes neonatal resuscitation within stand-alone emergency departments. Due to the low frequency of opportunities to practice neonatal resuscitation, nurses must utilize alternative methods to maintain current evidence-based practice. Purpose: The purpose of this project was to evaluate the effectiveness of a protocol incorporating Neonatal Resuscitation Program (NRP) preparedness and simulation to increase stand-alone emergency department nurses’ perceived clinical competence to performing neonatal resuscitation. Methods: The development and implementation of a protocol that defines and incorporates NRP roles, provides a maintenance checklist for …

Measurement-Based Mental Health In Adolescents, Ayzia Lynn Taylor

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Adolescent mental health is a growing concern. Children and adolescents are commonly diagnosed with Attention Deficit Hyperactive Disorder (ADHD), anxiety, and depression. Some youth may also experience co-occurring symptoms that their primary healthcare provider must distinguish to appropriately diagnose and treat.

Purpose: The project aimed to implement measurement-based care for adolescents between the ages of 12 to 18 in a pediatric outpatient facility that is not currently utilizing post-assessment screening tools. The project seeks justification for treatment options utilizing pre-assessment screening tools and therapeutic relief with medication intervention determined by post-assessment screening results.

Methods: Adolescents between the ages …

Implementation Of Shared Decision Making To Impact Decisional Conflict In Advancing Chronic Kidney Disease, Margaret Mcannar Sorkin

Doctor of Nursing Practice Scholarly Projects

Problem Statement: A notable phenomenon in nephrology is indecision regarding treatment for End Stage Renal Disease (ESRD). Indecision regarding treatment for ESRD can lead to suboptimal dialysis starts, creating poorer health outcomes, decreased quality of life, and higher healthcare costs. Purpose: This project aimed to determine if participation in a shared decision-making (SDM) program decreases decisional conflict in patients with advancing renal disease deciding between ESRD treatment options. Methods: A pretest-posttest design was used. Participants were recruited from a private nephrology practice. Inclusion Criteria: English-speaking patients, over the age of 20, with Chronic Kidney Disease Stages 4 or 5 (estimated …

Implementing The 5a’S Of Obesity Management In Primary Care, Holly H. Rowell

Doctor of Nursing Practice Scholarly Projects

Problem Statement: The prevalence of obesity continues to increase globally, with greater prevalence in the southern United States, resulting in higher costs to the healthcare system and greater risks for the development of other chronic diseases. Purpose: Determine if implementing the 5A’s of Obesity Management among primary care providers in a rural, low-income healthcare setting will increase the diagnosis of obesity and result in a subsequent decrease in weight among patients who are obese. Methods: An educational session was held to familiarize providers with the 5A’s of Obesity Management and the importance of obtaining and documenting proper height …

Human Papillomavirus Vaccination Rates Among Adolescents In South Carolina, Rebecca Jane Morrison

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Among adolescents 11-17 years of age in South Carolina, low rates of human papillomavirus (HPV) vaccination can negatively impact health outcomes through increased risk of acquiring HPV-associated cancers.

Purpose: To determine if the 4 Pillars™ Immunization Toolkit increased HPV vaccination rates among adolescent patients.

Methods: The 4 Pillars™ Immunization Toolkit was the framework for this bundled intervention. Pillar 1, convenience and easy access, included after-school HPV express clinics. Pillar 2, communication, utilized staff motivational interviewing skills, campaign promotion materials, documentation of declination, and second-dose callback appointments. Pillar 3, enhanced vaccination systems, was designed to use …

Impact Of The Blaylock Risk Assessment Screening Score On Inpatient Length Of Stay On Inpatient Psychiatric Units Within An Acute Care Hospital, Princess P. Minter

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Insufficient discharge planning at the time of patient admission can result in increased hospitalization length of stay and poor clinical outcomes, including a rapid deterioration of stabilized patients’ mental status while unnecessarily waiting for discharge arrangements to be put in place at the time of discharge. Purpose: To determine if completing the Blaylock Risk Assessment Screening Score (BRASS) index tool to identify barriers to discharge at the time of patient admission impacts the length of stay for patients admitted to general psychiatric inpatient units. Methods: Patient admission and discharge data collected using the BRASS index within 48 hours …

Assessing Readiness To Quit As An Intervention For Tobacco Cessation In Oncology Patients, Victoria Gabriela Maddox

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Smoking and tobacco use is the leading cause of preventable death in the United States. Twenty percent of all cancer diagnoses are directly linked to smoking, and tobacco-related diseases and cancers contribute to one in every five deaths annually in the United States. Less than one in ten smokers are successful at quitting. Smokers attempting to quit are more successful in cessation programs after evaluation of self-efficacy, such as the readiness to quit.

Purpose: This evidence-based practice project aimed to evaluate the impact of motivational interviewing with the 5A’s model on smoking cessation efforts in patients at an …

Reducing Wait Times For Psychiatric Intakes, Ryan Brad Carsten

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Early intervention for mental illness is vital to a swift recovery and extended wait times for mental health treatment have proven to be a barrier to early intervention. Purpose: The purpose of this quality improvement project was to determine if wait times for psychiatry intakes at the University of South Carolina (USC) Student Health Center Psychiatry Services can be reduced and kept under 1 week by utilizing the Specific Timely Appointments for Triage (STAT) model. This model consists of clinicians scheduling a specified number of intake appointments based on the typical demand for service. Students were booked in …

Using Visual Thinking Strategies To Increase Empathy Levels In Inpatient Psychiatric Nurses: A Quality Improvement Project, Katharine E. Harding

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Research indicates that empathy is declining in today’s behavioral health nursing workforce. Purpose: The aim of this quality improvement project was to apply an evidence-based Visual Thinking Strategies intervention to the clinical problem and increase empathy levels from pre-survey measurement among psychiatric nurses. Method: VTS methodology was employed through in-person interviews where participants viewed art-based images pertaining to mental health. Feedback from semi-structured questions was shared among participants. Pre and post-test interventional quantitative data via The Jefferson Scale of Empathy-Health Provider version (JSE-HP) and The Interpersonal Reactivity Index (IRI) instruments were collected. Inclusion Criteria: Participants were voluntarily recruited …

Therapeutic Potentials Of The Gut-Brain-Microbiota Axis For Prevention And Treatment Of Motivational Deficits In Ecohiv Infected Rats, Mason T. Rodriguez

Theses and Dissertations

People living with HIV begin to experience gastrointestinal disturbances as early as 6 months after initial infection. Regardless of adherence to combination antiretroviral therapy (cART), the gut microbiome of people living with HIV maintains a state of dysbiosis throughout the rest of their lives, providing potential for a novel target for improving the lives of those living with HIV. The present study investigated the impact EcoHIV and cocaine have on the gut microbiome of F344/N rats. Fecal samples were collected from 20 female and 20 male animals at baseline, following self-administration of cocaine, and following inoculation with EcoHIV or Saline. …

Neurocognitive Processes As Longitudinal Predictors Of Reading Fluency, Jody Samuels

Theses and Dissertations

Reading fluency involves a complex interaction of different cognitive skills and abilities that develop with instruction and practice and relies on the automaticity of many distinct reading skills (e.g., pacing, word recognition, expression, phonological awareness). Fluent reading frees cognitive resources, such as working memory, for more advanced components of reading including comprehension and synthesis (Kim & Wagner, 2015; Samuels, 2006). Though early identification of students with fluency challenges is critical for providing evidence-based intervention, most screeners assess skills that are dependent upon instruction (e.g., letter identification, sound-symbol correspondence), delaying opportunities for identification. The current study examines the utility for including …

Fan, Friend, Or Foe: An Exploratory Scale Development Of Perception Of Social Media Influencers On Instagram, Katelynn Danyell Stewart

Theses and Dissertations

This study aims to start the scale-building process of perception of social media influencers. This dissertation analyzes lifestyle Instagram influencers' followers’ perceptions of the influencer, their brand, and their communication and interaction efforts with followers through Instagram. This survey will help test the independent variables and dependent variables through the public relations lens using a combination of parasocial relationship theory, source credibility theory, and uses and gratifications theory to determine the effects and behaviors that lifestyle Instagram influencers have on their followers connected to influencer brand and influencer interactivity; and how lifestyle Instagram influencer usage, influencer authenticity, and parasocial relation …

Sacred Symbols In A Secular World: Religious Imagery In The Works Of Jack London And Sylvia Plath, Kathleen Elizabeth Long

Theses and Dissertations

This thesis seeks to investigate and analyze the presence of religious symbolism in the novels of Jack London and Sylvia Plath, two authors whose atheist beliefs comingle in intriguing ways with this sacred imagery, offering rich ground for comparative analysis. Despite London’s fervent Darwinist beliefs, he injects subtle religious motif within The Call of the Wild, devoted to promoting atheist thought yet yearning for the grandiosity of myth. Similarly, Plath uses allusions to Judaism within her novel The Bell Jar, subverting classical religious tradition to associate it with themes of animal savagery. By studying these two texts, this …

How Passion Functions In Sport Applicant Attraction: A Biometric Approach, Jiayao Qi

Theses and Dissertations

Passion has been extensively researched from the perspective of athletes, entrepreneurs, and employees. In this dissertation, the researcher conducted an in-depth investigation of the way passion functions in sport job attraction. The two-stage experimental design combines the pioneer biometric methodology with qualitative inquiry, and 25 job seekers selected from a larger sample participated in the biometric lab. Results indicate that the interplay between cognitive and affective appraisals is critical in explaining sport job seekers’ highly individualistic and discriminative attraction toward work opportunities in sport. In particular, sports job seekers foster work passion through their multiple identifications with sport (playing history, …

Association Of Hiv Status And Other Minoritized Identities With Psychiatric Diagnoses Among Transgender And Gender Diverse Individuals In The All Of Us Research Program, Fanghui Shi

Theses and Dissertations

Background: Transgender and gender diverse (TGD) people, whose gender identities or expressions differ from the sex assigned at birth, are disproportionately affected by adverse health outcomes, including various psychiatric diagnoses such as depression, anxiety, stress, and substance use disorders. The Gender Minority Stress Model emphasizes that TGD people face both proximal stressors at a personal/individual level (e.g., internalized stigma) and distal stressors at a societal level (e.g., discrimination) due to their minority status, which largely contributes to their increased risk of psychiatric diagnoses. Despite these health disparities, there is a paucity of gender identity data collected in large population-based health …

An Examination Of Self-Identity In Relation To Smoking And Vaping In South Carolina, Jaron Hoani King

Theses and Dissertations

BACKGROUND

This dissertation examines self-identity in the context of smoking and vaping among adults in South Carolina (SC) using data from the 2023 SC Adult Tobacco Survey (n=1370). The conceptual model created to guide this dissertation is called the “Smoker and Vaper Behavior-Identity Model” and draws constructs from theoretical frameworks in health behavior and social identity theories. Behavior was defined as lifetime and past 30 day cigarette or e-cigarette use. Self-identity was defined by asking respondents with a history of cigarette or e-cigarette use “Do you consider yourself a smoker/vaper”, respectively.

METHODS

First, this study assesses the prevalence of mismatching …

Examining Risk Factors For Early-Onset Breast Cancer, Jennifer Grace Taylor

Theses and Dissertations

Introduction: There have been great advancements in screening and in the identifying of risk factors associated with breast cancer, however, there is a lack of information of these factors in women with breast cancer occurring under the age of 45, known as early-onset breast cancer (EOBC). EOBC is often found at later stages, negatively impacting young women’s careers, family planning, and mental health. Additionally, because of the health disparities that exist within the U.S. health care system, women belonging to racial and ethnic groups, specifically young Black women, tend to have poorer outcomes and higher mortality rates of EOBC …

Collegiate Student-Athlete Responses To The Covid-19 Pandemic, Alexa Jenny Chandler

Theses and Dissertations

Introduction: Exercise imposes a physiological stressor on the body which is amplified as training intensifies. Collegiate fall-sport student-athletes return after summer break (off-season) and have approximately two weeks of training (preseason) with coaching staff before competition begins. The 2020 fall season was preceded by a five-month period away from campus due to the timing of the coronavirus 2019 (COVID-19) pandemic. This also meant all commercial gyms and training facilities were closed, and student-athletes were forced to train with the resources they had at home. Upon return to campus, significant changes were made to practice and competition structures in attempt to …

Lexical Access In Women With The Fmr1 Premutation, Nadia Sabeh Ayon

Theses and Dissertations

Background: Emergent research indicates that women carrying the FMR1 premutation (FXpm) may encounter difficulties in language skills, including increased dysfluencies, a reduction in the quantity and diversity of words produced, and increased word retrieval errors with age (Sterling et al., 2013; Bredin-Oja et al., 2021). Objectives: The present study aims to assess semantic and phonological lexical access skills in FXpm women as well as to examine the impact of cognitive load (time pressure) on lexical access.

Methods: Forty-two FXpm women and 25 control women, aged 26-65 years (M=46.22, age-matched: p=.115), participated. The Network Production Task (Oomen & Postma, 2001), featuring …