Digital Commons Network^™

Pharmacy Access Is Out Of Reach For One In Six South Carolinians, Bryan L. Love Pharm.D., Tessa J. Hastings Phd, Abby Davies

CORE Research Briefs

A cross-sectional geospatial analysis mapped active South Carolina community pharmacies and used 2020 Census tract data to estimate the population residing within and beyond five-mile pharmacy service areas. About one in six South Carolinians lives more than five miles from an active community pharmacy, with limited access disproportionately affecting rural communities.

Navigating Nil In Collegiate Athletics: Athletes, Institutional, And Market Perspectives, Don Lee, Hoyeol Yu, Myungwoo Lee, Minseok Cho

Journal of Issues in Intercollegiate Athletics

This study examines the post-2021 NCAA Name, Image, and Likeness (NIL) era by synthesizing scholarship on how NIL policies have transformed collegiate athletics. Specifically, it explores the regulatory, economic, governance, and equity dynamics emerging from a decentralized policy environment and the rapid expansion of athlete commercialization. An AI-assisted scoping review and content analysis were conducted on NIL-related studies published in leading sport management and sport law journals since July 1, 2021. Using large language model–supported searches, thematic coding, and reliability and validity procedures, the selected studies were systematically analyzed across legal, governance, commercialization, athlete experience, and equity dimensions. Findings identified …

“Playing Mental Gymnastics”: Exploring Black Women College Athletes' Mental Health Experiences At Historically White Division I Universities, Ezinne D. Ofoegbu

Journal of Issues in Intercollegiate Athletics

Between 2002 and 2022, over 125 college athletes died by suicide, and Division I athletes represented 45% of these deaths. In 2023, Black women college athletes at Division I universities identified racism as a mental health stressor at a higher rate than their non-Black peers. The intersectional nature of social identities and athlete status may create gendered and racialized stressors that are uniquely experienced by Black women athletes. Given the underrepresentation of Black students (i.e., athletes and nonathletes), coaches, faculty, and staff at historically white institutions (HWIs), Black women athletes are likely navigating campus relationships and environments that are shaped …

The Impact Of Toxic Leadership On Intercollegiate Athletics: Gender-Differentiated Perceptions, Tara Tietjen-Smith, Haley Blount

Journal of Issues in Intercollegiate Athletics

While some investigative research has been conducted to examine the impact of toxic, or destructive, leadership in sport, few studies have focused on intercollegiate athletics departments. The purpose of this study was to examine how common toxic leadership is in intercollegiate athletics departments as well as its impact. A quantitative cross-sectional survey study was designed to examine NCAA Division I and II athletics employee experiences using the Toxic Triangle of Sport Management (TToSM) as a theoretical framework. Respondents (N = 2,051) were asked questions concerning their perceptions of work environments, leadership, and organizational culture procured from three distinct and well-established …

Servingness On The Sidelines: Latina/O/X Athletic Administrators At Division I Hispanic-Serving Institutions, Guillermo Ortega

Journal of Issues in Intercollegiate Athletics

This qualitative study examines how servingness is understood and enacted within NCAA Division I athletic departments at Hispanic-Serving Institutions (HSIs). Guided by Garcia et al.’s multidimensional servingness framework, the study draws on interviews with ten NCAA Division I Latina/o/x athletic administrators. Findings reveal that athletics is frequently disconnected from institutional HSI missions, with servingness often reduced to symbolic or performative practices. Limited Latina/o/x representation in athletic departments further constrains institutional capacity to serve. Despite structural exclusion, participants cultivate servingness through cultural affirmation and community building. Implications highlight the need to structurally integrate athletics into HSI missions and redistribute cultural labor.

2026 Sc Teacher Exit Survey, Svetlana Dmitrieva, Brian Cartiff, Angela Starrett

Reports

Each year, SC TEACHER administers the SC Teacher Exit Survey to public PK–12 classroom teachers who are leaving teaching positions in their districts. The survey provides insight into departing teachers’ next steps, the factors that contributed to their decisions to leave, and the conditions that might encourage some educators to remain in or return to South Carolina public education.

This report summarizes results from the 2026 SC Teacher Exit Survey, focusing on teachers who left their positions at the end of the 2025–26 academic year. Findings are organized by exit type to distinguish different forms of teacher mobility, including teachers …

Autistic Menopause: Where Should Research Go From Here?, Christine A. Jenkins, Margaret Janse Van Rensburg

Faculty and Staff Publications

Plain language summary

This letter lists seven priorities for future research on autism and menopause. It is written by an early career researcher/assistant professor and a community researcher. Both are neurodivergent themselves.

Implementation Of Medical Documentation Sign-In Sheets For Patient Evaluations And Treatments: A Quality Improvement Project, Madicyn Barnes, Beth Davis, Kaitlyn L. Holland, Zachary K. Winkelmann

Clinical Practice in Athletic Training

Context: Medical documentation of athletic training services at a large, public secondary school was limited to clinically significant or legally sensitive information entered into the electronic medical record (EMR) system. There are only 2 full-time athletic trainers (ATs) providing medical services to over 800 student-athletes across 45 different teams throughout the school year. Due to the large patient load, documentation is difficult to complete and, therefore, limited to the most “significant” information. The purpose of this quality improvement project was to improve medical documentation at this secondary school by implementing physical sign-in sheets in the athletic training facility (ATF) to …

Building On A Strong Foundation: Celebrating Our Past And Looking Toward The Future, Zachary K. Winkelmann

Clinical Practice in Athletic Training

No abstract

The Correlation Between Ankle Proprioception And Lower Extremity Muscle Reactions In Response To Simulated Ankle Sprains, Erin Carroll, Justin Stanek, Abby Salvadore

Clinical Practice in Athletic Training

Context: Neurological structures of the somatosensory system provide proprioceptive and neuromuscular input regarding joint positioning to the brain. Lower extremity motor control relies on local proprioceptive input to the central nervous system and neuromuscular control of individual joints to produce coordinated, global responses to external events. The purpose of this study was to investigate the relationship between ankle proprioception and lower extremity muscle reaction time in response to an unexpected ankle inversion perturbation.

Methods: Twenty healthy college-aged volunteers were recruited to participate by word of mouth. Absolute and exact errors for passive joint position sense (PJPS) were assessed using a …

Level Of Discrimination Experienced By Gender In Athletic Trainers And Professional Athletic Training Students, Emily Ghaussy, Seungyeon Kim, Jennifer Xu, Emily Madrak

Clinical Practice in Athletic Training

Context: Although women make up the majority of the athletic training field, gender-based discrimination continues to exist in the profession. Previous research exists; however, more current research on gender discrimination in the workplace is limited. This cross-sectional study examined level of perceived gender-based discrimination experienced by credentialed women athletic trainers and athletic training students in comparison to men athletic trainers and athletic training students. Four hundred forty-six cisgender men and women athletic trainers and athletic training students participated in our study. The median age was 28 years among cisgender women and 35 years among cisgender men.

Methods: Participants completed a …

The Evaluation Of A Soft Skills Curriculum In Athletic Training Education: A Mixed Methods Study, Emily A. Duckett, Heather Schugar, Alison Gardiner-Shires, Jacqueline S. Hodes

Clinical Practice in Athletic Training

Context: Developing athletic training students’ soft skills to effectively engage in patient-centered care is integrated throughout multiple Commission on Accreditation of Athletic Training Education Curricular Content Standards. Despite evidence supporting the importance of compassionate care, there is currently data to suggest that health care is experiencing a compassion crisis. The purpose of this study was to investigate the ways pre-professional athletic training students transfer knowledge from a soft skills curriculum to clinical experiences as students in an entry level master’s program.

Methods: This study is an explanatory sequential mixed methods design. Phase 1 includes participants (n = 19) enrolled in …

Association Between Athletic Trainers And Frequency Of Pediatric Orthopedic Visits, Abaigeal Field, James M. Mensch, Courtney Meyer, Susan W. Yeargin

Clinical Practice in Athletic Training

Context: There is sparse research on the relationship between athletic trainer (AT) employment and the number of athletes presenting to orthopedic clinics with sports-related injuries. The purpose of this study is to determine if athletic training services are associated with the frequency of first-time orthopedic office visits for sports-related injuries.

Methods: A retrospective chart review collected injuries between January 1, 2018 and December 31, 2020 from the electronic health records system for a hospital network in the Southeast United States with 6 orthopedic clinics and included 48 high schools hosting 20 sports with at least 1 AT per school. Patients …

One Size Does Not Fit All: Revisiting World Models And Neurosymbolic Ai, Amit P. Sheth, Madhur Thareja, Anushka Pawar, Niyati Rawal

Publications

World models are being built twice, from opposite ends, without a shared theory of how the two halves should meet. One lineage grounds the world model in perception: a self-supervised, latent-predictive encoder – exemplified by Joint Embedding Predictive Architectures (JEPA) – that learns the structure of sensory experi-ence. A second, older lineage grounds the world model in cognition: an explicit, inspectable structure of entities, rules, and constraints, ranging from knowledge graphs to formal logic to physical law. Neither lineage alone has produced a world model that is simultane-ously adaptive and auditable. We argue this is not solved by picking a …

What Drives Schoolchildren's Food Choices? Insights From A Gamified Stated-Preference Choice Experiment In Tunisia, Ali Chalak, Christelle Akl, Joanne Haddad, Nehmat El Helou, Sonia Sassi, Houda Ben Gharbia, Rawan Traboulsi, Marc Haber, Jalila El Ati, Hala Ghattas Ph.D.

Faculty Publications

This paper models the drivers of schoolchildren's food choices in urban Tunisia using a gamified Stated-Preference Choice Experiment (SPCE), which includes scenario attributes (food placement, preparation, and price) and contextual factors (parental/peer modeling eating behaviors). A representative sample of 2465 schoolchildren aged 8 to 12 years in Greater Tunis participated in a SPCE, which simulates real-life food choice scenarios on a typical school day. The game includes six nodes (breakfast, recess, lunch, snack on the road to/from school, afternoon snack, dinner) in various locations (home, school, neighborhood). Each choice task includes nine items to choose from (3 beverages, 3 side-meals, …

Perceived Effectiveness Of Cigar Warnings Among Young People In The U.S., Leah M. Ranney, Rime Jebai, Michael Jetsupphasuk, Sonia A. Clark, Kristen L. Jarman, Sarah D. Kowitt, Jim Thrasher Ph.D., Ma, Ms, Adam O. Goldstein, Jennifer Cornacchione Ross

Faculty Publications

Introduction: The effectiveness of warning size and format on cigar packaging in influencing youth and young adult smoking behaviors is not well understood. This study tested these cigar warning characteristics among youth and young adults who use or are susceptible to using little cigars or cigarillos.

Methods: The study recruited 506 U.S. youth and young adults, aged 15−20 years, between April and June 2023. Participants reported ever or past 30-day use of little cigars or cigarillos or were susceptible to using little cigars or cigarillos. A 2 £ 2 between-subjects online experiment was conducted where youth and young adults were …

Consumer Prioritization Of Revenue Generation Strategies In College Football Programs, Nels Popp, Chris Greenwell

Journal of Issues in Intercollegiate Athletics

Collegiate athletic departments face increasing financial pressures, making it vital to identify revenue generation strategies that align with fan preferences for sustainable growth. This study explores how various methods, including corporate logos on uniforms, increasing game-day costs, and accepting loans from private investors, are ranked by consumers in terms of their acceptability and potential impact on fan experience. Guided by prospect theory, we hypothesize fans prefer strategies seen as gains rather than losses and fan identification influences these preferences. Results from rank-ordered surveys of 7,110 respondents reveal that strategies enhancing program visibility without direct financial impact, such as corporate logos, …

“It’S Its Own Toxic”: Occupational Opportunities And Barriers For Lgbq+ Collegiate Athletic Administrators, Colleen S. O'Connell, Michelle E. Moosbrugger, Jill Kochanek, Elizabeth M. Mullin

Journal of Issues in Intercollegiate Athletics

Athletic administrators hold positions of influence within intercollegiate sport, yet their experiences, especially in relation to sexual identity, remain underexamined. The purpose of this study was to explore the occupational experiences and environments of LGBQ+ intercollegiate athletic administrators using a narrative inquiry qualitative design. Sixteen administrators, who occupied various positions across all NCAA levels, were interviewed. Guided by Sexual Stigma and Prejudice Theory and Poststructuralism Theory, collected data were analyzed at the semantic and latent levels using reflexive thematic analysis. Two distinct themes were generated: LGBQ+ administrators described both positive and negative aspects of their workplaces. Inclusive environments were committed …

Recommendations For Conducting Ethical Network Research, Francisca Ortiz Ruiz, Paola Tubaro, José Luis Molina, Jennifer Watling Neal, Raffaele Vacca, Jana Diesner, Jimi Adams, Michelle Birkett, Jenny Godley, Juniper Lovato, Michael Schönhuth, Laura Teves, Michael Zimmer

Faculty Publications

Ethical considerations in social network studies are grounded in the general principles of human subjects’ research, including avoidance of harm, promotion of justice, equitable distribution of burdens and benefits, respect for human dignity, and protection of confidentiality. To help navigate these challenges, this article presents recommendations for conducting ethical network research, developed by a multi-disciplinary and multi-national working group. The article is divided in three main sections where there are certain recommendations identified for each one of them: data collections, use, and availability. Discovering how others addressed and solved problems can be a way for all of us to improve …

Winning Economically: A Statistical Analysis Of Payroll Allocation Within Major League Baseball, Ryan St.Clair

Senior Theses

This thesis analyzes payroll trends within Major League Baseball (MLB) across the last ten seasons (2015-2024). By examining spending habits across teams, several strategies have been identified, bucketing teams into profiles that allow for easier comparison and insight into optimizing roster construction.

Team success is measured through two statistics: Winning Percentage and Wins Above Replacement (WAR). Winning Percentage determines which teams succeeded each year, while WAR adds color to each team's record. WAR measures a player's value holistically. Essentially, it shows how many more wins he provides compared to a replacement level player. A replacement level player is a minor …

The Effect Of The Covid-19 Pandemic On Diagnostic Testing Time Completion For African American End Stage Renal Disease (Esrd) Patients Being Evaluated For Kidney Transplantation, Kesha Levesque, Martina Mueller, Julie Anderson, Jennifer Gander, Gayenell Magwood Phd, Rn, Faha, Faan, Ahmed I. Kamal, Michael Jin Casey, Susan Newman Phd, Rn, Crrn, Faan

Publications

PURPOSE: The COVID-19 pandemic was directly associated with fewer additions to the kidney transplant waiting list and likely contributed to delays in transplant rates, particularly for African Americans. It remains unclear if the pandemic specifically had an impact on diagnostic testing time completion for African Americans being evaluated for kidney transplant waitlisting. AIMS: To examine the impact of the COVID-19 pandemic on kidney transplant diagnostic test completion time and assess racial disparities between African American and White patients. DESIGN: This retrospective study analyzed data on patients approved for kidney transplantation at a southeastern academic medical center between January 2018 and …

The Effect Of The Covid-19 Pandemic On Diagnostic Testing Time Completion For African American End Stage Renal Disease (Esrd) Patients Being Evaluated For Kidney Transplantation, Kesha Levesque, Martina Mueller, Julie Anderson, Jennifer Gander, Gayenell Magwood Phd, Rn, Faha, Faan, Ahmed I. Kamal, Michael Jin Casey, Susan Newman Phd, Rn, Crrn, Faan

Publications

PURPOSE:

The COVID-19 pandemic was directly associated with fewer additions to the kidney transplant waiting list and likely contributed to delays in transplant rates, particularly for African Americans. It remains unclear if the pandemic specifically had an impact on diagnostic testing time completion for African Americans being evaluated for kidney transplant waitlisting.

AIMS:

To examine the impact of the COVID-19 pandemic on kidney transplant diagnostic test completion time and assess racial disparities between African American and White patients.

DESIGN:

This retrospective study analyzed data on patients approved for kidney transplantation at a southeastern academic medical center between January 2018 and …

Regulation In Real Time: A Mixed-Methods Study Of Pharmd Student Learning At A Live Board Of Pharmacy Meeting, Keerthana R. Iyer, Taylor Gannon, Lindsey M. Rayborn, Joseph A. Dikun

Posters

Background: Pharmacists practice within complex legal, regulatory, and ethical frameworks; however, PharmD curricula often offer limited direct exposure to regulatory decision-making in authentic practice settings. Observation of a live Board of Pharmacy meeting may enhance students understanding of professional accountability, systems-level oversight, and the regulatory context of pharmacy practice. Objective: To examine changes in first-year PharmD students perceived regulatory understanding, ethical reasoning, perceptions of professional roles, and advocacy-related beliefs following attendance at a live Mississippi Board of Pharmacy meeting. Methods: This exploratory mixed-methods study included first-year PharmD students enrolled in a required course at the University of Mississippi. Students attended …

Real-World Impact Of Fda Opioid Regulatory Actions On Prescribing And Patient Outcomes: A Systematic Review, Millicent Boakye, Gabriel Ezenri

Posters

Background: Since 2013, the United States Food and Drug Administration (FDA) has issued a sustained series of opioid regulatory actions to curb high-risk prescribing and opioid-related harm. The impact of these actions on real-world prescribing and patient safety outcomes remains uncharacterized. This study aims to synthesize observational data on the real-world impact of FDA opioid regulatory actions and Risk Evaluation and Mitigation Strategies (REMS) on prescribing behavior and patient outcomes. Methods: We conducted a systematic review following the PRISMA 2020 guidelines. We search in Pubmed, Embase and Web of science for studies published between September 2013 and September 2025.The eligible …

Reducing Opioid Exposure Through State Policy: Evidence From U.S. Prescribing Limits, Rasaq Oladapo, Olufunmilola Abraham, Patricia R. Freeman, Douglas Oyler, Rachel Vickers-Smith

Podiums

Background: Initial opioid prescribing for acute pain contributes substantially to opioid exposure and can drive persistent use, increasing the risk of overdose and opioid use disorder. Most U.S. states have implemented opioid prescribing limits (OPLs) to restrict initial opioid prescription duration, quantity, or dosage. However their intended and unintended impacts remain poorly understood. This narrative review summarizes evidence from U.S. studies evaluating the impact of OPLs on prescribing, patient, and public health outcomes, while identifying gaps and priorities for future research. Methods: We reviewed U.S. studies published between April 2016 and January 2026 evaluating statutory OPLs. Literature was identified through …

Patients Willingness To Seek Help From Pharmacists In The Management Of Rheumatoid Arthritis: A Qualitative Study, Omkar Ghodke, Erin Holmes, Meagen Rosenthal, Yinan Huang, Marie Barnard

Podiums

Background: This study explored the willingness of rheumatoid arthritis (RA) patients to seek help from pharmacists for their disease management. While pharmacist interventions are known to enhance medication adherence and health outcomes, patient engagement with pharmacists remains low. Understanding the factors that influence RA patients' willingness to use pharmacy services is essential for improving patient outcomes and optimizing the role of pharmacists in RA management. Using the Integrative Model of Behavioral Prediction (IMBP), this study identified the factors influencing willingness to use pharmacists and pharmacy services among patients with RA. Methods: This study utilized semi-structured interviews targeting individuals 26 years …

Application Of Multi-Criteria Decision Analysis In Pharmacy And Therapeutics Committee Formulary Decision-Making: A Systematic Review And Proof-Of-Concept Framework, Georges Adunlin, Riley Atkinson

Posters

Background: Pharmacy and therapeutics (P&T) committees must evaluate competing medications within the constraints of finite healthcare resources. Traditional formulary decision-making processes may inadequately capture the multidimensional value of medications. Multi-criteria decision analysis (MCDA) has emerged as a structured approach to incorporate clinical, economic, and operational considerations; however, evidence of its real-world application in P&T committee decision-making remains limited.   Objectives: (1) To systematically review and synthesize published literature describing the use of MCDA in formulary decision-making by P&T committees. (2) To develop a conceptual MCDA framework and demonstrate its feasibility through a proof-of-concept application within a P&T committee context.   Methods: A …

Meal Provision Strategies For People Experiencing Homelessness: A Qualitative Study, Alexcia Carr, Rachel A. Vincent, Leticia R. Moczygemba

Posters

INTRODUCTION: People experiencing homelessness (PEH) often rely on community based meal service organizations (MSOs) for consistent food access. Given the high burden of diet related chronic illness among PEH and the role of therapeutic lifestyle changes in disease management, MSOs represent a key setting for improving nutritional quality. However, little is known about how MSOs resource and sustain meal services or how nutrition is considered within their meal provision processes. This study examined (1) meal provision strategies, (2) meal planning and food acquisition practices, and (3) the role of nutrition-related knowledge in service delivery.   METHODS: Semi-structured interviews were conducted with …

Multilevel Drivers Of Missed Opportunities For Hiv Prevention: A Qualitative Synthesis Within A Systematic Review, Ismaeel Yunusa, Tarilate Temedie-Asogwa, Osaro Mgbere, Julie Atta, Moosa Tatar, Susan Abughosh, Ekere Essien

Posters

Background: Despite the availability of effective HIV prevention strategies, including pre-exposure prophylaxis (PrEP), gaps in prevention delivery persist across healthcare settings. Missed opportunities for HIV prevention remain common, yet multilevel factors driving these gaps are not fully understood. Understanding these drivers is essential to inform effective interventions at the individual, interpersonal, provider, and system levels. Objectives: To identify and synthesize multilevel determinants of missed opportunities for HIV prevention and PrEP delivery. Methods: We conducted a qualitative synthesis within a systematic review of U.S.-based studies (2012-2025) on missed opportunities for HIV prevention. Articles were identified through database searches (PubMed, Embase, and …

Variation In Estimated Pharmacy Acquisition Costs Relative To Nadac: Evidence From A Multi-State Analysis, Bryan Amick

Podiums

Background: Survey-based approaches for estimating pharmacy acquisition costs have become increasingly prevalent. While originally developed for Medicaid, these models have expanded and, in some states, have been adopted legislatively as a reimbursement price floor for all payers. The National Average Drug Acquisition Cost (NADAC) is the predominant national benchmark, but several states conduct independent surveys to establish their own Actual Acquisition Cost (AAC) benchmarks. The extent to which these approaches accurately measure pharmacy acquisition cost remains unclear.   Objectives: To evaluate differences between survey-based pharmacy acquisition cost benchmarks, focusing on differences between brand and generic drugs.   Methods: Medicaid drug utilization for …