Digital Commons Network^™

Heart Initiative January 2025-December 2025, Gabriela Murza, Ashley Yaugher

All Current Publications

This report reviews the Health, Extension, Advocacy, Research, Teaching (HEART) Initiative programming and impacts for 2025. This USU Extension initiative transitioned from a programmatic initiative addressing the opioid epidemic in the most affected counties to a statewide prevention and workforce development model, with programs focused on prevention and education, stigma and harm reduction, strengthening community ties, and resilience building. The programs and resources expand access to evidence-based health and wellness resources, promote community engagement, and support statewide education efforts.

Building Capacity And Inspiring Change: The Impact Of Louisiana’S Ucedd Across The Lifespan, Alicia Kowitz, Constance Alphonse, Phil Wilson, Maria Blanco

Developmental Disabilities Network Journal

The Louisiana State University Health Sciences Center Human Development Center (HDC), as the state’s University Center for Excellence in Developmental Disabilities (UCEDD), serves as a catalyst for inclusive systems change through interdisciplinary training, community engagement, and evidence-based service delivery. This manuscript highlights the breadth and impact of HDC’s initiatives across early childhood, education, transition, and community inclusion. Through programs such as Inclusive Practices in Early Childhood, PAYCheck, and LEND, HDC builds capacity among professionals, empowers individuals with disabilities and their families, and strengthens systems to be more responsive and equitable. The stories and outcomes shared illustrate how intentional, collaborative efforts …

The Impact Of Covid-19 On Longevity Trends And Disparities Among Native Americans And Whites In The Four Corners States, Ashley M. Lenarz, Hyojun Park, Max T. Roberts, Anwesha Pan, Erin Trouth Hofmann, Eric N. Reither

Sociology and Anthropology Student Research

Prior research has shown suboptimal health and longevity among Native Americans in the Four Corners region of the United States, which encompasses Arizona, New Mexico, Colorado, and Utah. Our study (1) investigates how life expectancy trends and disparities changed among non-Hispanic Native Americans and Whites in the Four Corners States (FCS) during the COVID-19 pandemic and (2) examines the extent to which longevity changes are directly attributable to COVID-19, relative to other causes of death. Data sources include mortality data from the National Center for Health Statistics and population data from the U.S. Census Bureau. Life expectancy at birth for …

Health Navigation During Pediatric Emergency Department Visits: Addressing Previously Identified Disparities In Unmet Social Needs, Divya Sundar, Quinne Shultz, Tarynn Kerr, Perla Rivera, Maija Holsti, Katharine Osborn

Utah Conference on Community Engagement

Unmet social needs (USN) are associated with poorer health outcomes and increased healthcare utilization. Families experiencing USN are more likely to rely on emergency departments (EDs) for care, particularly when preventive care is inaccessible. In 2022, Tedford et al. identified a high prevalence of USN among families presenting to this pediatric emergency department (PED), highlighting the PED as a critical access point for intervention and the need for targeted programs within the same clinical setting.
In January 2024, a Health Navigation course was implemented within the Pediatric Clinical Research Education program at the University of Utah. Undergraduate and graduate students, …

What Happens When A Community Organizes? Five Years Of Coalition Opioid Response In Tooele County, Matt Huntington

Utah Conference on Community Engagement

The Tooele Opioid Response Network (TORN) was formed to address the opioid crisis through
coordinated, community-driven action. Over the past five years, TORN has grown from a small
coalition into a countywide consortium that connects public health, behavioral health,
emergency services, law enforcement, education, and community organizations around a
shared response to substance use.

This presentation will highlight both the reach and the systems-level impact of the network.
Attendees will learn how TORN has engaged hundreds of residents through prevention,
education, awareness, and recovery-focused events, while also advancing larger structural
changes in the community. These include expanded access to treatment, …

Service That Leads Somewhere: Community-Engaged Service As A Career Pathway, Janell C. Torres

Utah Conference on Community Engagement

Session outcomes: Understand the elements of a complete service-to-career framework, including credentialling and sector-aligned pathways, identify principles of the service-to-career framework to your program design and pathways to institutionalizing the frameworks, and identify new partners to engage to strengthen and scale a service-to-career pathway approach.

Emergency Food Response, Rhiana Medina, Malcolm Campbell-Taylor

Utah Conference on Community Engagement

What should you consider when a crisis suddenly increases demand for essential services? This session explores how programs can shift from routine operations to effective emergency response. Presenters will share practical strategies for acting quickly, using simple tools, and communicating clearly with community members and partners during high-pressure situations.

Preliminary Results Of An Interview Study To Assess Services For Lgbtq+ Youth And Families In Box Elder County, Utah, Maureen Boyle, Manuel Quijas Ornelas, Jamielyn Gibson, Jayme Walters, Dorothy Wallis

Utah Conference on Community Engagement

This qualitative study is part of a larger community assessment project to understand the health and social support service needs of LGBTQ+ youth and their families in Box Elder County, Utah. Assessment research was designed in response to community concerns about limited availability of LGBTQ+ specific services in the rural county and a critical need to address suicide prevention among LGBTQ+ youth as a health disparity population. The project consists of an online survey and interview study facilitated by the Utah State University’s Transforming Communities Institute in collaboration with a panel of community partners and two graduate classes in the …

2026 Utah Conference On Community Engagement Program, Utah State University, Erin Jensen

Utah Conference on Community Engagement

Conference Program

Preparing A Qualified Workforce To Support The Disability Community Through The Lend Interprofessional Learning Experience, Megan K. Roberts, Beth W. Degrace, Mark J. Fisher, Sandra H. Arnold

Developmental Disabilities Network Journal

Leadership and workforce preparation are vital roles of the nation’s academic institutions to advance health care services for the members of our communities. Leadership Education in Neurodevelopmental and other Related Disabilities (LEND) programs aim to prepare leaders in health care services and advocacy to improve systems and the quality of care and supports for the disability community, specifically children with developmental disabilities. LEND programs enhance standard health care pre-service training by providing interdisciplinary learning experiences for student trainees from a minimum of ten disciplines in 300 hours of learning activities over one academic year. An innovative feature of LEND programs …

Working Alliance And Subjective Engagement With A Digital Avatar Cbt Platform (Ritch®Cbt): Comparing Young Adults With And Without Co-Occurring Substance Use And Depression, Victoria Pezzino, Cassandra Berbary, Courtney Mckinney, Celeste Sangiorgio, Emi Moriuchi, Korena S. Klimczak, Robert Kay Cooper Jr., Wonkyung Kniffen, Maya Hareli, Cory Crane, Caroline J. Easton

Psychology Student Research

Digital mental health interventions (DMHIs) can help bridge treatment gaps experienced by young adults with co-occurring substance misuse and depression. However, it remains unclear whether engagement with these interventions differs for young adults with co-occurring conditions compared to those experiencing substance misuse or depression alone. To investigate this issue, we assessed working alliance and subjective engagement with a digital avatar-assisted cognitive-behavioral therapy (CBT) treatment platform (RITch^®CBT), comparing young adults with substance use, depression, and the co-occurrence of the two. A secondary data analysis was conducted on a sample of 99 young adults aged 18–28 years who presented at …

Seven Top Opportunities For Utah Girls And Women: A 2026 Update, April Townsend, Susan R. Madsen

Marketing and Strategy Faculty Publications

Decades of scholarship—within Utah and across national and global contexts—demonstrate that expanding opportunities for girls and women begins with understanding where those opportunities already exist and where they can be strengthened. Building this awareness creates the foundation for strategic, high‑impact action. In Utah, the Utah Women & Leadership Project (UWLP) plays a central role in this work, producing hundreds of research reports that surface ongoing challenges1 while simultaneously highlighting the conditions, possibilities, and pathways that support girls, women, and families.

Strength In Collaboration: A Unified Dd Network Approach To A Statewide Needs Assessment, Emily R. Lanchak, Julie Lounds Taylor, Bruce L. Keisling

Developmental Disabilities Network Journal

To strengthen collaboration, improve efficiency, and reduce respondent burden, the Tennessee Developmental Disabilities (DD) Network launched a first-of-its-kind integrated statewide needs assessment. This two-year, mixed-methods effort gathered input from nearly 1,500 individuals with disabilities, family members, and professionals through an accessible survey and follow-up focus groups. Tennessee DD Network partners co-developed measures, coordinated outreach efforts, and pooled resources to ensure broad representation and inclusive participation across communities statewide. Community members with lived experience were involved throughout the process, helping to ensure materials were usable, relevant, and respectful of diverse needs. The resulting shared dataset provides a foundation for each organization’s …

Developing Self-Determination Through Physical Activity Courses In Inclusive Post-Secondary Education Programs, Shannon P. Zimmerman, Samantha Ross-Cypcar, Peter R. Giacobbi, Lesley Cottrell, Emily Murphy, Andrea Taliaferro, Jeanette Garcia

Developmental Disabilities Network Journal

Adults with intellectual and developmental disabilities (IDD) often experience low physical activity levels, with only 23% meeting recommended guidelines, increasing their risk for secondary health conditions. Inclusive Post-Secondary Education (IPSE) programs in the U.S. present an opportunity for physical activity promotion. This study examined physical activity strategies across a national sample of IPSE programs (n = 27) using a sequential mixed-method approach, including surveys and follow-up interviews, focusing on alignment with Self-Determination Theory (SDT). While 70.37% of programs offered formalized physical activity courses, all promoted physical activity informally. Common practices included peer mentorship (96.3% of programs), goal setting (100%), and …

Measuring Disability Prevalence In Healthcare: A Study Comparing Two Disability Measures, Kristen L. Milefchik, Rhonda K. Dailey, Sharon Milberger

Developmental Disabilities Network Journal

People with disabilities experience significant health disparities and interventions are needed to address them. Measuring disability prevalence is an essential aspect of designing effective, data-driven healthcare strategies. Accurately measuring disability prevalence is challenging given disability is a complex phenomenon, with biological, social, environmental, and cultural components. Previous studies have compared a variety of disability status measurements and found that measurements were incongruent with each other. This study examines the concordance between disability status using two different measures: the nationally recognized American Community Survey (ACS-6) functional difficulty questions and one disability identity question. We used data from 3,621 adult patients participating …

Mechanisms Of Life History Trade-Offs In The Evolution Of Eusociality, Frances Katherine Hunter

All Graduate Theses and Dissertations, Fall 2023 to Present

When faced with stressors such as pathogen infection, organisms must invest energy in defense or risk death. Because resources are limited, mounting an immune response often comes at the expense of other costly activities such as reproduction. The costs of immunity are shaped by factors including behavior, nutrition, age, and evolutionary history.

Social insects (e.g., ants, bees, and wasps) offer a powerful system for studying these trade-offs because queens in these colonies appear to escape them—living long lives while reproducing prolifically. Bees, which include species that range from those which nest solitarily to those with complex social systems and many …

It's Okay, I'M Fine: A Communication Approach To Masculinity, Vulnerability, And Emotional Intimacy In Male Friendships, Nathan M. Spencer

All Graduate Theses and Dissertations, Fall 2023 to Present

Vulnerability is a key part of any relationship, as it allows people to feel more connected and closer to one another. However, toxic masculine norms are inhibiting men from being vulnerable in their relationships, especially in their friendships with other men. This study seeks to explore how vulnerable communication can lead to increased feelings of emotional intimacy and partner responsiveness within male friendships, even when it goes against the person’s expectations. Findings suggest that when a man is exposed to a vulnerable message, he will perceive an increase in both emotional intimacy and partner responsiveness. Another factor was that when …

The Practice Of Inclusion: Indigenous Knowledge And Ethical Design, Kate E. Van Der Zalm

All Graduate Theses and Dissertations, Fall 2023 to Present

Indigenous Knowledge is a cumulative body of practices and beliefs developed by Indigenous communities through generations of interaction with the natural environment. This knowledge offers valuable insights for caring for the land in sustainable and respectful ways but is not fully considered in modern planning and design practices. This research examines how Indigenous Knowledge is currently understood and used within landscape planning and design firms in British Columbia, Canada. Using a combination of existing research and interviews with design professionals and Indigenous participants, the study explores where Indigenous Knowledge is being applied, where challenges exist, and what opportunities remain for …

Reading Cache Valley Rhetorics: Towards A Composition Pedagogy Of Place, Dax Gove

All Graduate Theses and Dissertations, Fall 2023 to Present

“Reading Cache Valley Rhetorics: Towards a Composition Pedagogy of Place” proposes that place—one’s immediate locale—is an essential element of ecocritical writing pedagogy. There are constant interacting rhetorical constructions of meaning within any given place across texts from the different groups who have lived there. In these local texts, the evidence of a rhetorically mediated reality is evident in the stark differences between natures and cultures—meaning is rhetorically constructed, down to the meaning of place and people. This project reads texts local to the author’s immediate locale, Cache Valley, Utah, from white LDS settler and Indigenous Shoshone rhetors in order to …

Gradient Based Optimization Methods For Robust Learning And Biomedical Signal Modeling, Jarrod Mau

All Graduate Theses and Dissertations, Fall 2023 to Present

This dissertation explores how modern artificial intelligence techniques can be used to better understand complex biological data. Specifically, it develops new machine learning based methods and applies them to two important biomedical problems: analyzing brain signals and studying protein behavior.

The first part of the work introduces a new machine learning approach designed to improve how computers classify structured data. Traditional neural networks are powerful but can sometimes generalize poorly. This research proposes a method that combines the flexibility of neural networks with the reliability of ensemble techniques, leading to more robust and accurate predictions across different types of datasets. …

Exploring The Correlation Between Malnutrition And Food And Nutrition Insecurity In Inflammatory Bowel Disease, Heather Burr

All Graduate Theses and Dissertations, Fall 2023 to Present

Inflammatory Bowel Disease (IBD) may increase the risk of malnutrition because of nausea, vomiting, diarrhea and restrictive eating. In addition, patients with IBD may experience food and nutrition insecurity. Therefore, we conducted an online survey to assess risk of malnutrition and food and nutrition insecurity among adult patients with IBD in outpatient and community settings. Patients were recruited between July and December 2025, aiming to reach adults in the Rocky Mountain Region diagnosed with IBD. Data collected included demographics, health-related factors, risk of nutrition insecurity, risk of food insecurity, and barriers and facilitators to dietary management of IBD.

Fifty-seven patients …

Scalable Roof Polygon Extraction And Geometric Characterization From Remotely-Sensed Data For Snow Load Assessment, Jashon Newlun

All Graduate Theses and Dissertations, Fall 2023 to Present

Heavy snow accumulation on rooftops is a serious structural risk in cold climates, and understanding how much snow builds up on different types of roofs is essential for safe building design. Currently, most data on roof snow loads comes from small, labor-intensive field surveys that cover only a handful of buildings at a time. This results in far too few measurements of buildings to draw confident conclusions about how snow behaves across communities. This thesis develops and demonstrates a new automated approach for measuring roof snow accumulation and extracting key building characteristics across thousands of buildings at once using airborne …

Effect Of Agroecological Feeding Systems Of Dairy Cattle On The Nutritional Composition Of Milk, Sree Bhavya Immadi

All Graduate Theses and Dissertations, Fall 2023 to Present

How food is produced can influence both its nutritional quality and its impact on the environment. In recent years, regenerative (agroecological) farming practices have gained attention for their potential to improve soil health, biodiversity, and the nutritional value of foods. In dairy production, these practices often involve growing more diverse forage crops, reducing soil disturbance, and relying less on monoculture-grown feed rations. However, there is still limited real-world evidence showing how these practices affect the nutritional composition of milk produced on commercial dairy farms.

This dissertation explores how regenerative feeding and feed production practices influence the nutritional quality of milk, …

Understanding The Equestrian Learner: A Sociomaterial Analysis Of Equestrian Learners, Anna Lloyd

All Graduate Theses and Dissertations, Fall 2023 to Present

Limited research has been done on equestrian riders actively participating in training programs. To better understand these equestrians, this study examined how elements in their learning environments influenced their learning. Data was collected through interviews with two active, competing adult female members of the United States Hunter Jumper Association. Key findings from analyzing these equestrians’ relationships with different elements in their learning environment include the finding that equestrians shift between viewing horses as material objects or social partners, depending on the context. It was also seen that an equestrian’s skill is not dependent solely on the rider, but is influenced …

Effects Of Tourist Feeding On The Gut Microbiome And Ecophysiology Of Endangered Northern Bahamian Rock Iguana (Cyclura Cychlura), Erin Lucy Lewis

All Graduate Theses and Dissertations, Fall 2023 to Present

The lifespan and reproduction of an animal depends on maintaining a healthy physiology. The proportion of individuals that survive to an age at which procreation can occur is important to long-term stability of populations and contributes to species survival. Health in an animal is measured in a variety of ways, including through monitoring of the body’s physiological systems, as well as its ability to respond to invading pathogens, and through the different types of bacteria present in the gut. Relationships among those different health metrics have been discovered in recent years and have been found to play important roles in …

Online Act Guide For Sub-Clinical And Clinical Insomnia Among College Students, Guadalupe "Gabe" San Miguel

All Graduate Theses and Dissertations, Fall 2023 to Present

College students are shown to have more sleep difficulties, specifically insomnia. These sleep difficulties compared to the general public due to the college environment (for example increase screen time, sedentary time, or alcohol use). Students with reported sleep difficulties have ties to lower GPA and lower odds of graduation. That is why this dissertation conducted a comparison between an online version of Acceptance and Commitment Therapy (intervention) to a placebo condition among college students with insomnia to help determine if the intervention had better outcomes over time. Each condition (intervention = 39; placebo = 40) completed questionnaires at the start …

An Autohistoria-Teoría Of A Pasifika Neptantlera, Belinda 'Ofakihevahanoa Fotu

All Graduate Theses and Dissertations, Fall 2023 to Present

This study was an autohistoria-teoría, a type of autoethnography, where I focused on my writing process as a Pasifika researcher creating a middle- grade fiction. As the researcher, my questions delved into how I engage in writing for a majority-culture dominated publication house in a Western-world writing genre while maintaining the cultural significance of the ancient Pasifika mythologies I reproduced and recontextualized in the novel. The research site was my writing process, and the data gathered came from the variety of ways I navigated cultural stimuli specific to writing the novel. The outcome engaged with the specific way Pasifika (and …

Parental Socialization Practices As Protective Factors Of Lgbtq+ Youth Well-Being And Sexual Health, Melissa M. Ferguson

All Graduate Theses and Dissertations, Fall 2023 to Present

LGBTQ+ teens face challenges like discrimination and exclusion from school-based sex education. Support from parents is crucial for helping LGBTQ+ teens feel safe and confident. Most research has only looked at how parents react when their child comes out, and less about how parents support their child in everyday life. This two-study dissertation explored how parents help support and protect their LGBTQ+ teens’ well-being over time.

The first study looked for patterns of protective parenting across interviews with LGBTQ+ teens and their parents from diverse racial and ethnic backgrounds. Teens and parents shared their experiences of open communication, building community, …

Evaluating The Feasibility, Acceptability, And Preliminary Efficacy Of An Online Acceptance And Commitment Therapy Program To Improve Dietary Quality In Highly Stressed Adults, Francesca M. Knudsen

All Graduate Theses and Dissertations, Fall 2023 to Present

Stress can negatively affect both mental and physical health, which can increase the risk for chronic illness. When people feel stressed, they may also find it harder to make healthy food choices, which can further impact their health. Despite this, there are limited treatments designed to help people improve their dietary quality while managing stress. Acceptance and commitment therapy (ACT) is an evidence-based psychological approach that helps people respond more effectively to difficult thoughts and emotions while behaving in ways that are aligned with their personal values. This study tested whether a brief, online ACT-based program, combined with coaching phone …

Effects Of Subsurface-Drip-Irrigation On Alfalfa Evapotranspiration In The Intermountain West, Namuna Dhakal

All Graduate Theses and Dissertations, Fall 2023 to Present

Alfalfa is one of Utah’s most important crops, but it is also the largest agricultural consumer of water. Because the state faces frequent droughts and growing pressure on limited water supplies, farmers and water managers are increasingly interested in irrigation systems that could reduce water use. Subsurface drip irrigation (SDI), which delivers water directly to plant roots through buried drip lines, has shown promising results in other regions, where it often reduces water consumption and increases yield. However, little research has evaluated SDI under Utah’s unique climate, soils, and high-elevation valleys.

This study compared an SDI system with a traditional …