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Prevalence Of Nicotine Delivery Systems By Biological Sex In The Spit For Science Study, Ayrton Quiroz, Amy Adkins, S4s Working Group, Elizabeth Prom-Wormley, Elizabeth K. Do, Megan Cooke, James Clifford, Hermine H. Maes Jan 2023

Prevalence Of Nicotine Delivery Systems By Biological Sex In The Spit For Science Study, Ayrton Quiroz, Amy Adkins, S4s Working Group, Elizabeth Prom-Wormley, Elizabeth K. Do, Megan Cooke, James Clifford, Hermine H. Maes

Undergraduate Research Posters

Nicotine intake usage trends have changed over recent decades given the wide variety of nicotine delivery systems including cigarettes, vaping, hookah, and snubs/chewables. These trends also vary by demographic factors, such as race/ethnicity, sex, and socioeconomic status (SES). For example, studies in rat populations, as well as humans, have found that females tend to be more dependent on nicotine products and have a more difficult time quitting than male rats and humans (Pogun et al., 2017). Also, race/ethnicity may impact the frequency of nicotine usage in different populations; in that non-white Hispanics were more susceptible to smoking through adolescence with …


Risk And Resilience: An Exploration Of Adverse Childhood Experiences, Protective Factors, And Internalizing Symptoms In Black Youth, Irene A. Jacobs Jan 2023

Risk And Resilience: An Exploration Of Adverse Childhood Experiences, Protective Factors, And Internalizing Symptoms In Black Youth, Irene A. Jacobs

Theses and Dissertations

The study examines mechanisms of risk and resilience that influence the psychological well-being of Black youth. Previous literature has established a link between adverse childhood experiences (ACEs) and mental health outcomes in youth (Kerker et al., 2015; Thakur et al., 2020). A substantial amount of the ACEs literature solely focuses on risk factors (e.g., mental impairment, low SES, health risk behaviors) for poor outcomes associated with ACEs. Despite Black youth experiencing high rates of ACEs (Liu et al., 2019), the ACEs literature examining mechanisms of their resilience is sparse (Meeker et al., 2021). Given the state of the ACEs literature, …


Probing The Porphyromonas Gingivalis Nitrosative Stress Response Network, Alexandra Galina Jan 2023

Probing The Porphyromonas Gingivalis Nitrosative Stress Response Network, Alexandra Galina

Theses and Dissertations

Objective: To persist in the oral cavity, the perio-pathogen Porphyromonas gingivalis must have an efficient nitrosative stress response mechanism. To better understand how P. gingivalis responds to nitrite (NO2-) we must determine what genes are involved in the nitrosative stress response network.

Methods: Through genomic screening, a list of genes was generated that were hypothesized to be part of the nitrosative stress response network and believed to be involved in nitrate/nitrite metabolism or redox state of the cells. Protein coding regions were replaced with the ermF sequence by allelic exchange mutagenesis. 15 mutants were created …


Sustaining Breaths For Restorative Rest: A Preliminary Evaluation Of Sleep, Mental Health, And Cognitive Function Following Hypoglossal Nerve Stimulation For Obstructive Sleep Apnea, Elliottnell Perez Jan 2023

Sustaining Breaths For Restorative Rest: A Preliminary Evaluation Of Sleep, Mental Health, And Cognitive Function Following Hypoglossal Nerve Stimulation For Obstructive Sleep Apnea, Elliottnell Perez

Theses and Dissertations

Introduction: Obstructive sleep apnea (OSA) is a sleep-related breathing disorder that produces repetitive obstruction or collapse of the upper airway. Positive airway pressure (PAP) therapy is the gold standard treatment for OSA. Hypoglossal nerve stimulation (HNS) is considered an alternative treatment for patients who are unable to tolerate PAP therapy. The purpose of the study was to examine sleep, mental health, and cognitive health outcomes before and after HNS to determine its viability as an alternative treatment.

Methods: The study utilized a single-group, pretest-posttest design. Objective and subjective sleep was measured using actigraphy, sleep diary, and questionnaires. Objective and subjective …


Machine Learning Models To Automate Radiotherapy Structure Name Standardization, Priyankar Bose Jan 2023

Machine Learning Models To Automate Radiotherapy Structure Name Standardization, Priyankar Bose

Theses and Dissertations

Structure name standardization is a critical problem in Radiotherapy planning systems to correctly identify the various Organs-at-Risk, Planning Target Volumes and `Other' organs for monitoring present and future medications. Physicians often label anatomical structure sets in Digital Imaging and Communications in Medicine (DICOM) images with nonstandard random names. Hence, the standardization of these names for the Organs at Risk (OARs), Planning Target Volumes (PTVs), and `Other' organs is a vital problem. Prior works considered traditional machine learning approaches on structure sets with moderate success. We compare both traditional methods and deep neural network-based approaches on the multimodal vision-language prostate cancer …


Community On Campus: Examining The Impact Of Campus Climate, Belonging, And Flourishing On Bystander Behavior Among Diverse University Students, Amelia Liadis Jan 2023

Community On Campus: Examining The Impact Of Campus Climate, Belonging, And Flourishing On Bystander Behavior Among Diverse University Students, Amelia Liadis

Theses and Dissertations

This exploratory, nonexperimental study aimed to investigate the relationships among diverse undergraduate and graduate students’ perceived campus climate, flourishing, and university belonging on bystander intentions and bystander behaviors during the COVID-19 pandemic. The study’s theoretical framework combined the Theory of Planned Behavior and feminist theory, and examined intersectionality through an Identity Risk Index. Data used in the current study were originally collected as part of an institutional Healthy Minds Survey, on health behaviors of college students; responses from n = 171 of the randomly selected participants were used in the current study’s analyses. The majority of participants indicated at least …


Supporting Students Who Are Deafblind To Increase Their Access To The General Education Curriculum Through Trained Interveners: A Mixed Methods Study, Ira Padhye Jan 2023

Supporting Students Who Are Deafblind To Increase Their Access To The General Education Curriculum Through Trained Interveners: A Mixed Methods Study, Ira Padhye

Theses and Dissertations

The purpose of this mixed-methods research study was to identify the educational trends of children and young adults who are deafblind and identify strategies to improve the outcomes through interviews of nationally qualified interveners who have received training in deafblind specific strategies. Secondary data from the 2017-2021 National Center on Deafblindness and interview transcripts were used for data analysis and then integrated to identify the supports students who are deafblind should access. Trends in age of identification, primary eligibility category, school settings and access to state standardized assessments showed a plateau and displayed no significant improvement in educational outcomes. Nationally …


Dermatoses Of The Breast During Lactation, Divya Shan, Sindhuja Koppu, Valerie Coleman, Gauri Gulati, Kimberly Salkey Jan 2023

Dermatoses Of The Breast During Lactation, Divya Shan, Sindhuja Koppu, Valerie Coleman, Gauri Gulati, Kimberly Salkey

Open and Affordable Course Content at VCU

No abstract provided.


Dermatologic Manifestations Of Rheumatic Disease: Malignant Cutaneous Tumors, Divya Shan, Julianna S. Kang, Allison Cinats, Julia R. Nunley, Beth Rubinstein Jan 2023

Dermatologic Manifestations Of Rheumatic Disease: Malignant Cutaneous Tumors, Divya Shan, Julianna S. Kang, Allison Cinats, Julia R. Nunley, Beth Rubinstein

Open and Affordable Course Content at VCU

No abstract provided.


Sense Of Belonging As Behaviorist Construct: “Doing Belonging” And Its Application For College Students With Disabilities, Chris Parthemos Phd Jan 2023

Sense Of Belonging As Behaviorist Construct: “Doing Belonging” And Its Application For College Students With Disabilities, Chris Parthemos Phd

Theses and Dissertations

Sense of Belonging has been widely linked to academic performance, retention and persistence for college students. Students with disabilities are less likely to enroll than peers, and are more likely to drop out. Similar to other historically-marginalized groups, these students report lower sense of belonging than peers. Research with this population suggests that they may be seeking ways of building community and belonging at their universities which are self-driven. This notion of “doing belonging”, as it is described in the sociological literature, appears at first glance to be compatible with behaviorist approaches to student support. Although not without controversy, behavior …


Formation Of Vasculogenic Mimicry: Role Of Melanoma Differentiation Associated Gene-9 In Human Melanoma, Jinkal Shah Jan 2023

Formation Of Vasculogenic Mimicry: Role Of Melanoma Differentiation Associated Gene-9 In Human Melanoma, Jinkal Shah

Theses and Dissertations

Malignant melanoma (MM) is the most aggressive skin cancer and the most frequent skin disorder in Caucasians. MM is associated with aggressive and progressive disease states, leading to major cancer-related morbidity and mortality. Recent investigations identify an alternative pathway -vasculogenic mimicry (VM), which is considered a cancer hallmark that can independently facilitate tumor neovascularization by the formation of fluid-conducting and vascular endothelial cells. MM cells undergoing VM can dedifferentiate into numerous cellular phenotypes and acquire endothelial-like features, resulting in the formation of the de novo matrix-rich vascular-like networks, such as plasma and red blood cells. The co-generation of endothelial cells, …


Exploring The Effect Of Early Motor Delay And Physical Therapy Interventions On The Parent-Child Relationship, Rebecca Molinini Jan 2023

Exploring The Effect Of Early Motor Delay And Physical Therapy Interventions On The Parent-Child Relationship, Rebecca Molinini

Theses and Dissertations

Emotional availability (EA) or the ability of the parent-child dyad to engage emotionally and partake in congruent and mutually enjoyable interactions, is essential for familial health and well-being. EA is considered the “connective tissue” of healthy parent-child relationships and is associated with secure attachment, maternal mental health, and children’s adaptive development. Most evidence supporting the integral role of EA on healthy outcomes is supported by typically developing populations in which adults present with a social or biological risk factor such as experiencing past traumas of adversities with mental health. In line with the transactional model of development, children are equal …


Examining Psychosocial Factors Of Chronic Disease Control To Improve Outcomes For Patients With Multiple Chronic Conditions, Kristen O'Loughlin Jan 2023

Examining Psychosocial Factors Of Chronic Disease Control To Improve Outcomes For Patients With Multiple Chronic Conditions, Kristen O'Loughlin

Theses and Dissertations

Psychosocial needs are associated with worse health outcomes for patients with multiple chronic conditions (MCC). The Biopsychosocial Model provides a framework for conceptualizing the influence that psychosocial factors have on the management of disease. To date, research has primarily focused on examining the relation between psychosocial factors and chronic disease onset. Therefore, the temporal relation between psychosocial factors and disease management remains poorly understood. The current study aimed to 1) describe patients’ psychosocial needs and their prioritization, 2) examine reciprocal relations between anxious symptoms, depressive symptoms, social needs, and MCC management, and 3) qualitatively explore patient definitions of health in …


Improving The Use Of Diffusing Wave Spectroscopy As A Multiphase Process Analytical Technology, Robert Emerson Mcmillin Iii Jan 2023

Improving The Use Of Diffusing Wave Spectroscopy As A Multiphase Process Analytical Technology, Robert Emerson Mcmillin Iii

Theses and Dissertations

The study of multiphase formulations is a difficult task due to inhomogene- ity. Typical methods of study, such as microscopy, suffer from sampling drawbacks and are ill-equipped at probing the system in its native state. Additionally, more concentrated sys- tems, including optically-dense emulsions and suspensions, render common light-scattering techniques, such as dynamic light scattering (DLS), useless. Lastly, macroscopic phase track- ing or transmission intensity techniques can only obtain partial information about a system. Herein, the use of diffusing wave spectroscopy (DWS), a multiple scattering adjunct to DLS, to study optically dense multiphase systems is explored. Three different systems are exam- …


Age-Associated Collagen Crosslinking And Its Role In Skeletal Muscle Regeneration, Lucas C. Olson Jan 2023

Age-Associated Collagen Crosslinking And Its Role In Skeletal Muscle Regeneration, Lucas C. Olson

Theses and Dissertations

Advanced glycation end-products (AGEs) non-enzymatically accumulate on skeletal muscle collagen in old age via the Maillard reaction, causing an increase in intramuscular collagen and a stiffening of the muscle’s microenvironment. AGEs abrogate muscle regeneration through stiffening the muscle stem cell (MuSC) microenvironment and by binding to the receptor for advanced glycation end products (RAGE). Stiffer substrates promote MuSC proliferation at the expense of differentiation, and soluble AGEs are known to abrogate myogenic differentiation. Previously our group has demonstrated that decellularized muscle matrix (DMM), a type of extracellular matrix (ECM) scaffold extracted from skeletal muscle, encourages regeneration in a challenging rat …


Evaluation Of Cytokeratin-Specific Antibody And Autofluorescent Signals As Predictors Of Time Since Deposition For Saliva Samples, Dillon Ryder Jan 2023

Evaluation Of Cytokeratin-Specific Antibody And Autofluorescent Signals As Predictors Of Time Since Deposition For Saliva Samples, Dillon Ryder

Master of Science in Forensic Science Directed Research Projects

In a forensic investigation, STR profiles generated from biological evidence can frequently be informative to identify an individual or provide an investigative lead. However, STR typing does not provide information to answer activity-level questions which can be highly important to a criminal case, such as the Time Since Deposition (TSD) of biological evidence. Determining the relative time in which a biological sample was left at a crime scene would provide additional information regarding the timeline of a crime and a person of interest’s relationship to the scene. One proposed method of estimating TSD is to use flow cytometry to analyze …


Horizontal And Vertical Transmission Of Microbes Associated With Blow Flies Of Forensic Importance, Gabrielle Alisa Burton Jan 2023

Horizontal And Vertical Transmission Of Microbes Associated With Blow Flies Of Forensic Importance, Gabrielle Alisa Burton

Master of Science in Forensic Science Directed Research Projects

Entomological and microbiological evidence can be used in the estimation of postmortem intervals (PMI). This study observes the horizontal and vertical transmission of the microbial community associated with blow flies of forensic importance. Variable region four (V4) of the 16S ribosomal DNA (16S rDNA) was amplified and sequenced from various life stages of blow flies (n=72) using dual-index high throughput sequencing strategy on the MiSeq FGx platform. No significant difference in bacterial community structure was observed between blowfly adults with carrion access and blowfly adults with no carrion access. Dysgonomonas, unclassified Proteobacteria, Escherichia, Ignatzschia, Providencia, …


Bones As An Alternative Matrix For The Detection Of New Synthetic Opioids In Cold Cases: Introducing New Animal Models For Bone:Blood Correlation Studies, Kala N. Babb Jan 2023

Bones As An Alternative Matrix For The Detection Of New Synthetic Opioids In Cold Cases: Introducing New Animal Models For Bone:Blood Correlation Studies, Kala N. Babb

Master of Science in Forensic Science Directed Research Projects

Introduction: The growing opioid epidemic in North America presents a call to action to develop new techniques for the identification and quantitation of novel synthetic opioids in uncommon matrices. In instances of extreme decomposition and/or significant scavenging, bone may be the only matrix available. In order to develop an extraction method for synthetic opioids in bone, bone samples were obtained from animal models. The animal model of choice is the rabbit due to their exhibition of spontaneous cortical bone remodeling, a process that is exhibited in humans but not in rats and mice.

Methods: An extraction method was developed to …


Investigation Into The Relationship Between Dna Content And Dna Yield Prediction And Presence Of A Multiple Contributor Cell Population In Trace Dna, Sarah Holton Roisch Jan 2023

Investigation Into The Relationship Between Dna Content And Dna Yield Prediction And Presence Of A Multiple Contributor Cell Population In Trace Dna, Sarah Holton Roisch

Master of Science in Forensic Science Directed Research Projects

Due to advancements in DNA analysis technology and an increased ability to detect trace quantities of low template DNA, ‘touch’ or trace DNA has become a prevalent form of evidence for forensic investigations. Trace DNA is biological material left on a surface from skin cells after being touched or handled. The success rate of casework could be improved with new methods to non-destructively screen trace DNA to predict DNA yield and whether multiple cell populations are present in the evidence prior to STR analysis. Current methods of trace DNA analysis require quantifying the sample with qPCR followed by STR analysis, …


Optimization Of Microfluidic Device Methodology For Optical Trapping Epithelial Cells In A Mixture, Brittney N. Hackworth Jan 2023

Optimization Of Microfluidic Device Methodology For Optical Trapping Epithelial Cells In A Mixture, Brittney N. Hackworth

Master of Science in Forensic Science Directed Research Projects

Evidence containing biological mixtures can make DNA interpretation more difficult due to ambiguous allele calls and artifacts that may be present within electropherograms. Separating out these cell mixtures can be advantageous to the analysts’ analysis methods for identifying STR profiles with higher accuracy. A potential cell separation method that could be implemented in the beginning of the forensic DNA workflow is optical trapping.

This research utilized a 5W ytterbium linearly polarized laser split into two optical traps, paired with a microfluidic device to isolate spermatozoa and vaginal epithelial cells from a 1:1 mixture of vaginal fluid and 1:20 diluted seminal …


Comparison Of Cell Counts To Dna Yield In Mock Biological Evidence Samples, Jacob Sewell Jan 2023

Comparison Of Cell Counts To Dna Yield In Mock Biological Evidence Samples, Jacob Sewell

Master of Science in Forensic Science Directed Research Projects

The implementation of rapid DNA analysis systems is of interest to forensic DNA casework, as this technology exhibits a sample-to-profile time of approximately two hours with limited handling of samples. This decreases the likelihood of contamination, and can potentially reduce DNA backlogs; however, current rapid DNA analysis systems do not execute one crucial step of the forensic DNA analysis workflow: human DNA quantitation. This step is necessary for DNA profiles to be compliant with the FBI’s Quality Assurance Standard 9.4, allowing DNA profiles to be uploaded and searched within the CODIS database. Coupling traditional qPCR methods with rapid DNA analysis …


Development And Validation Of Microrna Markers For Forensic Body Fluid Identification Using Rt-Qpcr, Jane Goble Jan 2023

Development And Validation Of Microrna Markers For Forensic Body Fluid Identification Using Rt-Qpcr, Jane Goble

Master of Science in Forensic Science Directed Research Projects

Body fluid identification is one of the first and most fundamental steps in the forensic DNA workflow. It allows analysts to determine where a sample might exist on an item of evidence, as well as the type of sample that they are dealing with. However, current serological methods have been documented to produce false or inaccurate results in some cases, and may consume large amounts of sample during processing. Molecular methods, such as the use of microRNA and microbial profiles have been introduced as a means to increase specificity of testing, and have even been combined into a singular assay …


Evaluation Of Direct-To-Amplification Cell Lysis Techniques For Forensically Relevant Non-Sperm Cells, Rhea Arya Jan 2023

Evaluation Of Direct-To-Amplification Cell Lysis Techniques For Forensically Relevant Non-Sperm Cells, Rhea Arya

Master of Science in Forensic Science Directed Research Projects

While efforts have been made to reduce the pervasive backlog of sexual assault evidence collection kits, the actual laboratory process remains very time-consuming due to the requirement of a differential lysis step before DNA purification, as well as intricate mixture analysis towards the end of the DNA workflow. Previous work in the Dawson Green laboratory at VCU has developed alternative solutions for differential extractions with sexual assault samples using both an in-tube and microdevice assay. Prior work led to the identification of an alternative sperm lysis method – alkaline lysis using 1M NaOH. However, the current lysis method used for …


Evaluation Of The Age Of Evidence In Mock Biological Touch Evidence Samples, Emma P. Hirst Jan 2023

Evaluation Of The Age Of Evidence In Mock Biological Touch Evidence Samples, Emma P. Hirst

Master of Science in Forensic Science Directed Research Projects

As more sensitive DNA profiling techniques have been developed, questions about how and when the DNA was deposited have become a driving issue in forensic casework. Image flow cytometry (IFC) offers a way to estimate the time since deposition (TSD) of trace DNA samples based on individual cells' morphological and autofluorescence properties. Previous work has shown that a TSD can be determined from a single contributor in touch samples. To determine if TSD could be correctly estimated for mixtures containing a fresh deposit (less than a week old) and an older deposit, this project characterized a series of samples that …


Analysis Of Forensic Relevant Cell Mixtures Using Cellular Autofluorescence And Fluorescence Activated Cell Sorting (Facs), Shayla Smith Jan 2023

Analysis Of Forensic Relevant Cell Mixtures Using Cellular Autofluorescence And Fluorescence Activated Cell Sorting (Facs), Shayla Smith

Master of Science in Forensic Science Directed Research Projects

Biological mixtures containing DNA from more than one contributor can make DNA profile interpretation challenging, especially for ‘touch’ or trace biological evidence. One approach to improve this is by differentiating cell populations from separate individuals prior to DNA profiling by utilizing intrinsic features of cells such as size, shape, and biochemical profiles. The goal of this study was to develop a new method for detecting and separating contributor populations in biological mixture samples using flow cytometry, a rapid and non-destructive approach with an unexplored potential for forensic casework. To accomplish this, two different mixture systems were investigated (1) mixtures containing …


Determination Of The Trace Elemental Signature Of Drywall Dust And Its Implication As Forensic Evidence, Emilee Holmes Jan 2023

Determination Of The Trace Elemental Signature Of Drywall Dust And Its Implication As Forensic Evidence, Emilee Holmes

Master of Science in Forensic Science Directed Research Projects

Drywall is found in most homes built in the United States of America because it is cost effective, light weight, and easy to install. Its brittle nature makes it less resistant to impact which can cause dust to form if a force is exerted on it. Airborne dust can settle on anything or anyone around it and can be considered trace evidence for its ability to connect suspects, victims, and scenes; however, this type of dust is not emphasized as trace evidence and is not always collected due to a lack of understanding of their forensic signatures.The seven producers of …


Evaluation Of Tooth Sample Preparation For Traditional Forensic Dna Vs Rapidhit Id Processing, Morgan E. Eaton Jan 2023

Evaluation Of Tooth Sample Preparation For Traditional Forensic Dna Vs Rapidhit Id Processing, Morgan E. Eaton

Master of Science in Forensic Science Directed Research Projects

Disaster Victim Identification (DVI) refers to the process of forensic identification of unknown individuals following a mass disaster or fatality incident.1 In events of mass disaster, human dental structures are often the only viable DNA source remaining, as soft tissues are more easily degraded, contaminated, or otherwise compromised. Due to the protective nature of dental enamel and dentin surrounding the inner pulpal tissue, a labor-intensive sample preparation performed by extensively trained personnel is necessary to expose the nuclear material preceding the traditional forensic DNA workflow.2,3 In high volume cases, such as those often submitted for DVI, the current …


Morphological And Autofluorescence Signatures For The Identification Of Vaginal Cells In Mixture Samples Containing Saliva And/Or Epidermal Cells, Hannah L. Burden Jan 2023

Morphological And Autofluorescence Signatures For The Identification Of Vaginal Cells In Mixture Samples Containing Saliva And/Or Epidermal Cells, Hannah L. Burden

Master of Science in Forensic Science Directed Research Projects

In forensic casework the identification of body fluids at a crime scene can frequently play an important role in reconstructing the events that occurred. There are several bodily fluid identification methods to characterize unknown stains recovered as evidence. However, there has not been a reliable method for detecting the presence vaginal cells and/or differentiate it from other forensically relevant tissue types that may be recovered from a crime scene. The detection of vaginal fluid is important for forensic casework due to the abundance of sexual assault kits that are not only backlogged but continue to be submitted to the lab …


Unmet: The Undergraduate Experience Of Basic Need Insecurity At An Uncommon University, Michelle C. Bair, Rachelle V. Blackwell-Stegall, Sara E. Rafuse, Ra’Meer J. Roberts, Sara E. Weinstein Jan 2023

Unmet: The Undergraduate Experience Of Basic Need Insecurity At An Uncommon University, Michelle C. Bair, Rachelle V. Blackwell-Stegall, Sara E. Rafuse, Ra’Meer J. Roberts, Sara E. Weinstein

Doctor of Education Capstones

Virginia Commonwealth University’s (VCU) Dean of Students office submitted a Request for Assistance with needs related to food and housing insecurity and lack of basic funds for students. To address this request, a doctoral Capstone team conducted a problem and context analysis, literature review, student focus groups, and an internal survey of departments. The goal was to explore the undergraduate experience of unmet needs and to identify gaps and overlaps in basic needs support and services already provided at VCU. Findings suggest that students do not know the resources available to them through the Dean of Students office, that students …


Sleep And Health Behaviors In A Safety-Net Primary Care Setting, Sahar Sabet Jan 2023

Sleep And Health Behaviors In A Safety-Net Primary Care Setting, Sahar Sabet

Theses and Dissertations

Nearly half of all premature deaths in the United States are attributable to preventable and modifiable health risk behaviors. For decades, the leading behavioral health contributors to morbidity and mortality are tobacco use, physical inactivity, and alcohol consumption. Medication adherence is a relatively less studied yet critical interrelated health behavior that is tied to health and treatment outcomes. Sleep, an important pillar of health, is a daily and modifiable behavior that shows promise as a health behavior facilitator. Better understanding the dynamics of these modifiable health behaviors is essential for the improvement of health promotion, particularly among underserved populations (e.g., …