Digital Commons Network^™

The Civil Right To Belong: A Case Study On Immigrant Integration Of Muslim Students In Educational Institutions, Mamoona H. Siddiqui

Theses and Dissertations

Constitutional equal protection values serve as social integration policies for new Americans and generations that follow. They promise equal opportunity, fair treatment, protection from unlawful discrimination, and freedom to preserve cultural identities in their new communities. However, in times of national security crises and political polarization, the disjuncture in the way equal protection doctrines have been historically implemented often reflect deep-rooted inequities that impact underrepresented communities. American Muslims are one such community in which members have experienced anti-Muslim and anti-immigrant sentiment particularly after 9/11 and political polarization on immigration and civil rights policies. The study explores the equal protection doctrine …

Detailing The Genetic And Environmental Influences Shared Between Conventional And Electronic Cigarette Use Across Measures Of Initiation And Past 12-Month Use, James Clifford

Theses and Dissertations

Introduction. Tobacco use is a public health crisis with nearly 500,000 Americans suffering premature mortality attributable to tobacco use in 2014. New development efforts have created new nicotine delivery systems whose health consequences are not yet fully understood such as electronic cigarettes (ECIG). It is possible there are shared genetic and environmental factors that influence an individual’s liability to initiate cigarette (CIG) or ECIG use, as both systems are designed to deliver nicotine.

Methods. Four study designs were used to resolve the genetic and environmental influences that underlie CIG and ECIG initiation. A twin study, scoping review, genome-wide association study …

A Novel Approach To Reducing Adiposity Among Young Men, Jean M. Reading

Theses and Dissertations

Background

Lifestyle intervention is the first line treatment for obesity. Yet, young men are underrepresented in lifestyle interventions, which is posited to be the result of unmet needs and overall low concern for weight management. The aims of this dissertation are to:

Papers 1 and 2: Test the preliminary efficacy, feasibility, and acceptability of a self-guided lifestyle intervention for young men.

Paper 3: Explore the behavioral and physiological factors associated with changes in adiposity among young men and women enrolled in a more intensive lifestyle intervention.

Results

Papers 1 and 2: The self-guided intervention produced modest weight …

Improving College Students’ Views And Beliefs Relative To Mathematics: A Systematic Literature Review Followed By A Multiple Case Mixed Methods Exploration Of The Experiences That Underpin Community College Students’ Attitudes, Self-Efficacy, And Values In Mathematics, Marquita H. Sea

Theses and Dissertations

Mathematics is particularly important due to its relevance in our daily lives. It is a general requirement throughout schooling. Unfortunately, many students openly declare negative views/beliefs regarding math in their personal and academic lives. These in turn, negatively influence students’ achievement related behaviors and outcomes. First, a systematic literature review was conducted to determine what types of studies/initiatives have aimed to enhance students’ views/beliefs relative to mathematics, including domain general and specific perceptions of math as well as their judgements of who is successful in mathematics and if they themselves can be successful. Specifically, the review centered on the components …

Family Relationships And Academic Performance Via Belongingness Among Cuban Medical Students: Examining Family Legacy And Sex As Moderators, Maria J. Cisneros-Elias

Theses and Dissertations

Medical diplomacy is a foundational part of Cuban domestic and foreign policy (Feinsilver, 2010). Cuba has an abundance of doctors, encouraged by the country’s free medical education program (Hand et al., 2020), and has made a significant impact with its well-established healthcare system, provision of healthcare for all of its citizens, and healthcare support internationally. The current study aims to focus on processes underlying Cuban medical students’ academic performance, as they are a critical component of this successful system, and a population that has received limited empirical attention. Thus, the current study used path analyses to examine the relations between …

Eadah: Tools For Celebrating Qatari Wellness Rituals, Abdulrahman Al Muftah

Theses and Dissertations

Friday prayer is an essential congregational practice in Muslim communities. To prepare for Friday prayer, worshippers groom and cleanse themselves ahead of time, according to Islamic ablution rituals, and dress in their best attire.

Eadah is a collection of contemporary tools designed to facilitate the pre-prayer cleansing ritual, inspired by traditional Qatari remedies and wellness practices. The tools reflect three balanced considerations: touch, meditative making, and cultural preservation. They are used to prepare natural ingredients through mindful making that produce remedies with stimulating scents and sensations through touch. An emphasis on cultural preservation differentiates Eadah from other tools offered by …

Metamosque – Envisioning The Mosque As A Virtual Public Space, Alaa Albarazy

Theses and Dissertations

Historically, the mosque was not only a space for a communal prayer but also a place for building a community. Today, however, with conflicts and diseases fragmenting society, people are less able to gather physically in large spaces. Out of necessity, people rely on technology to get together and interact virtually. In this context, my research challenges the notion of the mosque as a physical space, proposing, instead, its extension into virtual space. Recent global events pose the question: Can the metaverse offer an opportunity for the mosque to reassert itself as a public space. I propose that a MetaMosque …

Out From Under: Wellness Design And Alternative Therapies For Anxiety And Depression, Emily J. Adams

Theses and Dissertations

This study explores a facility that combines wellness design strategies with alternative therapies that are not commonly available in the U.S., with the goal of supporting adults with anxiety and/or depression who are not comfortable seeking traditional care.

Reclaiming The Appropriated Space Through Care, William P. Glaser

Theses and Dissertations

This thesis navigates the complex and (at times) frustrating experience of balancing caregiving and art making while attempting to converge both practices into one. The collaboration of caregiving and art making serves as a potential solution for those that struggle with the seemingly unreconcilable stratification of both activities.

Empowerment In Adolescents And Young Adults With Cystic Fibrosis, Rachel Holder

Theses and Dissertations

Adolescence and young adulthood is a pivotal time for individuals with cystic fibrosis (CF) that is characterized by increased self-management, transition to adult-oriented healthcare, and often a decline in treatment adherence and health-related quality of life (HRQoL) (Abbott et al., 2015; Modi et al., 2008). The literature regarding which factors are important for readiness to transition, treatment adherence, and HRQoL is limited in this population. However, empowerment has emerged as a salient construct in other disease groups (Acuña Mora et al., 2019; Burström et al., 2019; Kaal et al., 2017). As such, this thesis determined the convergent validity of the …

The Role Of Mindfulness And Compassion In Parochial Empathy And Prosocial Behavior Toward Out-Groups, Denise Zheng

Theses and Dissertations

As opposed to the tendency to empathize with and help one’s in-group members, there are often barriers to responding altruistically toward out-group members. Little is known about people’s capacity to cultivate intergroup prosocial responses through contemplative practices. This experiment examined the role of mindfulness instruction in parochial empathy and prosocial behavior toward an out-group, relative to compassion and relaxation instruction. A national sample of U.S. residents (N = 450) was recruited online through the on-line Prolific platform. Participants were randomly assigned to one of the three brief, structurally equivalent instruction conditions: mindfulness meditation, compassion meditation, or progressive muscle relaxation. …

Detection And Reporting Of Child Abuse And Neglect: A Survey Amongst Pediatric Dental Care Providers In The United States, Daniel J. Lander

Theses and Dissertations

Purpose: The purpose of this study is to survey pediatric dental care providers in the United States to evaluate their knowledge in the detection and reporting of child abuse and neglect (CAN). Methods: This study has been modeled as a cross sectional- survey based research study. Email invitations were sent to pediatric dentists, orthodontists, and others who work in pediatric dental practices in the United States through email lists of the American Association of Pediatric Dentists (AAPD) and the American Association of Orthodontists (AAO). The survey completion page included sample text and the public survey link for providers to use …

Flourish: Exploring Healing Environments In A Residential Treatment Setting, Emily D. Kalafian

Theses and Dissertations

The following project explores the ways in which our environments promote healing and support recovery through the design of a residential center for eating disorder recovery. The center will serve 8-10 young women as they seek recovery from restrictive forms of eating disorders. The center will accommodate the necessary staff personnel as well as spaces for supporting activities and wraparound services. The project intends to create a place for healing that feels safe, warm, and considers patients’ needs for autonomy, dignity, and a sense of control amidst disorder. This is a place to create meaningful relationships and to participate in …

Defiantly Childlike: Using Aesthetic Resistance To Heal, Sarah K. Reagan

Theses and Dissertations

This thesis examines an alternative processing mechanism surrounding the act of healing after traumatic experiences in life. Using a methodology of iterative patterning and tool-pathing, a collection of inflatable garments and wooden mannequins analyzes defense mechanisms learned in early childhood development. This work highlights an essential body of recent scholarship that takes cuteification seriously to restore a childlike approach to mastering fear. This paper will review the definitions of cuteness and childlike humor and then describe how visual culture has implemented these components to subvert established power.

Characterization Of Piezo2 Involvement In Stress-Induced Alterations To Gi Function And Nociception, Cristina Smith

Theses and Dissertations

Irritable Bowel Syndrome (IBS) is a functional gastrointestinal (GI) disorder marked by visceral hypersensitivity and changes in bowel function.Visceral sensation is initiated in the dorsal root ganglia (DRG) by primary afferent nerves that detect and transduce chemical and mechanical stimuli into electrical signals which relay to the central nervous system (CNS). The aim of this investigation was to characterize the role of Piezo2, a mechanically sensitive ion channel, located in nociceptive sensory afferents in the regulation of GI function in mice subjected to Water Avoidance Stress (WAS). Initially, body weight growth, colonic transit time, and somatic von Frey filament testing …

Shared Decision Making In Adolescence: The Role Of Race And Health Status, Mona L. Quarless

Theses and Dissertations

Youth participation in Shared Decision Making (SDM) is still a novel clinical practice with unique considerations. Moreover, though SDM has been touted as an effective model for patient-centered care it has largely been underutilized and under-researched in Black and Latinx adolescent populations. The current study examined the association of health factors that may relate to Black and Latinx adolescents, their families, and HCPs engaging in SDM. Specifically, I examined within-group racial differences in relation to health conditions (i.e., pain, obesity, mental health status) and SDM during adolescence. Measures of adolescent chronic pain, BMI status (overweight/obese), mental health symptoms (depression/anxiety), SDM …

Mindfulness Training To Enhance Emotion Regulation In A Polarizing Political Context: A Multimethod Investigation, Hadley Rahrig

Theses and Dissertations

The U.S. continues to show an upward trend in political polarization, perceived as a moral divide between liberal and conservative ideological groups. This moralization of political identity has contributed to the escalation of negative emotions (e.g., fear, anger, and hatred) directed towards political outgroup members. Although negative emotions are potent motivators of political intolerance, these emotions are nevertheless subject to regulation. Mindfulness offers a promising yet understudied emotion regulation strategy which may facilitate open receptivity towards opposing partisans. The present randomized controlled trial (RCT) examines the effects of short-term mindfulness training (MT) vs structurally equivalent Cognitive Reappraisal training (CT) on …

Exploring Predictors In The Receipt Of Patient/Family-Centered Care, Arami Anwell

Theses and Dissertations

Study 1

OBJECTIVES: The research aim of this study was to identify predictors associated with the receipt of PFCC among U.S. children/families

METHODS: Caregivers of 38,803 non-institutionalized children, aged 0 to 17 years, were surveyed by the National Survey of Children’s Health (NSCH) 2018–20019. Patient/family-centered care (PFCC) was measured using five components of health care delivery that were answered on a 4-point Likert scale. Logistic regression models were analyzed for the overall receipt of PFCC and each component of PFCC, with survey weighting added to adjust for complex sampling design.

RESULTS: Many predictors were associated with the receipt of PFCC. …

Chronic Adolescent Stress As A Predictive Factor For The Risk Of Developing Ptsd-Like Symptoms In Adulthood, Grace K. Young

Theses and Dissertations

Post-traumatic stress disorder is a stress and trauma based psychological disorder that is defined by the DSM-IV as an anxiety disorder that affects approximately 7.8% of people in the United States. PTSD is when those who suffer a traumatic event have intense and distressing feelings, emotions, and memories for a prolonged period of time after the event. A prominent feature of PTSD is the impaired ability to properly extinguish a fear response after a dangerous trigger or stressor is no longer present, also known as safety learning. Stressors are threats perceived within the environment that activate a response within the …

Modulating Ketamine’S Locomotor Activating And Reinforcing Effects Through Drug Combinations, Tegshjargal Baasansukh

Theses and Dissertations

Major Depressive Disorder (MDD) affects approximately 280 million people worldwide. The standard of care for pharmacological treatment of MDD has been monoaminergic antidepressants (MAA). However, MAAs have serious clinical limitations including a relatively slow onset of action and up to 40% of patients failing to respond and being diagnosed as “treatment resistant”. Ketamine, an N-methyl-D-aspartate antagonist, was originally approved for use as an injectable anesthetic. In addition, ketamine has been shown to rapidly improve depressive symptoms in patients with treatment resistant depression. In 2019, (S)-ketamine was approved as a nasal spray (Spravato®) for patients with MDD and treatment-resistant depression in …

A Case Study Exploring How The Zero Barriers In Stem Education Professional Development Program Affects Attitudes And Confidence Toward Teaching Stem Content To Students With Disabilities, Alison Dossick

Theses and Dissertations

This study was designed to assess how the Zero Barriers in STEM Education professional development (PD) course affected teacher attitudes and confidence in teaching science, technology, engineering, and mathematics (STEM) content to students with disabilities. A convergent mixed-methods case study analysis was used. The research questions were devised by examining answers on a pre-survey and post-survey. Documentation included a full analysis of two pre- and post-surveys, teacher implementation logs, team action plans, program evaluations, and semi-structured interviews. Barriers included time to plan and implement the outlined strategies and administrative and colleague support. This research uncovered some of the difficulties of …

Connected: Exploring Automation To Activate Aging In Place Success, Hallie W. Gillespie

Theses and Dissertations

MOTIVATION: There’s no place like home. Technological advances are now allowing us to live and work from anywhere. Spatial divides are disappearing through remote connections, creating a dispersion of the nuclear family, traditionally the prevailing caregivers for seniors. Older adults are projected to outnumber children under eighteen by 2034, a first in U.S. history (Census Bureau, 2019). This is not specific to America; “globally the population is aging. Since 1980, the number of people aged over 60 has more than doubled in size and is projected to do so again by 2050 to 2.1 billion” (United Nations, 2017).

ISSUE: There …

Alcohol And Other Addictive Behaviors Among Bariatric Surgery Patients, Rachel M. Arnold

Theses and Dissertations

Research has repeatedly highlighted a high rate of comorbidity of addictive behaviors in both clinical and non-clinical samples. While polydrug use has received significant attention in recent years, less is known about rates of comorbidity with behavioral addictions such as eating, work, exercise, or sex. Individuals with a history of bariatric surgery may provide a unique opportunity to examine the potential co-occurrence of addictive behaviors. High rates of food addiction symptoms and changes in alcohol use patterns post-surgically have highlighted a potential gap in our understanding of bariatric patients and their needs post-surgically. Using a composite measure of addictive behaviors, …

Characterizing The Patterns, Predictors, And Processes Involved In Recovery From Substance Use Disorders, Rebecca L. Smith

Theses and Dissertations

Alcohol and drug use disorders are associated with significant cost to individuals, families, and society.Approximately 40-75% of affected individuals remit from alcohol use disorders (AUD). Although the development of AUD is well studied, recovery from AUD and factors that contribute to recovery are not as well characterized. With the definition of recovery evolving towards a process rather than an outcome, there is a need to better understand psychosocial functioning and quality of life among individuals at different points in their recovery journeys. Concurrently, additional research is needed to understand the interplay between sources of recovery capital, individual differences in risk …

Impact Of The Covid-19 Pandemic On Child Anxiety Symptoms: The Influence Of The Caregiver-Child Relationship, Rebecca Hoppe

Theses and Dissertations

Research suggests that youth are dealing with a myriad of worries during the COVID-19 pandemic (Ellis et al., 2020), which highlights the need for investigations focused on child anxiety. However, to date little research has examined children’s anxiety in the COVID-19 pandemic nor the potential protective effects of the caregiver-child relationship. Therefore, this research aimed to contribute to the literature by investigating the influence of COVID-19 related stressors in younger children and leveraging children’s report of their own attachment security within their relationship with their caregiver and mental health. The current study used a national, quantitative survey of young children …

Development And Validation Of A Volunteer Adult Literacy Tutor Perception Feedback Scale, Robert Craig

Theses and Dissertations

This exploratory study developed and validated a Volunteer Adult Literacy Tutor Perception Feedback Scale (VALTPFS). The VALTPFS is a self-report questionnaire that measures the perceptions of one-on-one adult literacy tutors about their values, knowledge sharing, and satisfaction. This instrument is designed to assess the perceptions of adults who volunteer to provide literacy instruction to tutees who are U.S. born native English language speaking adults. The theoretical framework used to inform the development of the VALTPFS is the community of practice (CoP). The CoP framework was used to identify subscales from instruments with established psychometric credentials to operationalize the VALTPFS. As …

Race, Weight, Gender And The Embodied (Odied, Odied) Consciousness Of Big-Bodied Black Women Educators: A Phenomenological Study, Kendra D. Johnson

Theses and Dissertations

Big-Bodied Black women in the United States have perpetually navigated the veritable dichotomy of being hyper-visible and invisible (Beauboeuf-Lafontant, 2003; Fleetwood, 2001; Strings, 2019). Fat Black female bodies have borne the burden of exaggerated tropes and exploitation throughout history, stripping them of their femininity and humanity and resulting in a unique form of objectification (Strings, 2019). Inconsistent messages about BBWs, their bodies, and their value in society have endured for generations. They have been essential in constructing the controlling images of Black womanhood in the U.S. (Collins, 2000). The controlling images all evoked thoughts about the suitability of Black women …

Racism Experiences And Mental Health: An Examination Of Direct, Vicarious, And Appropriated Racism Experiences On Mental Health Symptom Expression, Christina Barnett

Theses and Dissertations

The current study aimed to corroborate existing models of racism-related experiences by creating an explanatory model that operationalized direct, vicarious, and appropriated racism experiences. This study explored whether the factors of direct and vicarious racism experiences influenced mental health outcomes via appropriated racism experiences in a sample of Black women. This association was not present. However, results showed a positive association between vicarious and direct racism experiences, as well as predictive relations between direct and vicarious racism experiences and depression and trauma symptoms. Results, limitations, implications, and recommendations for future research are included.

Keywords: vicarious racism, appropriated racism, direct racism, …

Family History Of Substance Problems Among African Americans: Associations With Drug Use, Drug Use Disorder, And Prescription Drug Misuse, Rebecca Mahrs-Gould

Theses and Dissertations

Background: Understanding individual risk for substance use and substance use disorders is important in the efforts of reducing risk and prevention of these problems. A family history of alcohol and/or drug problems often increases the risk for these problems, however the majority of research in this area is conducted in samples that are predominantly White. African Americans face disparate outcomes from substance use and substance use disorders, and the risks for substance problems may not be the same as for Whites. A systematic review of the literature identified nine studies that examined a family history of either substance problems or …

Informing Telehealth Public Policy: Lessons Learned From Virginia Telehealth Usage Pre-And Post-March 2020, Shelly Smith

Theses and Dissertations

The enactment of Waiver 1135, in response to the COVID-19 pandemic, enabled healthcare systems to deliver care via telehealth. A descriptive analysis of the impact of the implementation of Waiver 1135 on increasing access to care in Virginia was conducted. Guided by Andersen’s Behavioral Model of Health Service Use (BMHSU) theory, this study used a longitudinal, monthly-level data from the Virginia’s All Payers Claim Database to examine telehealth utilization rates between January 2019 and December 2020. Observations in insurance coverage, healthcare clinicians role and specialty and geographic location were all examined. Results suggest that while Virginia’s overall volume of telehealth …