Digital Commons Network^™

Mobile-Based Contingency Management To Promote Daily Self-Monitoring Of Pain Severity And Related Measures In An Online Sample Of Individuals With Chronic Pain, Kathryn Polak`

Theses and Dissertations

Between 11% and 40% of the US population experience chronic pain. One promising pain management solution is remote self-monitoring. Unfortunately, low rates of adherence have impeded the use of remote self-monitoring among chronic pain patients. One robust strategy for improving adherence is contingency management (CM). This project pilot tested a fully-automated CM app (DynamiCare Rewards) programmed with an escalating variable-ratio reinforcement schedule for promoting daily self-monitoring of pain symptom severity, related variables (e.g., sleep), and prescription opioid use over a 28-day period in a sample of individuals with chronic pain. A pilot RCT compared participants randomized to CM (n …

Investigating Cannabinoid Type-1 Receptor (Cb1r) Positive Allosteric Modulators (Pams) In Mouse Models Of Overt Cannabimimetic Activity, Subjective Drug Effects, And Neuropathic Pain, Jayden Elmer

Theses and Dissertations

Chronic pain affects between 20 and 30 percent of the adult population in western countries and represents a wide array of specific etiologies (Berge, 2011). Neuropathic pain secondary to traumatic nerve injury, chemotherapeutic toxicity, or diseases (e.g., diabetes mellitus) is often refractory to conventional analgesics, with patients receiving less than 50% pain relief compared to placebo (Finnerup et al. 2010). The endocannabinoid system has shown potential as a therapeutic target for neuropathic pain wherein CB1 agonism via administration of exogenous agonists or pharmacological blockade of endocannabinoid catabolic enzymes exhibits efficacy in reversing allodynia in the chronic constriction injury (CCI) model …

Fty720-Induced Antinociception In The Chronic Constrictive Injury (Cci) Mouse Model: Neuronal-Astroglial Mechanisms Through S1p1 Signaling, Lauren V. Moncayo

Theses and Dissertations

Novel pharmacological and genetic advancements increased interest in the sphingosine-1-phosphate receptor-1 (S1P₁) as a potential therapeutic target. S1P₁ plays a critical role in the mechanism of action of Fingolimod/FTY720, a therapy currently FDA-approved for the treatment of relapsing-remitting multiple sclerosis (RRMS) (Camm et al., 2014). To prevent RRMS, FTY720 downregulates S1P₁ on lymphocytes to impair their trafficking and sequester cells in the lymphoid organs to prevent further pathogenic attack (Brinkmann et al., 2010). Recent developments in pre-clinical models suggest FTY720 holds therapeutic potential to treat other diseases, such as neuropathic pain, a debilitating chronic pain …

Health Outcomes And Utilization Associated With Renal Diseases In Patients With Cancer In The United States, Mitisha Dedhia

Theses and Dissertations

Background: Adverse events and impairments associated with cancer and its treatments causes worse outcomes. Increased incidence of renal diseases among cancer patients is of particular concern. Objective: To determine the risk factors for renal disease in cancer patients and compare healthcare costs, utilization and health-related quality of life (HRQoL) of cancer patients with a renal disease and cancer patients without renal diseases. Methods: Medical Expenditure Panel Survey files from 2009 – 2018 for cancer patients was used for this study. Multiple logistic regression, generalized linear model, Poisson regression and multiple linear regression for analyses after adjusting for demographic, socioeconomic and …

Breaking The Cycle: A Longitudinal Study Of Factors That Disrupt Peer Selection And Influence Processes Among Urban Youth, Kelly E. Oconnor

Theses and Dissertations

Having friends who engage in problem behavior (i.e., aggression, substance use, delinquency) has consistently been linked to adolescents’ own engagement in problem behavior. There are, however, several key gaps in the literature on peer influence. Few studies have considered the influence of friends’ prosocial behavior and there has been limited research to identify promotive factors that influence urban youths’ affiliation with peers who engage in problem and prosocial behavior across early adolescence, a time of heightened susceptibility to peer influence. The purpose of this study was to identify modifiable promotive factors that reduce adolescents’ problem behavior by decreasing exposure to …

Ballad Of A Bootlegger, Sarah K. Parker

Theses and Dissertations

Roll in the soot of fires-gone! Purification through osmosis(?). They don’t pass onward so you can pass on the recognition. Learn the lesson, you bootlegger! This is necessary; you must use your hands and forge onward. Shit fire to save a match and light the birthday candles, time will pass before you’ve finished blinking so take another sip in and breathe easy child-- loss is part of life and no one can ever take that away from you (not that you’ve feared this). Slip the ring on your finger and marry to a practice of breaking perceptions of rules that …

Repair In An Economy Of Trauma: How Identifying Traumas As The Basis For Teacher Artmaking Contributes To Resiliency In Managing Traumatic Stress, Danielle R. Houdek

Theses and Dissertations

REPAIR IN AN ECONOMY OF TRAUMA:

HOW IDENTIFYING TRAUMAS AS THE BASIS FOR TEACHER ARTMAKING CONTRIBUTES TO RESILIENCY IN MANAGING TRAUMATIC STRESS

By Danielle Raddin Houdek, BFA, MAE

A thesis submitted in partial fulfillment of the requirements for the degree of Master of Art Education at Virginia Commonwealth University.

Virginia Commonwealth University, 2021.

Major Director: Dr. Sara Wilson-McKay

Associate Professor, Department of Art Education, School of the Arts

Objective: Through this research project, the impact that secondary traumatic stress has on art educators and how artmaking contributes to resiliency in managing secondary traumatic stress was examined. The research question is: …

The Cb1 Receptor Positive Allosteric Modulator, Zcz011, Attenuates Naloxone-Precipitated Withdrawal Signs In Oxycodone-Dependent Mice And Inhibits Small Intestinal Transit In Mice, Julien Dodu

Theses and Dissertations

The endogenous cannabinoid system tightly regulates a myriad of physiological and pathophysiological functions. Effects of cannabinoids in ameliorating opioid withdrawal signs has been known for decades. Naloxone precipitates several withdrawal signs (e.g., diarrhea, weight loss, jumps, paw flutters, and head shakes) in opioid dependent rodents. ∆⁹-tetrahydrocannabinol (THC) has been shown to ameliorate opioid withdrawal in mice through the activation of cannabinoid type-1 (CB₁) receptors. Inhibition of the endocannabinoid degradative enzymes also attenuates these withdrawal signs (i.e., diarrhea, weight loss, jumps, paw flutters, and head shakes) in opioid-dependent mice. Specifically, inhibition of fatty acid amide hydrolase (FAAH), …

The Contribution Of African American Parents’ Stem Racial Socialization And Support To Adolescent Academic Outcomes, Rachel J. Davis

Theses and Dissertations

Historically, African Americans have experienced various inequalities in education that have long contributed to overall educational attainment gaps within the African American community (St. Mary, Calhoun, Tejada, & Jenson, 2018). Thus, African American parents are tasked with instilling messages of racial pride into their children and providing educational support that serve as protective factors against racial discrimination in education (Koch, Lundh, & Harris, 2019). Theoretical frameworks provide a basis of understanding how parent socialization contributes to African American educational outcomes, specifically noting the role of parents’ beliefs and values in dictating mechanisms of value transfer (e.g., buying toys or learning …

The Importance Of Connection: Contributions Of Relationships With Fathers And Connections To School To Delinquent Behavior And Positive Youth Development, Colleen S. Walsh

Theses and Dissertations

Risk-taking and boundary pushing are hallmarks of adolescent behavior, making the identification of promotive and protective factors related to both delinquent behavior and positive adolescent functioning essential. Previous studies have provided compelling evidence that suggests aspects of familial relationships may successfully attenuate delinquent behavior and support positive functioning outcomes. Despite these findings, the father-adolescent relationship is understudied in association with these outcomes. The current study examined relations between adolescents’ perception of school connectedness and father-adolescent relationship quality and delinquent behavior and positive adolescent functioning outcomes. This study used data collected when youth were nine and fifteen years old from the …

An Examination Of The Impacts Of Childhood Trauma On Healthy Intimate Relationships In College-Aged African Americans, Broquelynn D. Shepard

Theses and Dissertations

For African Americans, the dynamics of relationships are rooted in childhood experiences of unconditional love, restraint, and respect. These experiences help individuals form their understanding of how relationships function. Experiencing healthy relationships has an enduring impact on social development and interpersonal relationships. However, regarding studies on childhood trauma and intimate relationships, there is insufficient literature that includes African American samples as the primary foci of the research. Due to gaps in extant literature, the present study aims to explore whether experiences of healthy intimate relationship in African Americans are associated with childhood trauma (neglect, emotional, sexual, and physical abuse). Using …

The Impact Of Latent Print Processing On Firing Pin And Breechface Impressions During Firearm Examination, Brittany B. Harrington

Master of Science in Forensic Science Directed Research Projects

Latent prints can be a valuable source of forensic evidence when solving a crime. They can verify if a person was at a specific scene, identify unknown individuals to connect them to a scene, and help to corroborate eyewitness accounts. Latent prints, however, are not always visible until they have undergone enhancement or visualization techniques. When fired cartridge cases are suspected of containing latent prints, they are brought in for latent print processing before any firearm analysis is performed. As a result, these cartridges are often coated in various residues or dyes when they arrive for firearm examination. In response, …

The Buffering Effects Of Resilience On Alcohol Use: A Phenotypic And Genotypic Investigation, Shannon Cusack

Theses and Dissertations

The college years encompass a time of vulnerability for problematic alcohol use/alcohol use disorder (AUD) and exposure to traumatic events (TE), which is a transdiagnostic risk factor for AUD, posttraumatic stress disorder (PTSD), and comorbid AUD-PTSD. However, not all who experience a TE develop these disorders, highlighting the need to identify factors that impact post-trauma outcomes. Resilience has been shown to be associated with lower alcohol consumption and related problems following TE, though the buffering effects of resilience on alcohol use have not yet been examined. Further, twin studies demonstrate that resilience is moderately heritable, but further research is needed …

Nurse Cognition In Response To Alert Generation During Bar Code Medication Administration (Bcma): An Examination Of Human Factors, Elizabeth A. Sloss

Theses and Dissertations

Introduction: Nurses are at the forefront of care delivery, spending more time with patients than most other providers. Paramount to patient safety is the ability for nurses to make clinical decisions free from human error. Yet, the dynamic clinical environment in which nurses work is characterized by uncertainty, urgency, and high consequence, necessitating that nurses make quick and critical decisions. Notably, medical errors related to clinical decision-making, including medication administration errors, may occur more frequently among new graduate nurses. Therefore, the aims of this dissertation study are to 1) examine patterns of alert generation and alert response decisions (decision outputs) …

Straight Through My Heart, Raul A. Aguilar Canela

Theses and Dissertations

Straight through my heart is an exhibition that explores the concept of heartbreak as a socio-political phenomenon. Through the affect of sadness the thesis analyses the way in which subjects are formed under cognitive capitalism. Paying particular interest to the collateral effects of neoliberal culture —hyper-stimulation, self-exploitation, competition, and obsession with productivity—and the pathologies they create —depression, anxiety, body aches, fatigue— this work shifts the burden of sadness from the individual to the community. By doing so it proposes heartbreak as a public feeling.

Pro-Environmental Behaviors Among Black Environmentalists: A Critical Race Perspective, Kimberly S. Compton

Theses and Dissertations

Environmentalist narratives have left out the labor of Black environmentalists, mischaracterizing Black communities as disinterested in environmental problems or solutions. The purpose of this critical transformative exploratory qualitative study, guided by critical race theory, was to explore the meaning of pro-environmental behaviors among Black environmental advocates. Ten adult Black environmental advocates and organizers were interviewed using semi-structured interviews which were transcribed and analyzed using directed content analysis and thematic analysis. The findings demonstrated divergences between definitions of the environment and how that impacts what is considered pro-environmental behavior; the breadth of the pro-environmental behaviors in which Black environmentalists are engaged; …

An Exploration Of Teacher Residents’ Perception Of Culture And Their Use Of Culturally Responsive Pedagogy, Jodi Larson

Theses and Dissertations

Urban teacher residency (UTR) programs place residents in urban schools labeled “hard-to-staff” or “under-resourced.” Enrollment in residency schools tends to be majority Brown or Black students from various cultures. Teacher residents are from diverse backgrounds and races who have a commitment to teach in Title 1 schools with the support of a residency program that coaches them how to teach using culturally relevant pedagogy. Their journeys are unique from typical student teaching experiences because they co-teach with an experienced teacher for a full school year while attending university classes on pedagogy and theory. This qualitative case study followed seven elementary …

Modeling Substance Use And Mental Disorder Comorbidity Using Latent Variable And Network Approaches, Courtney T. Blondino

Theses and Dissertations

Introduction. Substance use disorder (SUD) is a common condition that affects millions of Americans. Addressing SUD has been complicated by comorbid mental disorders and co-occurring substance use. Consequently, detailing and addressing SUD and comorbid SUD represent an important goal to improve the health of Americans.

Objective. The research goal of this dissertation was to characterize the comorbidity between substance use, including tobacco use, and mental disorder symptoms measured as negative affect and externalizing symptoms in a population-based sample using latent variable and network approaches.

Methods. Waves 1 – 3 from the Population Assessment of Tobacco and Health Study were used. …

Articulating The Heart Of Darkness: A Psychometric And Behavioral Analysis Of The Relationship Between Psychopathy And Sadism, Emily Lasko

Theses and Dissertations

Psychopathy and sadism, personality constructs largely characterized by antagonistic tendencies, share several similar traits and behaviors such as cruelty, callousness, and antisocial behavior. Due to this overlap, it remains unclear whether sadism is simply a facet of psychopathy, or they represent distinct but related constructs. The degree of overlap and distinction between these traits has yet to be empirically and thoroughly examined; therefore, the present project had two overarching interconnected aims: 1) Investigate the degree of psychometric overlap between psychopathy and sadism, and 2) examine potential behavioral distinctions between psychopathy and sadism. In Study 1, participants completed an online battery …

Grief, Loss, And Climate Change: Validation Of A Solastalgia Scale, Claire Luce

Theses and Dissertations

Climate change has been identified as a defining issue of this century (United Nations, n.d.). Climate change impacts human wellbeing including mental health. While much research has focused on the way that the effects of climate change cause increases in common mental disorders, mental health is not just the absence of these disorders (World Health Organization, 2014). Non-pathologized mental health responses to climate change, such as the grief and loss that results from climate change impacts, are a growing consideration for researchers. Solastalgia, or the distress experienced in the absence of the solace once provided by the environment in the …

Western Clinicians’ Diagnostic Accuracy Of Culture-Bound Syndromes, Lisa Y. Chung

Theses and Dissertations

Culture-bound syndromes are of increasing importance in today’s more diverse world. The current study measured the ability of clinicians trained in a western setting to accurately diagnose culture-bound syndromes from cultures outside of their background. Eight-four clinicians were recruited through the American Psychological Association (APA) membership directory. All recruited clinicians were asked to read three vignettes. In two vignettes a patient was suffering from either Hwabyung or Ataque de Nervios and the third vignette represented a control GAD vignette. The clinicians were asked to diagnose the patient in the vignette, to explain what information informed their diagnosis, to complete two …

The Living Theatre Of Horror: Examining How Centuries Of Western Theatrical Practice And Theory Inform The Modern-Day Haunted House, Scott Dittman

Theses and Dissertations

This work will discuss the growing modern phenomenon of theme park and regional haunt events in the United States. In it, we will explore the history of how horror has been presented on stage, the themes within horror that creators grapple with, and how by using traditional theatrical elements creators of modern haunt events are able to make the audience a part of the story, transforming them from passive observers of the scenarios presented to complicit participants. How does the history of horror theatre inform the production of modern haunt events (and how has a global pandemic affected them), what …

Tya And Educational Outreach In Higher Education: An Asset To Undergraduates And Their Community, Emily J. Mattison

Theses and Dissertations

Undergraduate students pursuing a career in theatre are at the beginning of their life-long training and understanding and appreciation for the art. Performing in a Theatre for Young Audiences (TYA) touring production alongside the responsibility of crafting educational outreach opportunities provides the students with a unique chance to comprehend the art they have chosen to devote their lives to. This paper details the value of offering a course I crafted entitled “TYA Educational Outreach”, for both the undergraduates enrolled and the community they would be reaching. While undergraduates develop an understanding of the impact theatre can have on an individual …

Cloaca Palace, Connor Marie Stankard

Theses and Dissertations

In this thesis, I trace the compulsive fear of holes, known as trypophobia, from an uncontrollable obsession to a pleasurable preoccupation. The body’s physical porousness makes us receptive to our surroundings, allowing external matter in and destabilizing the boundaries of self and other. Matter invades us, encoding itself into our DNA and transforming humans into chimeric creatures.

Through paintings and multi-media installations, I encourage viewers to reflect on their own bodies as a series of holes, vulnerable receptors to the world. I use the figure of a woman to personify a human hole which has been infected by the outside, …

Trauma Prevention & Best Practices In Performance Classrooms, Laine D. Wagner

Theses and Dissertations

Abstract

This thesis has been constructed to create a trauma-informed teaching method to be used within performance classrooms at the college level. The first chapter starts by defining trauma and walking the reader through the neuroscience behind trauma. Next, the code of ethics created by the National Educational Association is examined and a definition for best practices within the classroom is outlined. Finally, this chapter concludes with a definition of emotional abuse that brings all the concepts together and explains how they are interlaced.

The next chapter is dedicated to learning more about the percentage of actors who have experienced …

Heavy Hold: A Physical Score, Alexandra Velozo

Theses and Dissertations

This document is a collection of essays, stories, and fictional interviews that are in conversation with my performance, teaching, and sculpture practice. My research and work considers chronic illness, disability, the historic cultural connection between swamplands and illness, the medical industrial complex, medical theater, the medical gaze, disabled performers, metatactile space, sensory learning, and access.

Feeling The Squeeze: The Association Between Multigeneration Caregiving And Informal Caregivers’ Health, Christine L. Patterson

Theses and Dissertations

While U.S. public policy and research has focused on the health needs of the aging population, less attention has been given to the consequences informal caregivers face caring for this generation. With the segment of the population aged 65 years or older growing rapidly, it is important to understand the factors that place informal caregivers at risk for poor health outcomes and health behaviors. Since multigeneration caregivers balance more personal, work, and caregiving demands than single-generation informal caregivers of older adults, they may be at higher risk for poor health outcomes. The aim of this study was to examine the …

Policy And Practice Brief 6: Considerations For Using Access Test Scores In Decision-Making, Carolyn N. Waters, Merc English Learner Research & Evaluation Team, Virginia Commonwealth University

MERC Publications

Since the implementation of The No Child Left Behind Act of 2001 (NCLB), all students identified as English learners (ELs) in U.S. public schools have been required to take an annual assessment of English language proficiency (ELP) for federal accountability. Virginia and many other state education agencies (SEAs) use the WIDA ACCESS for ELLs© test (ACCESS), not only to comply with this mandate, but also to inform a variety of high-stakes decisions for EL instruction, such as determining when multilingual learners have reached English proficiency, deciding about Language Instruction Educational Program (LIEP) entry and exit, informing classroom instruction and assessment, …

The Harm In Seeking Care: Assessing The Relationship Between Healthcare Discrimination And Healthcare Avoidance Behaviors In The Past Year And Since The Start Of The Coronavirus Pandemic In A Transgender And Gender Independent Sample, Kyle L. Mason

Theses and Dissertations

Background: Gender minorities encounter a myriad of barriers to accessing general and gender affirming healthcare. Financial disparities impacting affordability of healthcare costs and insurance-based denials for gender-affirming care are among prominent barriers discussed. Considerations of the prevalence of stigma, discrimination, and erasure of gender minority identities must not be neglected when seeking to understand healthcare accessibility and utilization in this population. Previous researchers have examined gender minority patients’ experiences of discrimination in healthcare settings and delaying care due to fear of discrimination. There is a dearth of knowledge about the relationship between lifetime exposure to varied forms of healthcare discrimination …

Kaleidoscope Wellness | Destigmatizing Mental Health For Teens By Design, Rhode L. Baptiste

Theses and Dissertations

Motivation

Mental health is a global public health crisis. (Marcus et. al, 2012; WHO, 2020). Although there is a growing acceptance of the complexities surrounding mental illness, care delivery for adolescents with mental health concerns remains highly stigmatized, which contributes to delays in care (Hoisington et. al, 2019; Burns & Birrell, 2014). Half of all mental illnesses can be detected prior to the age of 14 (National Alliance for Mental Health, 2020). While research exploring how the physical health care environment impacts health and well-being for patients has evolved immensely over the past two decades, research on how facility design …