Digital Commons Network^™

The Effectiveness Of Telemedicine As A Pivotal Tool In Providing Accessible Medical Care, Peyton Wilt

Honors Theses

Telemedicine has emerged as one of the most transformative innovations in modern healthcare, offering new opportunities to bridge long-standing gaps in access, quality, and continuity of care. Rural and underserved communities in the United States face persistent barriers to healthcare, including provider shortages, geographic isolation, limited access to specialty services, transportation challenges, and socioeconomic disparities. These structural barriers often delay diagnosis, disrupt chronic disease management, and worsen overall health outcomes. Telemedicine provides a mechanism to address many of these obstacles by enabling remote consultations, real-time monitoring, follow-up appointments, and access to specialty providers through digital platforms.

This thesis examines the …

Wmu Board Of Trustee Board Meeting, Thursday December 4, 2025, Wmu Board Of Trustees

WMU Board of Trustees Meetings

• Acceptance of the Agenda
• Approval of the Minutes (October 30, 2025)
• Remarks by the Chair of the Board
• Remarks by the President
• Updates by the Faculty Senate President
• Updates by the Western Student Association President
• Updates by the Graduate Student Association President
• Presentation: The Voice of Bronco Success
• Public Comments Regarding Action Items

Action Items

Student Housing and Meal Rates 2026/27

Consent Items

Curriculum Proposals

Personnel Report

• General Public Comments

Psychological Variables That Best Predict Health Related Behaviors In College Students, Arianna Gamaggio

Honors Theses

The present study examined which psychological factors best predicted health behaviors in college students. The psychological factors that were addressed included anxiety, depression, grit, and psychological flexibility. The health behaviors were examined by using a composite variable that included sleep, diet, and exercise. A total of 265 students participated in the study, but only 174 (μ age = 21) met the criteria for inclusion. Participants completed validated self-report measures such as the GAD- 7 (anxiety), PHQ-9 (depression), Short Grit Scale, Psy-Flex-6 (psychological flexibility), as well as health behavior assessments that measured eating behaviors, sleeping, and exercise habits. Correlational analyses indicated …

Low Power Magnetically Shielded Krypton Hall Thruster Design, Grace Klang

Honors Theses

This project investigates the design and modeling of a low-power Hall-Effect Thruster optimized for krypton propellant, serving as a continuation of Western Michigan University’s Hall thruster development series. Krypton is selected as an alternative to xenon due to its significantly lower cost and increased availability, though its higher ionization energy and reduced atomic mass introduce performance, ionization, and efficiency challenges that must be addressed through careful design. The goal of this study is to design two 300-W class thrusters capable of achieving high efficiency and long operational life on krypton propellant while maintaining full compatibility with existing laboratory facilities and …

Emmett Deur - Senior Recital, Emmett Deur

Honors Theses

As a culmination of three and a half years of study in the Irving S. Gilmore School of music, I, Emmett Deur, have put together a senior recital, performing a variety of works on the euphonium. My studies have included experiences within some of Western Michigan University’s top ensembles, including the Western Michigan University Wind Symphony, the University Symphony Orchestra, and the Western Brass Quintet’s Brass for the Holidays Ensemble. In addition to these ensemble experiences, my studies included regular one-on-one applied lessons with applied Tuba/Euphonium faculty members. With a year of lessons with former Tuba/Euphonium instructor, Professor Chance Trottman-Huiet, …

Between The Calm Lake Waters, Adrian Martinez

Honors Theses

No abstract provided.

Investigating The Mechanisms By Which Gut Microbiome Dysbiosis Contributes To The Autoimmune Response In Multiple Sclerosis, Abigail Houtrouw

Honors Theses

This literature review explores the multifaceted relationship between gut microbiome (GM) dysbiosis and multiple sclerosis (MS), highlighting key themes that advance understanding of disease pathogenesis and therapeutic potential for treatments targeting the gut. The review underscores the immune system dysregulation in MS, emphasizing the roles of T cells, B cells, and microglia in neuroinflammation and demyelination. Historically, MS pathogenesis was thought to be driven mainly by T-cell dysregulation, but current research highlights the additional roles of B-cells and microglia, the resident immune cells of the central nervous system (CNS). Additionally, this literature review identifies GM alterations and dysbiosis as critical …

“She’S A Good Different. She’S Revolutionary”: How Fifth-Grade Readers Interpret Aspects Of Diversity In Literature, Margaret Barr

Reading Horizons: A Journal of Literacy and Language Arts

Although diversity, equity, and inclusion have been a significant focus of research in children’s literature, many studies fail to consider the reader’s perspective and instead rely on text analyses. In the present study, the author employed focus groups to examine fifth-grade readers’ insights as they interpreted, related to, and engaged with the presence of diversity in texts. Findings indicate that readers interpreted diversity by envisioning the larger picture, recognizing the importance of others’ differences, and connecting through emotions. Thus, this study suggests that it is necessary for teachers to understand that students recognize and appreciate individual differences, to select texts …

Where Do I Go Next With This Writer? Preservice Teachers’ Responses At The Start And End Of A Writing Methods Course, Nicole M. Martin, Lisa K. Hawkins, Diane M. Bottomley, Brendan Shanahan, Jennifer Cooper Mrs.

Reading Horizons: A Journal of Literacy and Language Arts

This mixed-methods study sought to extend what is known about preservice teachers’ (PSTs’) preparation for teaching writing by examining their responding to individual children’s narrative, informative, and persuasive writing at the start and end of a writing methods course. Participants were 115 elementary PSTs. Their selections of teaching foci and instructional strategies on a beginningand end-of-semester course task were examined. Overall, PSTs showcased differences in their selections at the two time points, displaying a lessened focus on local features (e.g., spelling, punctuation) and reliance on laypeople’s helping practices (e.g., telling, correcting writing) and a greater focus on global features (e.g., …

Beyond The Red Pen: Investigating The Formation Of Reader And Writer Identity Development In Preservice Teachers, Sarah Rutt Williams, Pengtong Qu, Lydia Denning

Reading Horizons: A Journal of Literacy and Language Arts

The influence of identifying as a reader and writer in being a literacy teacher has been emphasized in the literature (Graves, 1983). However, few studies have explored how teacher education programs develop these identities in preservice teachers (PSTs). Grounded in Demerath’s (2006) epistemological identity theory, this study explored the fluid process of teacher identity formation, focusing on nurturing PSTs’ identities as readers and writers. The study took place over one semester in an English Education course. The researchers analyzed three PST participants’ weekly reflections about their beliefs regarding teaching and learning literacy. These statements revolved around topics that aligned with …

Organizational Diagnosis Toolkit, Ann Marie Lindley, Catherine Nolan, Connie L. Halvorsen, Franki C. Hand, Isys S. Mccormack, Jennifer A. Hance, Jess Beutler, Kelsey Spaulding Caras, Sara German Jimenez, Stephanie Graves

Capstone Projects

The complexity of organizations requires organizational diagnosis to be an iterative process tailored to the context, needs, and uniqueness of each organization. This toolkit is designed to walk a consultant or leader through a structured diagnostic approach and the various resources that can be leveraged along the way. It is organized into four sections: foundational diagnostic frameworks and models, practical consulting, case-study application, and reflection and learning. It was created by students in the Western Michigan University Organizational Change Leadership masters and doctoral programs as part of the course OCL 6460, "Organizational Diagnosis and Consulting," under the supervision of Professor …

Advancements In Visualization, Post-Processing And Ai-Enhanced Modeling Of Multi-Scale Micromechanics For Composite Materials, Joao Guilherme Brites Rei

Masters Theses

This study addresses some of the primary deficits of a localization/homogenization workflow for composite materials by focusing on the visualization and enhancement of models based on GMC and HFGMC, with emphasis on their implementation within the NASMAT ecosystem.

This thesis details the development of two dynamic, ParaView-based plugins that convert large hierarchical simulation outputs into interactive insights. While NASMATDiscreteElement systematizes RUC creation with transparent parametrization in a reproducible GUI, NASMATExplorerRUC enables the inspection of deeply nested datasets through accurate cell picking and synchronizes comparisons between parent and child views. Additionally, a shallow U-Net neural network is optimized on HFGMC data …

Student Perceptions Of The Impact Of Faculty Race And Gender On Their Sense Of Connectedness, Engagement, And Persistence, Sherrie Y. Fuller

Dissertations

This quantitative study examined how faculty demographic characteristics, specifically race and gender, influence undergraduate students’ perceptions of connectedness, engagement, and persistence at a public Midwestern university. Guided by Tinto’s Model of Student Integration (1975, 1993, 2012), the research explored whether perceived alignment between student and faculty identities contributes to students’ sense of belonging and motivation to persist toward degree completion. Data were collected from 100 undergraduate participants representing diverse racial, gender, and academic backgrounds. Participants completed a researcher-developed survey instrument utilizing a four-point Likert scale to measure connectedness, engagement, and persistence.

The Effect Of Shared Decisions On Intertemporal Choice, Rosemarie M. Davidson

Masters Theses

Substance use disorders are a significant public health concern, and improving treatment outcomes requires a better understanding of the behavioral processes that influence drug consumption. Delay discounting, or the tendency to overvalue immediate reinforcers, is reliably more severe among individuals with substance use disorders. Recent work suggests that shared decision-making may increase tolerance for delayed rewards; however, prior studies used procedures that confounded delay to token delivery with delay to token exchange, limiting conclusions. The present study evaluates delay discounting across individual and social decision-making contexts using a traditional delay discounting paradigm.

Ten undergraduate participants completed sessions involving choices between …

Pilot Study Of The Barriers To Exercise Adherence And Motivation (Beam) Questionnaire For Adults With Osteoarthritis, Haley Ciara Hughes

Dissertations

Osteoarthritis (OA) is a chronic condition affecting over 33 million adults in the United States (Center for Disease Control and Prevention [CDC], 2024). While exercise is one of the leading, non-pharmacological treatments for OA (Zhang et al., 2008), patients often struggle to meet physical activity guidelines, increasing their risk of lifelong disability, falls, and dependence (Wallis et al., 2013). Researchers in physiotherapy have struggled to identify effective, individualized treatments to improve exercise adherence for patients with OA that maintain long-term effects (Ezzat et al., 2015); an area behavior analysts could offer insight and guidance. Behavior analysts have developed indirect functional …

Exploring The Perceived Impact Of Instructional Coaching On K-12 Staff In A Midwestern State Region, Viloshinee Murugan

Dissertations

This study looked at how K–12 educators in one Midwestern state region perceived the impact of instructional coaching on their instructional practices. The purpose of this quantitative study was to determine how the type and frequency of coaching predicted the educators’ self-reported improvements in instruction. 307 educators who had participated in instructional coaching within the past five years completed the survey measuring three coaching types, content-focused, pedagogical-focused, and data-focused, and the frequency of one-on-one coaching interactions. Descriptive analyses identified the prevalence of each coaching type and the ways that the educators rated their growth, while a multiple regression tested the …

Evaluating Psychosocial Stressors And Mental Well-Being Of Construction Professionals From The Management Standpoint: An Exploratory Study, Md Tauhidul Karim

Masters Theses

Construction professionals face persistent workplace stressors that undermine their mental well-being outcomes. Despite progress in general job-related stressors, social and interpersonal aspects of psychosocial stressors traditionally remain underexplored in the construction management research. The present study examines how social and interpersonal factors influence construction workers’ mental well-being and how management’s awareness, responsiveness, and strategic roles evolved in the transition of the COVID-19 pandemic at the organizational level. An integrative mixed-methods approach was employed, combining a systematic literature review, a bibliometric analysis, and an exploratory case study to capture the current landscape of mental well-being and management standpoints in the US …

Breaking Barriers For Student Success: Leading In Challenging Times, Lisa Marie Dewey

Dissertations

This study explores how Diversity, Equity, and Inclusion (DEI) directors in one Midwestern state understand and lead equity initiatives in K–12 public education. The purpose of the study was to examine how DEI leaders make sense of their roles and the challenges of sustaining equity work within complex and often politicized systems. Using a basic qualitative methodology, the research examined how personal identity, sociopolitical context, and organizational structures shape DEI leadership. Critical Race Theory (CRT) framed the study, centering race, power, and systemic inequity in participants’ experiences.

Seven DEI directors participated in semi-structured interviews. Three key themes emerged. First, participants’ …

Environmental Beliefs Among Evangelical Leadership, Jeffrey Stark

Dissertations

There has been consensus among climate scientists for over a decade about the reality of human caused climate change. Even with this consensus, the public understanding of this issue remains divided based on factors generally unrelated to the science. Evangelical Protestants are one group which consistently polls as more skeptical of climate change. This is true not only when compared to the general population but also when compared to other religious demographics. Most large-scale surveys of evangelicals assume the demographic to be a monolith and do not attempt to break the demographic down further. In this mixed methods study, we …

Who Was It Truly For?: Bernard Bragg, David Hays, And National Theatre Of The Deaf, Eni Buckhanan

Honors Theses

National Theatre of the Deaf is known for being the first professional sign language theatre company in the United States; however, the complexities of its origins and founders are rarely examined. This thesis explores the relationship between Deaf performer and educator Bernard Bragg and hearing set designer David Hays, along with what was prioritized in the creation of the company, and the aftereffects of these choices on the National Theatre of the Deaf and their Deaf and hearing audiences.

Bragg and Hays began correspondence in 1966, as they developed plans for what would become the National Theatre of the Deaf. …

Sync, Lauren Brown

Honors Theses

The goal of my thesis is to develop an efficient way for dance professionals to network with each other. The dance industry is saturated with talent; therefore, relationships are key to booking jobs. Relationships connect mentors and collaborative spaces that lead to consistent and long-term growth. Dancers enter the professional industry with limited experience. The financial pressure to afford the living costs in dance hub cities like New York and Los Angeles often requires dancers to work multiple jobs. Balancing multiple jobs causes dancers to struggle to find time and opportunities to network meaningfully. Thus, the core problem is when, …

How Life Enrichment Farms Promote Independence, Health, And Well-Being Through Vocational Skills And Sensory Processing Skills, Olivia Stanek

Honors Theses

There is limited knowledge about life enrichment farms and their role in supporting individuals with disabilities. This project aimed to highlight how occupational therapy can collaborate with these farm-based programs to promote independence, health, and well-being among younger adults with autism spectrum disorder and other developmental disabilities. An evidence-informed approach and qualitative research methods were used to explore this question, including a literature review and an interview with AACORN Farms, a life enrichment farm located in Michigan. Findings were further examined through occupational therapy activity analysis to identify the vocational, sensory, and meaningful engagement opportunities embedded within the various areas …

Wmu Board Of Trustee Board Meeting, Thursday October 30, 2025, Wmu Board Of Trustees

WMU Board of Trustees Meetings

Acceptance of the Agenda

Approval of the Minutes (September 11, 2025)

Remarks by the Chair of the Board

Remarks by the President

Updates by the Faculty Senate President

Updates by the Western Student Association President

Updates by the Graduate Student Association President

Presentation: Broncos for Sustainability Across WMU

Public Comments Regarding Action Items

Action Items

WMU Police Officer's Association (POA) Wage Agreement

Five Year Capital Outlay Master Plan and Capital Project Request

Prior Learning Assessment Fee

Western Michigan University External Audit, 2025

Consent Items

• Curriculum Proposals
• Personnel Report
• Utility Easement Request from the City of Kalamazoo
• Liquor License – College …

Promoting Sense Of Belonging Among First-Generation Students In Occupational Therapy, Pola Ham

The Open Journal of Occupational Therapy

First-generation students in occupational therapy programs face unique challenges that can impact their sense of belonging and academic success, potentially hindering efforts to diversify the profession. There is limited data on occupational therapy students who identify as first-generation students. However, the literature has noted improved efforts toward a sense of belonging in higher education among students leads to feeling a sense of connectedness with their peers and faculty, aiding in overall well-being, academic performance and retention. In contrast, a lack of these efforts can lead students to experience a diminished sense of belonging to the institution. This article examines the …

Mentoring Matters: Enhancing Occupational Therapy Capstone Experiences Through Effective Mentorship, Sara J. Stephenson, Gretchen L. Bachman, Michelle L. Bollom, Alexandria N. Calca

The Open Journal of Occupational Therapy

Mentoring plays a crucial role in occupational therapy education, particularly in doctoral capstone experiences. Yet, specific assessment tools tailored to the profession are lacking. This study aimed to gather insights from occupational therapy stakeholders on mentor qualities and skills essential for capstone success. The authors employed a descriptive, cross-sectional study design using an interactive poster featuring the Mentor Competency Assessment (MCA) domains and the ACOTE-defined capstone focus areas. Data were collected at two occupational therapy events using ordinal ranking methodology.Fifty-three participants identified their occupational therapy roles and ranked mentor skills and capstone focus areas. Effective communication was consistently identified as …

The Perception Of Occupational Therapists And Their Use Of Therapeutic Use Of Self When Interacting With Clients And Fieldwork Students, Maria T. Zock, Barbara Nadeau

The Open Journal of Occupational Therapy

The therapeutic use of self is an essential instrument in every occupational therapists' toolbox. Fieldwork is vital to a student’s transition to clinician and the student and fieldwork educator relationship is a critical component of the fieldwork experience. The researchers employed a phenomenological design to explore perceptions of 12 fieldwork educators regarding the similarities and differences in the way they use the therapeutic use of self with clients and students. How one develops their therapeutic use of self begins and evolves throughout fieldwork, impacting a clinician’s practice long-term. Results indicated that while the therapeutic use of self is readily used …

The Need For ‘Soft Skills’ In Occupational Therapy Curricula: A Descriptive Analysis Of French Students’ Internship Comments, Cynthia Engels, Nadia Oubaya, Aliki Thomas

The Open Journal of Occupational Therapy

A competent occupational therapist needs soft skills. Although the French national occupational therapy (OT) curriculum lists 10 competences to be acquired, they do not include soft skills. The objectives of this study were to (a) Identify the proportion of soft skills in OT students’ internship comments written by internship tutors and (b) characterize the mentioned soft skills to help determine whether and which soft skills should be included in the new OT curriculum nationwide in France. This was a qualitative descriptive analysis of tutors’ comments on internship evaluations based on the framework method. Of the 1060 internship reports, 1035 (98%) …

Occupational Therapy Guidelines For Rehabilitating People With Spinal Metastasis: Pathophysiology And Biomechanics, Julie H. Hunley, Ying Guo

The Open Journal of Occupational Therapy

Occupational therapists are increasingly treating people living with metastatic spinal cancer because of advancements in cancer treatment. Specific occupational therapy guidance for serving this growing and vulnerable population is limited. This paper provides evidence for occupational therapists to expand their understanding of the pathophysiological and biomechanical reasons for spinal precautions and the importance of individualizing interventions for people with metastatic spinal cancer. Metastatic lesions can compromise bone integrity, increasing the risk of pain, fractures, and spinal cord compression, leading to irreversible neurological damage. Daily life activities create large forces in the spine, putting people with spinal metastasis at high risk …

Improving Relationship-Based Feeding Of Infants And Young Children With Disabilities: Developing A Guideline For Practice, Patricia Henton, Tsu-Hsin Howe

The Open Journal of Occupational Therapy

Feeding is a significant co-occupation of young children and their caregivers, unfolding in a social context. While addressing feeding challenges comprehensively because multiple contributing factors, the social-emotional dimension is often overlooked. This paper proposes a relationship-based feeding guideline to help occupational therapists incorporate this critical component. Centered on the child-caregiver dyad, the guideline prioritizes supporting the developmental, social-emotional, and environmental needs of the child. The guideline employs a biopsycho-ecological framework and family-centered approach, emphasizing caregiver training for promoting positive interaction. Actively involving caregivers and employing caregiver-child coaching facilitates the learning of developmentally appropriate feeding strategies that are then applied at …

Integrative Neural Networks: A Novel Frame Of Reference To Support Occupational Engagement In Caregivers, Glenda E. Hux, Sarah A. Schoen

The Open Journal of Occupational Therapy

The Integrative Neural Networks (INN) frame of reference is an integrated approach to support occupational engagement in parents and primary caregivers of children and youth with complex health care needs (CYSHCN) guided by principles of family-centered care. Given the potential influence of prolonged, cumulative, and or repeated stress on physiological, affective/cognitive, and social/spiritual health, it is imperative that occupational therapists partner with parents and primary caregivers to positively impact occupational engagement across contexts. Further, this frame of reference provides an avenue to identify potential health and occupational disparities historically under-recognized as independent from the needs of the child. Based on …