Digital Commons Network^™

Reframing Occupational Therapy In A Reactive Health System Through Prevention And Caregiver Training, Rosanne Dizazzo-Miller

The Open Journal of Occupational Therapy

This article explores the expanding role of occupational therapy in chronic disease management, prevention, and caregiver supported care. Occupational therapy is uniquely positioned to support health promotion and caregiver training but remains underused in prevention-focused health care models. Current literature from the Open Journal of Occupational Therapy highlights the importance of caregiver training, the systemic barriers limiting occupational therapy's role in chronic disease management, and the need for the profession to embrace a broader role within this area of practice.

Roots Or Resources?: Understanding Latino Student Leadership In Higher Education, Kelly Parra

Honors Theses

For the purpose of this study, Latino/a refers to individuals who are from Latin America or of Latin American descent. The term Latino/a is used because it captures individuals from a variety of Latino American cultural backgrounds and is not limited to a single national origin or ethnic subgroup (Pratt Institute Libraries, n.d).

Student leadership development is often fostered with involvement in student organizations, leadership programs, mentorship opportunities, and other institutional resources provided through higher education (Lebrón et al., 2017). However, for many students’ Latino/a leadership-related skills may begin developing long before entering college through family responsibilities, cultural experiences, and …

Wmu Board Of Trustee Board Meeting, Thursday June 25, 2026, Wmu Board Of Trustees

WMU Board of Trustees Meetings

• Acceptance of the Agenda
• Approval of the Minutes (April 16, 2026)
• Remarks by the Chair of the Board
• Remarks by the President
• Updates by the Faculty Senate President
• Updates by the Western Student Association Speaker of the Assembly
• Updates by the Graduate Student Association President
• Western Michigan University Employee Graduates
• Academic Tenure and Promotion
•  Public Comments Regarding Action Items

Action Items

• Academic Tenure and Promotion
• Fall 2026 Differential Tuition Rates
• Fall 2026 Tuition and Required Fee Rates
• 2026-27 General Fund Operating Budget
• Teaching Assistants Union (TAU) Labor Agreement
• Michigan State Employees Association (MSEA) Labor Agreement
• President’s Annual Review/Compensation/Contract
•  Memorandum of …

A Systematic Review Of Writing Interventions For Elementary Pre-Service Teachers, Lindsey Wiggins, Hannah Carter, Katherine L. Wright

Teaching/Writing: The Journal of Writing Teacher Education

Effective writing instruction in elementary classrooms depends on teachers who are prepared as both writers and instructors. Yet, writing methods courses remain limited in teacher preparation programs (TPPs), leaving many pre-service teachers (PSTs) underprepared to teach writing. This systematic literature review synthesized 20 U.S.-based studies (2011–2024) on writing and writing instruction interventions with elementary PSTs. Two questions guided the review: (a) How have researchers measured the effects of interventions? and (b) What are the characteristics of effective interventions? Findings show that most studies relied on self-reported measures, with limited use of validated or observational tools, raising concerns about consistency and …

Effectiveness Of Simulations In Workplace Training: A Systematic Analysis, Brittney Gaban

Honors Theses

Beyond the classroom, training simulations can be used in the workplace and have been used in a variety of industries, but most focus on the acceptance and perceived results rather than realworld transferability. To determine the state of simulations in workplace training, five articles met the inclusion criteria and were analyzed by participants, industry, results, perceived effectiveness and transferability of skills, data type collected, and participant feedback. The included studies demonstrated the variety of ways simulations have been integrated into training, primarily through hospital and emergency response teams, clinics, and transportation settings. Virtual reality was the most frequently used out …

Surviving And Thriving: The Indigenous Migrant, Danna Guzman-Rodriguez

Honors Theses

This literature and cultural study highlights the generation of children of indigenous immigrants and the relationship with their indigenous identity and culture. This unique experience is complex and encapsulates issues such as indigenous cultural survival, homogeneity, globalization, and lack of cultural identity. Exploring the Totonac community in La Chaca, Veracruz in Mexico, allows for a deeper explanation of this experience. Speakers of Totonac and other indigenous languages often migrate to countries such as the United States and carry such cultural ties with them. What happens to these ties after moving to a Western-dominated country where globalization favors English and Western …

An Attachment Perspective For Help-Seeking Intentions Among Emerging Adult Women Child Sexual Abuse Survivors, Dominique Giroux

Dissertations

Child sexual abuse (CSA) is an adverse childhood experience and a global health issue. Approximately one in four girls encounter CSA per year. Research evidence suggests approximately 50% of CSA survivors encounter sexual revictimization during adulthood (Walker & Wamser-Nanney, 2023), but formal help and intervention can mitigate further psychosocial harm experienced by CSA survivors (Widom et al., 2008). Attachment theory has provided a theoretical framework for identifying individuals at risk for revictimization and help-seeking patterns, such that individuals who have insecure attachment styles report more revictimization frequency, but the literature is mixed about attachment styles and help-seeking (Brenner et al., …

Navigating Future Careers And Life Purpose: The Effect Of Artificial Intelligence Experiences On Undergraduate Students At A Liberal Arts College, Shannon Kelly Schans

Dissertations

This interpretive phenomenological analysis examines how 13 undergraduate students at a liberal arts college construct meaning from their experiences with artificial intelligence technologies in relation to their career development and life purpose. Guided by an integrated theoretical framework combining Career Construction Theory (Savickas, 2012, 2013) and Transformative Learning Theory (Mezirow, 1991, 2000), the study addresses three research questions: how students describe their AI experiences across educational contexts, what connections they make between those experiences and their developing professional identities, and how they integrate AI experiences into broader narratives about work and purpose.

Data are collected through phenomenological interviews with 13 …

Attachment Style, The Working Alliance, And Client Self-Disclosure In Individual Psychotherapy, Jennifer S. Baar

Dissertations

Client self-disclosure is a core component of the psychotherapy process and increased levels of client self-disclosure have been shown to predict more positive therapeutic outcomes (Pattee & Farber, 2008; Sloan & Kahn, 2005). Similarly, the working alliance and attachment are constructs that have been studied in psychotherapy research and are consistently associated with therapeutic outcomes. Specifically, stronger working alliance ratings and higher levels of secure attachment have been found to predict more positive therapy outcomes (e.g., Flückiger et al., 2018; Mallinckrodt et al., 2005; Sauer et al., 2010). As these three constructs have been found to influence psychotherapy outcomes, the …

Exploring How Therapist Trainees’ Mentalization, Attachment Styles, And The Working Alliance Impact Treatment Outcomes In Psychotherapy, Hanali Gilbert

Dissertations

A burgeoning area of research within the past 30 years has sought to identify which specific therapist factors contribute to differential treatment outcomes (Barkham et al., 2017). The purpose of the current naturalistic study was to explore how two personal characteristics of therapist trainees, mentalization capacity and attachment styles, impact early treatment outcomes at two Midwestern psychology training clinics. This study also examined whether therapist mentalization and the working alliance interacted to influence client outcomes. Therapists completed the Mentalization Scale (MentS; Dimitrijević et al., 2018) and the Experiences in Close Relationships scale (ECR; Brennan et al., 1998), while the Working …

Personal And High-Intensity Gait Factors Associated With Balance And Walking Improvement With Outpatient Stroke Rehabilitation: A Retrospective Study, Heather Staal

Dissertations

Objective: The purpose of this study is to examine the relationships between personal factors and High-Intensity Gait variables and balance and walking improvement in an outpatient stroke population.

Background: Stroke is a leading cause of long-term disability, with persistent gait and balance impairments commonly limiting independence and participation. High-intensity gait training (HIGT) is an evidence-based rehabilitation approach that improves walking outcomes following stroke; however, guidance on how specific training variables are applied in outpatient physical therapy settings remains broad.

Methods: This retrospective observational study analyzes clinical data from outpatient physical therapy episodes in which HIGT is a …

Predicting Clinical Outcomes Of Non-Specific Low Back Pain By Studying The Interaction Of Clinical And Demographic Factors Of A Retrospective Data Set, Erica Michelle Fernandes

Dissertations

The purpose of this research is to investigate demographic factors, including age, gender, body mass index (BMI), race, marital status, insurance type, severity of disease (initial pain level), and clinical factors such as number of visits (no. of visits) at physical therapy (PT), length of time at PT and the type of clinician either physical therapist versus physical therapy assistant (PTA), that most predict PT clinical outcomes in patients with nonspecific low back pain (NSLBP) and see if there is an interaction between demographic and clinical variables.

Methods

The current study is a retrospective, cross-sectional, observational study using secondary electronic …

Ahimsa: Finding Unity And Nonviolence In Instruction, Dylan Mcglothlin

University Libraries Faculty & Staff Publications

This chapter describes the connectedness of emergent strategy and the practice of ahimsa, and how these philosophies can be applied to information literacy instruction. It provides a brief definition of yoga, the yamas, and ahimsa; describes the connections between ahimsa and the emergent strategy element of interdependence and decentralization; and shows information literacy instruction examples from the connections between ahimsa and the emergent strategy principles of "trust the people," "there is always enough time for the right work," "move at the speed of trust," and "there is a conversation in the room that only these people at this moment can …

Campus Community Vibes: How Queer Asian American Students Navigate Their Higher Education Experiences, Nathan Nguyễn

Dissertations

Misconceptions and stereotypes about Asian American college students include the belief that they are innately academically successful and that if Asian American students struggle, their challenges do not compare to their Black/African American, Hispanic/Latine, or Native American/Indigenous counterparts (Museus & Buenavista, 2016). Contemporaneous to this, lesbian, gay, bisexual, transgender, and queer (LGBTQ) college students experience interrogation, exploration, and various levels of support regarding their sexuality and/or gender identity. At this intersection, queer Asian American students must navigate campus settings that can enhance or diminish their agency for different facets of their identities (Crenshaw, 1991; Iftikar & Museus, 2018; Ray, 2019). …

Walking The Path Of Conocimiento: Understanding And Navigating Workplace Conflict Through A Chicana Feminist Lens, Elisa A. Ortega-Schultz

Dissertations

The growing presence of Latinas in the U.S. workforce underscores the need for deeper understanding of their workplace experiences. Latinas represent one of the fastest growing segments of the labor force; however, research consistently shows that this growth is not matched by equitable access to leadership, compensation, or culturally responsive workplace environments. Latinas continue to experience persistent barriers related to pay inequity, career advancement, cultural belonging, and overall well-being.

Conflict frameworks that account for the unique experiences of Latinas are needed, as dominant approaches rooted in neutrality, procedural efficiency, and Western individualism often fail to account for the embodied, relational, …

Redesigning The Welcome, Lauren Ogrin

Interior Design Capstones

Airports serve as the first and last impression of a city, yet they are often remembered by stress, sensory overload, and a lack of cultural representation. This project explores how storytelling can be intentionally integrated into airport design to improve the overall human experience and create a more meaningful sense of welcome. Through the frameworks of user-centered inquiry, phenomenology, and narrative design, this research examines how materials, spatial sequences, sensory cues, and cultural narratives can influence traveler emotions, cognitive clarity, and feelings of belonging. By understanding how people move through and interpret transitional public spaces, this project proposes design strategies …

Is Design A Form Of Caregiving?, Sidney Jordan

Interior Design Capstones

This thesis challenges the traditional hierarchy of clinical architecture, which historically prioritizes patient outcomes while overlooking the practitioner’s human experience. By investigating whether environmental design can act as a form of caregiving, this research addresses the critical gap between the physiological demands of healthcare labor and the holistic needs of the people performing it. The project argues that burnout is not just a result of high-stakes medicine, but is actively produced by physical layouts and a workplace culture that treats providers as parts of a machine rather than valued individuals. The methodological framework utilizes a tri-layered approach to bridge the …

Designing For Emotion: Reframing The Design Of Cancer Care Environments Through A Cinematic Lens, Alexis Booher

Interior Design Capstones

This capstone explores how cinematic design principles and techniques can inform interior design to shape spaces that support emotional well-being and human connection. Focusing on cancer care spaces, the project addresses the inherently emotional nature of these environments, where emotional impact is often underemphasized in traditional healthcare design, highlighting a critical gap this project aims to address. Drawing from cinema and environmental psychology, this project analyzes how film constructs emotional experiences through visual techniques and translates these principles into the built environment in order to prioritize emotionally supportive design within cancer care spaces. The outcome demonstrates the potential of reframing …

Design For Death, Serena Domsic

Interior Design Capstones

Although cemeteries are the eternal final resting places for countless souls, the design and purpose of burial grounds are often rudimentary and their impact has turned obsolete throughout the years. Cemeteries have become forgotten in the community landscape and are perceived as sinister and morbid through the eyes of modern American culture. Because encounters with death have dwindled for most of the population, many people ignore developing their beliefs about death and how to cope with loss until they are in the midst of emotional distress. This capstone project proposes an enhanced cemetery design that engages the community so individuals …

Unity In Design: Life As An Immigrant In The Built Environment, Julia Sainz

Interior Design Capstones

In the United States, Latinx immigrant communities often face social and systemic challenges that contribute to heightened levels of stress, anxiety, and displacement. While the built environment plays a critical role in shaping emotional and social well-being, architectural and interior design practices frequently overlook the lived experiences and cultural identities of these populations. This study explores how culturally responsive and participatory design strategies can foster safety, access, and empowerment for Latinx immigrants. By examining the intersection of migration, identity, and the built environment, this project proposes design as a tool for community resilience, cultural expression, and holistic well-being.

Where Do We Go: Rethinking Public Libraries, Emma Jouppi

Interior Design Capstones

The purpose of this study is to examine the factors contributing to the decline in public library visits and to identify practical strategies for increasing community engagement with library spaces. Public libraries have long served as accessible, inclusive environments for learning, technology access, and social connection. However, recent years have shown a decline in visitation, raising important questions about public perception, awareness, and accessibility. This research seeks to better understand how these factors intersect and what can be done to strengthen the role of libraries as vital third spaces within their communities.

This study aims to bridge the gap between …

Spring 2026 Title Of Blueprints For The Mind: How The Design Of Public Built Environment Impacts The Mental Health Of Youth, Faith Holton

Interior Design Capstones

Blueprints for the Mind investigates how public built environments influence the mental health of youth, with attention to rising rates of anxiety, depression. Through a multidisciplinary approach bridging environmental psychology, public health, interior architecture, and usercentered design, this project identifies the environmental factors shaping young people’s emotional well-being. Findings reveal that sensory conditions such as lighting, acoustics, layout, materiality, and predictability directly affect youth comfort, focus, and emotional regulation. Field research with students (ages 13–15) and an expert interview with licensed social worker Carmen Ortega-Cline further demonstrate that overstimulating, crowded, or unclear environments heighten stress, while semi-private, naturally lit, and …

Through The Lens Of Zoology, Madalyn Haun

Interior Design Capstones

Current zoo and sanctuary models often fail to meet the complex psychological, behavioral, and spatial needs of endangered and rehabilitated wildlife, resulting in chronic stress and welfare compromises. Beyond the Cage presents a transformation approach to zoological design, shifting the paradigm from entertainment-based displays to a “welfare-first” philosophy. This book argues that effective captive care requires expansive, species-appropriate habitats that facilitate natural behaviors, rather than merely simulating natural aesthetics. Through the lens of modern zoology, this work explores the implementation of groundbreaking exhibit re-creation, focusing on habitat enlargement, precise climate change control, and innovative environmental enrichment. A central pillar of …

Black Faces In White Spaces: Understanding School Belonging Among Black Adolescents At Nais Independent Schools, Letetsia Angelica Fox

Dissertations

Even though the National Association of Independent Schools (NAIS) has been committed to diversity for the last 30 years, they often focus their diversity efforts on all students of color instead of specific groups such as Black students (Brosnan, 2001). By not focusing on the specific experiences of Black students at independent schools, independent schools cannot truly foster a strong sense of school belonging for Black students because they do not understand the distinct barriers and factors that contribute to the development of school belonging for Black students who attend their schools (Hall & Stevenson, 2007).

This qualitative study sought …

Barriers To Climate Change And Sustainability Action: Nursing Education And Practice, Dawn Marie Smith

Dissertations

Climate change is one of the most pressing public health emergencies of our time and nurses can have a great impact in their current practice and in the education of future nurses (The Alliance of Nurses for Healthy Environments, n.d.; American Nurses Association, 2023; Health Care without Harm, 2025). Deaths due to rising temperatures, vector-borne illness, and food insecurity related to drought and extreme weather are on the rise (WHO, 2024). It has been estimated that globally over 250,000 additional deaths will be attributed to climate related effects between 2030 and 2050 (Watts et al., 2020; WHO, 2023).

A primary …

The Effects Of Fluency Building On Undergraduate Student Performance, Lauren B. Shibley

Dissertations

Online learning has become integral to higher education, with enrollment steadily increasing over the past decade and accelerating during the COVID-19 pandemic. Research highlights the importance of flexibility, learner autonomy, and self-regulated learning skills in this environment, with studies demonstrating that strategies such as mastery-based, self-paced instruction, fluency training, and timely feedback support student engagement and academic success. Early work adapting personalized instruction for online use (Pear & Crone-Todd, 1999) and subsequent studies on fluency practice (Quigley et al., 2018; Urbina et al., 2019) emphasize how these supports can improve concept retention. Despite these advances, more quantitative research is needed …

Place-Based Scholarship Utilization And Urban Black Males, Nkenge Amir Bergan

Dissertations

Despite the expansion of place-based scholarship programs across the United States, Black males from urban communities remain significantly underrepresented in post-secondary enrollment. Though these scholarships are designed to provide expanded or universal access to higher education, Black males disproportionately underutilize this financial resource. This qualitative investigation examines the lived experiences, perceptions, and contextual factors influencing Black males’ decisions regarding place-based scholarship utilization and college attendance.

This study, grounded in Critical Race Theory (CRT) and self-efficacy theory, employs a qualitative design to explore participant experiences. Participants are recruited through outreach to local alumni networks and community organizations, with eligibility limited to …

A Phenomenological Study Of Black College Students’ Belonging Built Through Meaningful Interactions With Black Staff At Predominantly White Institutions, Katelyn A. Hanley Semelbauer

Dissertations

The purpose of this phenomenological study is to explore how Black students at Predominantly White Institutions (PWIs) describe meaningful interactions with Black staff and how they make meaning of those interactions as it relates to building a sense of belonging. The conceptual framework for this study incorporates Strayhorn’s (2019) college students’ sense of belonging theoretical model as a foundation with Museus’s (2014) culturally engaging campus environment model as a lens for analysis of the findings.

Using a hermeneutical phenomenological approach, 12 Black undergraduate students were recruited to participate. Each of the students attended a public 4-year PWI in the Great …

Evaluating The Effects Of Multi-Functional Stations, Direct, And Motivational Messaging On Paper Cup Recycling, Madisyn Wynter Slater

Masters Theses

According to the Environmental Protection Agency (EPA), within Michigan alone, the municipal solid waste that has been collected in landfills contains approximately 31.5 million dollars in mixed paper and 18.8 million dollars in plastics (U.S. Environmental Protection Agency [EPA], 2016). One important aspect of recycling awareness is the impact that recycling has on the world. Whereas products like paper and plastic are accepted in recycling programs, any lined paper products (e.g., soda cups and to-go hot cups) are typically not accepted and therefore go to a landfill. Recent technology that can separate the lining from the paper, however, enables paper-lined …

Haunted By A Cheap Ghost: Objects As Identity, Caitlin Zachow

Masters Theses

I am haunted by a cheap ghost, surrounded by inherited memories that are not my own, preserved in heirlooms that leave little room for me to create souvenirs of my own experience. In response, my practice centers on the personal significance of collections as outward expressions of identity, personality, and lived experience. Rooted in themes of Midwestern Americana, this exhibition presents narrative tableaus and curated collections that examine how personal identity is constructed through objects of memory, and display.

Informed by research into the history of kitsch, Sigmund Freud’s concept of the uncanny, and the “outmoded,” my work considers how …