Digital Commons Network^™

Remote Home Blood Pressure Monitoring For Management Of Hypertension, Kathleen M. Oliphant

Dissertations

Remote home blood pressure (BP) monitoring has the potential to improve patient engagement and adherence with the prescribed treatment plan for managing hypertension. This DNP project examined the effects of daily remote BP measurement using transmission of biometric data through a Bluetooth-equipped device paired to participants' smartphones. The clinical management of a chronic condition such as hypertension is a long-term process, but the findings of this DNP project supported the empirical evidence showing that remote BP monitoring improves patient outcomes.

Grounded Leadership: A Look Into California Community College Mid-Level Leaders, Vicki Hou

Dissertations

Purpose: The purpose of this explanatory mixed-method study was to identify and describe what exemplary California Community College mid-level leaders do to maintain their physical, emotional, intellectual, social, vocational, and spiritual health based on the six dimensions of Rosen’s healthy leader model.Methodology: This study employed a purposive sampling method to select 15 mid-level leaders from two California community college districts. Data collection involved two instruments: the Stay Grounded Survey, administered to all 15 participants, and semi-structured interviews conducted with a subset of five participants. Quantitative data were analyzed using descriptive statistics including mean scores, frequency distributions, and standard deviations. Qualitative …

Bridging The Skills Gap: A Design Thinking Mixed Methods Approach To Workforce Readiness, Bernetta Matory–Sylvester

Dissertations

No abstract provided.

Educational Technologist Perceived Self-Efficacy During Emergency Remote Teaching Due To A Nonpharmaceutical Intervention, Katherine R. Rapp

Dissertations

This paper discusses the challenges and opportunities of educational technologists (ETs) during emergency remote teaching (ERT) in a non-pharmaceutical intervention (NPI), due to the COVID-19 pandemic. The study was guided by Albert Bandura’s social cognitive theory and self-efficacy framework. The study highlights the positive and negative reflections of self-efficacy for ETs during the transitions to different strategies in classroom teaching. It acknowledges the positive and negative effects on ETs from self-regulation, observational learning, and reciprocal determinism. The study design used was qualitative, aiming to identify the perceived self-efficacy of ETs during ERT in an NPI. Eight ETs from rural school …

The Roots Of Our Food: Relationships Are The Seeds Of Care-Based Food Heritage, Nicole E. Post, Raena D. Parsons, Adrian Boone

Dissertations

The purpose of this co-authored, general qualitative research

study was to examine food relationships between individuals,

communities, and Earth. We explored the concept of relational food

systems pertaining to engagement ideas at EarthDance Organic Farm

School and Hawai’i Institute of Pacific Agriculture. Our research

furthers understanding about how to engage people, individually and

collectively, with the land to inspire action. We argue that care-based

relationships can inspire action, helping individuals reconnect with

their food heritage by engaging with land, community, and self.

Heritage site leaders in food systems who center interconnectedness

create places where relationships between people, land, and food …

A Four-Truth Exploration Of Memory, Social Connection, And Belonging In Fairground And Tower Grove Parks In St. Louis, Missouri, Kenya D. Womack, Adeola N. Adewale, Marie E. Boesch, Gelene M. Strecker-Sayer

Dissertations

Historic racism supported practices such as redlining, discriminatory zoning, and racial steering that separated people and determined the flow of resources and investment into neighborhoods. Communities continue to experience the long tail effects of historic patterns of racism. That is, historic inequities influence the opportunities that residents have to connect with each other and thrive in urban areas. Urban neighborhood parks have the potential to bridge social divides and bring a community together. This basic qualitative research study examines two contested heritage sites in St. Louis, Missouri: Fairground Park, a park in a Black neighborhood that has been historically disinvested …

Enzymatic Characterization Of Bacterial Enzymes And Inhibitors As Potential Antibiotics With New Mechanisms Of Action, Emma Helene Kelley

Dissertations

Bacteria have become increasingly resistant to antibiotics, therefore there is an urgent need for new drug classes of antibiotics to help fight antibiotic infections. To this end, our research is focused on inhibitors of dizinc metalloenzymes N-succinyl-L,L-diaminopimelic acid desuccinylase (DapE), an enzyme in the lysine biosynthesis pathway, N-acetyl-L-ornithine deacetylase enzyme (ArgE), an enzyme in the arginine biosynthesis pathway, and sodium-dependent NADH: ubiquinone oxidoreductase (Na+-NQR) enzyme, a respiratory complex enzyme as promising drug targets. DapE, ArgE, and Na+-NQR and are only present in bacteria, including ESKAPE pathogens that can cause potentially deadly infections, thus inhibitors of DapE, ArgE, and Na+-NQR offer …

The De Mau Mau Conspiracy: The Specter Of Black Vietnam Veterans In The Exercise Of Police Power, 1968-1976, Ina Cox

Dissertations

A forgotten and bizarre event encapsulates the violent decay that characterized the pivotal years the United States endured in the wake of the Vietnam War. Black veterans—guerrilla combat-trained, politically awakened by war, and disillusioned with the entrenched racial order at home—emerged as totems in a fearful, cynical political culture wracked by violence. Men overrepresented in the projection of American power abroad now stood as symbols of its fragility within, potential vessels of retribution for centuries of domestic and global oppression. This anxiety, merging with widespread protests and political upheaval, intensified the belief that American cities stood on the brink of …

Maternal Access For Depression In Rural Environments, Simone Parlier

Dissertations

Significance –As many as 25% of birthing persons experience postpartum depression (PPD) within the first year after childbirth making this one of the most common postpartum disorders. PPD is prevalent, incapacitating, and treatable. The first step is identifying those at risk. Rural birthing persons are understudied, and may have unique predisposing characteristics as well as geographic challenges for optimal detection and treatment of PPD. Purpose -The long-term goal is to improve the health of rural families. Using The Theory of Unpleasant Symptoms, the purpose of this descriptive, cross-sectional research was to describe the prevalence of PPD in rural birthing persons …

Assessment Of Relationships Between Quality And Staffing In The Ambulatory Care Environment, Rachel E. Start

Dissertations

ABSTRACT Background The United States healthcare system underperforms compared to other industrialized countries where cost and quality are concerned. Nursing is accountable, as a profession recognized by society, to ensure health and livelihood in the patients and populations served. Advancing the role of the ambulatory care nurse and providing valid strategies to measure the contribution of the nursing profession in this setting is a tactic that many organizations are pursuing to achieve this paradigm shift. The assessment of relationships between measures of structure, process, and outcome within the ambulatory care setting across a variety of organizations may have the potential …

Exploring Latinx Students' Experience With School Connectedness: A Hybrid Thematic Approach To Deductive And Inductive Analysis, Maria Olivia Mendez

Dissertations

This qualitative study aimed to deepen the understanding of school connectedness experienced by Latinx high school students. Specifically, the researcher sought to explore how Latinx students described their connection to school during their high school years. Additionally, to examine whether their experiences aligned with the social and ecological structures outlined in the theoretical model supporting adolescent connectedness to school. If there is alignment, in what ways did it manifest? If not, how did the experiences differ? The study had two primary objectives: (a) to gain insight into how Latinx students experienced school and their sense of connection through their narratives, …

Evaluating Depression In Adults Undergoing Substance Abuse Treatment: A Program Evaluation Of Intensive Outpatient Program, Chidochomoyo E. Zvirawa

Dissertations

Problem: Depression and substance use disorders (SUDs) frequently co-occur, complicating recovery outcomes. Despite screening recommendations, depression remains underdiagnosed in many SUD treatment settings.

Methods: This mixed-methods program evaluation examined depressive symptoms among adults in an Intensive Outpatient Program (IOP) using the Patient Health Questionnaire (PHQ-8). Depression screenings were conducted at intake, four weeks, and eight weeks. Eight participants meeting inclusion criteria were assessed. Data included demographics, treatment engagement, and PHQ-8 scores.

Results: PHQ-8 scores significantly declined from baseline (M = 11.75, SD = 6.52) to eight weeks (M = 5.13, SD = 5.05), t(7) = 2.76, p = .028, indicating …

The Clinical Utility Of Measuring Emotion Dysregulation In Autistic Youth, Monica S. Trevino

Dissertations

Autistic youth experience disproportionately high rates and severity of emotion dysregulation, which is linked to behavioral challenges, psychiatric comorbidities, familial stress, and increased emergency service and hospitalization use. Despite its clinical significance, emotion dysregulation in autistic youth remains relatively understudied and misunderstood, partly due to the lack of standardized assessment tools and limited research on its heterogeneity within autistic populations. In the present study, structural equation modeling was used to 1) validate the Emotion Dysregulation Inventory (EDI) and assess measurement invariance in a diverse sample and 2) explore associations among emotion dysregulation, autism symptoms, and related child and family characteristics, …

Investigating The Consequences Of Conjugated And Secreted Isg15 On Coronavirus Pathogenesis, Mudassir Syed Ali

Dissertations

Coronaviruses have evolved a breadth of mechanisms to antagonize host innate immune responses. One widely studied mechanism is the ability to deconjugate ISG15 from target proteins in a process called deISGylation, which is catalyzed by the papain-like protease (PLP) domain of viral non-structural protein (nsp) 3. Since PLP activity is required for viral replication, it has been challenging to generate an infectious virus with a PLP that maintains protease activity but has lost deISGylase activity. In this study, we generated a chimeric MHV-A59 with its PLP2 domain replaced with that of the human coronavirus HKU1, which has been documented to …

Pyruvate Dehydrogenase Kinase 4 Mediates Sex Specific Outcomes In Sepsis Induced Cardiomyopathy, John Yap

Dissertations

During sepsis, males often experience worse cardiac outcomes than females. Here, we identified pyruvate dehydrogenase kinase 4 (PDK4) as a key contributor to this disparity. PDK4 is a mitochondrial protein that regulates glucose utilization by inhibiting pyruvate dehydrogenase (PDH). Using a mouse model of endotoxemia, we induced acute inflammation with a sublethal dose of lipopolysaccharide (LPS), which caused cardiac dysfunction and significantly increased myocardial PDK4 expression in males but not females. Cardiac-specific PDK4 overexpression promoted LPS-induced cardiac dysfunction in both sexes, whereas cardiac-specific PDK4 knockout provided protection. In wild-type males, LPS disrupted cardiac metabolism by decreasing PDH activity and fatty …

Targeting Eya1 Phosphatase Activity In Mll-Rearranged Leukemia, Lola Badmus

Dissertations

MLL-rearranged (MLL-r) leukemia is an aggressive subset of acute leukemia, accounting for up to 10% of adult and 70% of infant AML and ALL cases. These leukemias are driven by MLL fusion proteins, which recruit epigenetic cofactors to dysregulate gene expression, leading to poor prognosis and resistance to conventional chemotherapy. Previous lab work identified EYA1’s role in leukemogenesis, establishing it as a therapeutic target in MLL-r leukemia. EYA1, is a transcriptional coactivator and protein tyrosine phosphatase (PTP). Originally a gout medication, benzbromarone (BBR), was identified in an NCI Diversity Set screen as an EYA1-specific PTP inhibitor. BBR provides a tool …

Developing Full Performance Interpreters: Cultivating Interdisciplinary Mindsets And Skillsets To Engage Audiences In Climate Change, Women's History, And Other Contested Heritage Topics, Delia A. Lister

Dissertations

Heritage sites immerse visitors in places where the impacts of climate change are readily apparent. They are also powerful places to elevate untold stories of women and girls. Heritage site interpreters interact daily with audiences who bring diverse lived experiences, different levels of subject matter knowledge, and multiple perspectives on climate change and the role of women in history. Every visitor interaction has a set of meanings, values, and narratives that visitors knowingly or unknowingly espouse. To interpret contested heritage topics, such as climate change and women’s history, interpreters must cultivate interdisciplinary mindsets and skillsets. The purpose of this basic …

A Design Based, Mixed Method Study On Evaluating Traditional Grading Practices And The Implications For Mastery Learning And Educational Equity In A Midwestern School District, Christina Kirchner

Dissertations

“Grades are an essential currency of our schools. Schools, colleges and employers use grades to determine many important, and in some cases, life-altering decisions-college admission, financial aid and scholarships, athletic eligibility, promotion, retention, awards, and supports” (Feldman, 2018, p. 3). Grading is not addressed in teacher preparation programs, or within professional development during teachers’ careers; teachers have chosen their own way to grade guided by their own personal experiences, uninformed of research or best practice. Using a human centric, design-based approach, the researcher identified multiple discrepancies with grading practices among the K-12 school organization. Within the discrepancies, other issues were …

Advancing Equity Through Social And Emotional Learning, Tosha N. Jackson

Dissertations

This study examines how Chicago Public Schools (CPS) promotes equity through social and emotional learning (SEL) within its Healing-Centered and Equity Frameworks. The research aims to evaluate the effectiveness of these frameworks in addressing trauma, fostering equitable learning environments, and implementing culturally responsive practices. Using qualitative methods, data were gathered from semi-structured interviews with four former CPS leaders and a document analysis of CPS frameworks. The analysis revealed the alignment of CPS practices with equity-focused priorities outlined by the Learning Policy Institute (Hammond et al., 2020). Findings suggest that Social-Emotional Learning (SEL) can effectively mitigate the impact of trauma and …

Culturally Responsive Intimate Partner Violence (Ipv) Service Needs Among African Immigrant Women: Examining The Impact Of Cultural Norms And Psychosocial Barriers On Safety Perceptions And Help-Seeking Behaviors, Titilayo Ogunbambi

Dissertations

Intimate Partner Violence (IPV) remains a pervasive public health and social justice issue globally, with African immigrant women in the United States facing compounded challenges as they navigate cultural, structural, and systemic barriers, including migration-related vulnerabilities and attachment to cultural values that shape their decisions and experiences. Although formal IPV services exist, they often fail to address the lived realities and culturally specific needs of this population, leading to underutilization and barriers in seeking help. This qualitative study examines how cultural norms, psychosocial barriers, and systemic inequities influence safety perceptions and help-seeking behaviors among African immigrant women survivors of IPV. …

Impact Of Student Voice In The (Dis) Engagement Of Middle School Students In Urban Elementary School And Academic Achievement, Valandra N. Lloyd

Dissertations

This formative mixed-methods evaluation study explores the impact of culturally inclusive teaching practices on student voice, engagement, and academic outcomes among middle school students in an urban elementary school. Grounded in the theoretical frameworks of Culturally Relevant Pedagogy (Ladson-Billings), Culturally Responsive Teaching (Gay), and Culturally Sustaining Pedagogy (Paris & Alim), the study addresses persistent academic disparities experienced by students of color. Using classroom observations, student surveys, student focus groups, and teacher interviews, the research examines how teacher facilitation and inclusive classroom environments affect behavioral, emotional, and cognitive engagement. Findings will inform actionable strategies to amplify student voice and promote culturally …

Assessing The Relationship Between Combat Exposure, Wartime Service, And Barriers To Substance Use Disorder Treatment In Post 9/11 Veterans., Robert Near

Dissertations

Substance use disorders (SUDs) represent a critical public health concern, particularly within military and veteran populations. The complex interplay of mental health challenges, combat exposure, and the unique stressors associated with military service contribute to a heightened vulnerability among veterans. Research from the United States Department of Veterans Affairs (USDVA) underscores the prevalence of these issues, indicating that approximately 1 in 10 veterans from the Iraq or Afghanistan wars treated by the VA are diagnosed with a SUD (Veterans Affairs, 2023). Additionally, veterans from all eras show a higher propensity for binge drinking when compared to the general population, further …

The Rose That Grew From Concrete: Exploring The Romantic Experiences Of Black Men With Histories Of Childhood Sexual Abuse, Tatyana Nichelle Smith

Dissertations

Contemporary research typically characterizes Black heterosexual relationships by dismal marriage and divorce rates, largely ignoring the reality of how Black men develop attachments with their romantic partners and therefore continuing to perpetuate deficit perspectives of Black men (e.g., the cause of conflictual romantic relationships and “broken” Black families). What may be less understood about these relationships is the influence of childhood trauma, such as childhood sexual abuse, and Black men’s experiences of gender role conflict. Research shows that Black men’s experiences of childhood sexual abuse and socialization about masculinity have important implications for how they come to view themselves and …

Developing Machine Learning Models And Graphene-Based Flexible Humidity And Temperature Sensors For Machine-Learning-Assisted Sensing, Seth Hajian

Dissertations

Flexible sensor technology has recently gained tremendous momentum in both academic research and industrial applications, transitioning from conceptual frameworks to practical implementations across diverse fields. This remarkable advancement can be attributed to several converging factors, including the maturation of nanomaterial science, the advancements of machine learning algorithms, and the critical demand for intelligent sensing solutions in healthcare, environmental monitoring, and industrial automation. The growing emphasis on personalized medicine and real-time health monitoring, accelerated by global health challenges, has further highlighted the necessity for accurate, cost-effective, and adaptable sensing platforms. This dissertation presents the fulfillment of three interconnected research projects focused …

Diagnosis By Algorithm: The Transformative Impact Of Social Media–Driven Adhd Self-Diagnosis For Women Over 30 And The Proposal Of Neurotype Strain Theory, Rebecca Lynn Sevin

Dissertations

This dissertation explores the phenomenon of adult women who self-diagnosed Attention Deficit Hyperactivity Disorder (ADHD) through content encountered on social media platforms. Drawing on interpretive phenomenological analysis of ten in-depth interviews, the study investigates the emotional, cognitive, and institutional dimensions of this self-diagnosis process. Participants, all over the age of 30, reported that social media played a transformative role in helping them recognize ADHD traits in themselves. Rather than being misinformed or seeking shortcuts, participants engaged thoughtfully with ADHD-related content, valuing lived experience itself as a meaningful source of recognition and reflection. Their engagement was not primarily with educational materials …

Pension Participation Among Different Migrant Groups In China: Job Type, Regional Disparities, And Cross-Provincial Mobility, Boxia Xu

Dissertations

As China undergoes rapid economic transformation and urbanization, the migrant population has grown significantly. Although migrants play essential roles in the labor market, they face persistent structural barriers to pension access. Regional disparities, occupational segmentation, and cross-provincial mobility constraints affect the probability of their pension participation. While policy efforts aim to expand coverage, the fragmented nature of China’s pension system continues to hinder equitable access for migrants. As a result, ensuring pension participation among migrant groups remains a pressing challenge.

Using data from the 2014 China Migrants Dynamic Survey (CMDS), this dissertation employs logistic regression models to investigate how job …

The Fault Line: Understanding Tension Between Industry And Higher Education Institutions In Sustained Partnerships, David Lawrence

Dissertations

This study investigates the dynamics that influence tensions in industry–higher education partnerships and identifies effective navigation factors in sustainable partnerships. Despite the increasing prevalence, such partnerships face high failure rates due to inherent tensions. This research explores how partners from industry and higher education institutions successfully navigate these tensions using a qualitative case study approach.

This investigation employed a case study design with a multi-case two-by-two holistic matrix and an interpretive, constructivist framework. Data collection involved 16 semi-structured interviews with key individuals from nine higher education institutions and five industry organizations spanning healthcare, technology, consulting, real estate development, and accounting …

The Correlation Between Depression And Gendered Racism Among Black Women, Charmagne M. King

Dissertations

Black women face unique challenges related to intersecting racial and gender-based discrimination, often referred to as gendered racism. Previous research has indicated this form of oppression may significantly affect mental health, particularly depression. However, few studies have examined how gendered racism interacts with racial identity and demographic factors (e.g., age, marital status, geographical location) to predict depressive symptoms. Using a sample of 164 self-identified Black women, this study investigated the correlational relationship between gendered racism and depression among Black women and examined how gendered racism, racial identity, and key covariates (age, marital status, and geographical location) predict depressive symptomatology. The …

Navigating Emotional Transitions: A Study Of Self-Perception And Emotion In Bio-Childfree Women Entering A Blended Family, Janine Cednick

Dissertations

The transition to a blended family is an emotional and psychological adjustment for bio-childfree individuals. The present qualitative study investigated how self-concept and emotional adjustment of bio-childfree stepmothers change when they become members of their new family. With a phenomenological approach, semi-structured interviews were conducted with 12 female participants who were bio-childfree, in a committed relationship with a partner with children, and had cohabited for one year or more. The study aimed to find out how these women cope in their new role, their emotional adjustment to their transition, and the influences that impact their well-being. Thematic analysis of interviews …

Effective And Empowering Psychotherapy For Black Women: A Culturally Adapted Proposed Model, Kaylla A. Jackson

Dissertations

Black women in the United States are a minoritized group that has experienced oppression and suffering explicitly targeting their intersectional and minority identities. The intensity and frequency of stressors result in a negative impact on Black women that prompts a need to cope. Rather than relying on professional mental health care, many Black women rely on their religious and spiritual communities and other cultural and historical methods to cope with stressors. As a field and profession, clinical psychology has been overwhelmingly dominated by White individuals. The profession has a rich history of developing and perpetuating oppressive systems that have ignored …