Digital Commons Network^™

Understanding Veteran Perceptions About Mental Health And Its Treatment, Quinn Turner Stoddard

Dissertations and Theses

Mental health illnesses are a growing issue for a large part of the country, and veterans in particular are vulnerable to the numerous negative effects they pose. Despite the high number of people that may benefit from treatment, a variety of issues with trust, stigma, and attitudes may act as barriers to care utilization. In response, this study investigated the perceptions that veterans within the Pacific Northwest hold in regards to mental health treatment as well as their intentions to seek it out should they require it. Using the integrated model of behavioral prediction (IMBP), data was gathered about veterans’ …

Developing Public Service Leadership: Understanding The Field Immersion/Comparative Cases Model For Mid-Career Professional Education In Environment And Natural Resources Leadership, Erin M. Steinkruger

Dissertations and Theses

Public administrators in the United States face increasingly complex challenges and are called to leadership by position and in practice. In a hyper-pluralistic society, individuals must lead from where they sit, arbitrating value differences in day-to-day functions and taking on adversity and uncertainty in pursuit of the public good. These individuals are served by a variety of leadership training programs both internal and external to their organizations. This study characterizes the field immersion/comparative cases (FICC) model for public service leadership development and uses a grounded theory approach to build understanding about how individuals learn about leadership; what learning outcomes emerge …

A Daily Investigation Of The Recovery Paradox: Examining The Dynamic Interplay Of Workload, Recovery Experiences, And Microbreaks, Morgan Rose Taylor

Dissertations and Theses

Research has highlighted the importance of recovery from work stress during non-work time for employee health and wellbeing. Building on the recovery from work stress literature, this study examines the recovery paradox which suggests that employees may recover from work demands the least when they need it the most. Therefore, the purpose of this study is to shed light on the mechanisms underlying the recovery paradox. Specifically, this study examined whether a common work stressor, workload in the morning, is indirectly related to poorer recovery experiences in the evening through negative states at the end of workday. Furthermore, this study …

In Their Words: Prospective Teachers' Experiences As A Context For Investigating Their Views Of Authority In A Mathematics Classroom, Brenda Lynn Rosencrans

Dissertations and Theses

Mathematics teacher educators enact inquiry-based preparatory courses with the underlying expectation that their students (prospective teachers) will take ownership (authority) of their mathematical learning through sharing their ideas and collaboratively discussing the reasonableness of their shared ideas. Yet, prospective teachers' expectations are often not yet in alignment with those of mathematics teacher educators, instead they enter these courses expecting their instructors to provide clear examples and directions for how to solve mathematics problems. This project investigates this dynamic through an authority lens, seeking to understand and characterize different views of authority prospective teachers hold and the impact these views have …

Who Puts The "Support" In Supportive Housing? The Impact Of Housing Staff On Resident's Well-Being, And The Potential Moderating Role Of Self-Determination, Kenna Estell Dickard

Dissertations and Theses

The provision of residential and community-based services for individuals with serious mental illness (SMI) has become increasingly important following the deinstitutionalization movement. Much of the existing research on supportive housing focuses on housing outcomes rather than exploring how the program helps its residents thrive in the broader community. This study draws upon data collected from 176 people with SMI residing in 16 supportive housing locations in Portland, Oregon. Analyses employed an ecological approach, exploring how housing staff support relates to residents' well-being at three levels of analysis: loneliness (interpersonal level), residential satisfaction (housing and neighborhood level), and sense of community …

Understanding Influenza Vaccine Hesitancy And Uptake Among U.S. Hispanic Adults During The Covid-19 Pandemic, Helen J. Arteaga

Dissertations and Theses

The health burden caused by seasonal flu is substantial in the general population and each season targeted efforts are needed to decrease the risk of flu illness, hospitalization, and death. Flu risks and the disease burden are disproportionately higher among Hispanic adults, yet little is known about the factors influencing flu vaccine hesitancy and uptake among this marginalized population. This cross-sectional quantitative study used national survey data from the Understanding America Study (UAS) and logistic regression to address three research aims. Aim 1 was to examine the most significant demographic factors associated with flu vaccine uptake among the Hispanic community. …

Investigating Interpersonal And Community Drivers Of Taenia Solium Prevention To Reduce Acquired Seizure Disorders In Northern Peru: An Analysis Of Social Networks, Social Capital, And Community-Identified Barriers And Facilitators, Angela Gayle Spencer

Dissertations and Theses

Background: In Northern Peru and other low- and middle-income countries (LMICs) worldwide, the Taenia solium parasite causes an estimated 30% of acquired epilepsy -- an entirely preventable disease burden. Sanitation development and pork production regulation would reduce infection risk in endemic communities, but large-scale systemic improvements are not likely to occur in the near future. In the meantime, communities can reduce infection risk by adopting protective behaviors. Social networks can provide role modeling and support for health-promoting behaviors, and deliver social capital in the form of trusting relationships, norms of reciprocity, and information exchange in support of T. solium control. …

Son Otros Tiempos: Generational Experiences Of Male Friendships Amongst Mexican And Mexican American Men, Marisela Rodríguez Molina

Dissertations and Theses

Culturally specific work with Latinx men has also discussed the way Latinx masculinities are being redefined by younger generations. Grounded in Chicana Feminist epistemologies, I use Gloria Anzaldua's borderlands framework to analyze data from 20 interviews with sons and their father figures in understanding experience of masculinities within the context of male friendships. Differences between father's and son's experiences can be attributed to social context in which men are socialized and their borderlands experiences. Findings illustrate how understandings of masculinities represent a melding of cultural values between the dominant individualistic perspective in the U.S. and the collectivist perspective from men's …

Improving Peer-To-Peer Learning For Students With Extensive Support Needs In Inclusive Classrooms, Zachary Michael Deets

Dissertations and Theses

Inclusive learning opportunities lead to better outcomes for students with extensive support needs (ESN). In the absence of targeted intervention, however, students with ESN are unlikely to interact meaningfully with their peers or the general education curriculum. The literature describes evidence-based strategies in support of the meaningful inclusion of students with ESN in inclusive classrooms, including the use of technology to mediate learning experiences and nondisabled peers as learning "interventionists." This dissertation introduces an intervention package, Technology-Assisted Peer-Mediated Academic Support (TAPMAS), incorporating Technology-Aided Instruction and Intervention (TAII) and Peer-Based Instruction and Intervention (PBII), as a model of how educators may …

The Factors Contributing To The Resilience Of Thailand's Social Welfare Nonprofit Organizations Since The Onset Of The Country's Prolonged Political Crisis In 2005, Narttana Sakolvittayanon

Dissertations and Theses

Since 2005, nonprofit organizations in Thailand, a transitive country, have experienced survival challenges due to social, economic, and political changes. This study aims to explore the organizational attributes of nonprofit organizations in Thailand that contribute to resilient capacity, which is an ability to survive and continue providing goods and services to fulfill missions when facing challenges. The research questions of this study are what factors have affected the resilience of social welfare nonprofit organizations in Thailand since the onset of the country’s prolonged political crisis in 2005? And to what extent do theories of nonprofit resilience in advanced liberal democracies …

Identifying Advantages To Teaching Linear Regression In A Modeling And Simulation Introductory Statistics Curriculum, Kit Harris Clement

Dissertations and Theses

Statistical association is a key facet of statistical literacy: claims based on relationships between variables or ideas rooted in data are found everywhere in media and discourse. A key development in introductory statistics curricula is the use of simulation-based inference, which has shown positive outcomes for students, especially in regards to statistical literacy and conceptual understanding. In this dissertation project, I investigate students from the Change Agents for the Teaching and Learning of STatistics (CATALST) curriculum in activities I designed for learning statistical association and linear regression. First, I analyzed the informal line fitting strategies of CATALST students. Findings suggest …

The Health Impacts Of The Trump Administration Among California Immigrants, Claudia M. Calhoon

Dissertations and Theses

Immigration policy was a marquee issue in the US presidential administration of Donald Trump. Trump’s administration employed both policy and rhetoric related to immigrants to mobilize voters, alter immigration policies and practices, and sustain a narrative of a nation under attack by immigrants. Administration officials were able to undertake these approaches because of existing immigration law, but they did so in more explicitly punitive ways than in recent administrations. The goal of this dissertation is to explore the health impacts of the administration’s practices and their effects. Paper 1 analyzes the immigration rhetoric and policies of US president Donald Trump …

"I Stayed There The Whole Night": Exploring Caregivers' Experiences With The Healthcare System When Caring For A Parent At The End Of Life, Lillian Mehran

Dissertations and Theses

Background: In the United States, there are nearly 53 million individuals serving as caregivers to a loved one. Half of all caregivers are caring for a parent or parent-in-law, and 79% of caregivers are caring for a person aged 50 or older. In New York State, there are an estimated 4.1 million caregivers who collectively provide over 2.6 billion hours of unpaid care, with those caring for a person at the end of life providing twice as many hours of caregiving per week compared to other caregivers. The number of individuals requiring caregiving is expected to increase as a significant …

Obesity Risk And Comorbidities Among Colombians In New York City And In Colombia, Carlos A. Devia

Dissertations and Theses

Introduction: The prevalence of obesity and overweight in adults and children continues to increase worldwide, accounting for the mortality and morbidity from several diseases. Obesity disproportionally impacts Latinos in the United States (U.S.), and despite their diversity in origins, ancestry, and culture, it is still unclear the burden of obesity by specific Latino groups. For example, little information is available about how obesity impacts Colombians in the U.S. (the largest South American population). New evidence also indicates that Latino immigrants may no longer be arriving with healthy weight status to the U.S. because Latin American countries are undergoing epidemiologic and …

Investigating And Mitigating The Harmful Impact Of Precarious Employment On The Health And Well-Being Of New York City Food Workers, Emilia F. Vignola

Dissertations and Theses

Much of the United States (US) food chain – from production to processing, wholesale, retail, and services – is characterized by precarious employment, defined as work with little employment security, inadequate income, and limited rights and protections. Studies show that precarious employment is associated with adverse mental and physical health and well-being outcomes. Separate research indicates numerous health issues in certain segments of the food workforce; little scholarly work has explored the contribution of precarious employment as an upstream driver of these health issues. Gaps remain in our understanding of 1) the health needs and status of workers across the …

Inequalities In Infant Birthweight By Social Position And Residential Neighborhood Characteristics In New York City, 2012-2018, Christina I. Nieves

Dissertations and Theses

BACKGROUND: Birthweight is an important indicator of health for infants, as low birthweight is associated with adverse health outcomes for infants and children. In the United States (U.S.), there are significant birthweight inequities by several maternal characteristics including maternal race/ethnicity, age, education, and nativity status. For example, the prevalence of low birthweight among Black infants is double the prevalence among white infants (14% vs. 6.9%, respectively). These health inequities are caused, in part, by unjust systems, policies, and practices rooted in interlocking systems of oppression, like racism. These systems of oppression affect individuals directly as well as the contexts in …

A Hierarchical Decision Model To Evaluate Healthcare Organization's Readiness To Implement Clinical Decision Support Systems, Mohammed Oussama Laraichi

Dissertations and Theses

Clinical Decision Support Systems (CDSS) are essential tools for healthcare organizations as well as for healthcare providers to improve clinical care. However, successful implementation of CDSS can be challenging. Therefore, before implementing CDSS, it is crucial to assess the readiness of healthcare organizations to implement these tools.

Through a literature review, the first step of this research explores the concept of clinical decision support and CDSS, discussing their features, characteristics, and organizational hurdles to implementation. It also provides perspectives on CDSS adoption in the context of Information Systems and Health Technology. The review helped identify research gaps, objectives, and questions. …

Comparing True Maternal And Paternal Care In Pair-Living, Ex-Situ Varecia Rubra (Red Variegated Lemurs) Contextualized Among Other Primate Cooperative Breeders, Payton Elizabeth Zuver

Dissertations and Theses

Observations of variegated lemurs in the wild have revealed a cooperative breeding strategy including extensive male care to young, primarily in the form of infant guarding. This thesis presents an analysis of the first quantitative assessment of true paternal and true maternal care from pair-housed, ex-situ red variegated lemurs (V. rubra) housed at the Lemur Conservation Foundation's Myakka City Lemur Reserve in western Florida. This study aims to answer specific research questions: How do paternal and maternal care compare when resources are abundant, and paternity is certain? Is male care instinctual? Is it driven by energetic necessity? If …

Local Voices: Counterstorytelling And Retention Of Faculty Of Color In Oregon's Community College System, Kristin Christophersen

Dissertations and Theses

The Oregon community college system employs a full-time faculty workforce that is overwhelmingly White. This study aimed to research why the representation of faculty of color in the state’s community colleges remains low by conducting interviews with faculty of color about their experiences at these public 2-year institutions using counterstorytelling as research methodology. Using critical race theory as a theoretical framework, this study collected and analyzed the counterstories of seven faculty of color in a variety of institutions and regions across one state about their experiences with institutional racism and how it impacts their persistence strategies and retention patterns.

Experiences Of People With Serious Mental Illness Seeking Services At Community Mental Health Centers During The Covid-19 Pandemic, Emily Leickly

Dissertations and Theses

Community mental health centers (CMHCs) have been underfunded and overburdened since Reagan-era disinvestment and the United States' move toward neoliberalism. Rates of mental illness have been rising consistently, particularly in Oregon, as CMHCs face continuing financial pressures and staff retention issues. This was before the COVID-19 pandemic. Today, we are still trying to understand the ongoing pandemic's impact on people with serious mental illnesses (SMI). Most of the studies in this area thus far are quantitative, and first-hand accounts of the pandemic from people with SMI are largely absent. Additionally, research in this area fails to draw on critical alternative …

Nothing About Youth Without Youth: Involving Youth In Participatory Action Research Conducted With Health Departments, Vivian Cortes

Dissertations and Theses

Background: Health departments are vital to community-partnered public health efforts and research and are positioned to influence community or policy level systems that impact population health. However, while some health departments partner with community members in their programming, not much is known about health departments partnering with community youth. From 2018-2019 the New York City Department of Health & Mental Hygiene (NYC DOHMH) implemented a youth participatory action research (YPAR) project to develop a public awareness campaign in partnership with youth and adult community stakeholders for a federally funded program. It was the first participatory research conducted by the agency …

The Use And Influence Of Health Indicators In Municipal Transportation Plans, Kelly Christine Rodgers

Dissertations and Theses

Transportation is an important social determinant of health that shapes the places where people "live, learn, work, and play" to the extent that an individual's zip code better predicts their health than their genetic code. Researchers and practitioners have called for the use of health indicators in transportation as one way to integrate public health concerns into transportation. The underlying hope is that new organizational routines, such as measuring and tracking indicators, can translate policy goals into policy practice. However, it is unclear how indicators are used and what impact they have on policy--the creation or modification of policies and …

Main, Mediated, And Moderated Effects Of Participating In An After-School Social And Emotional Learning Program On Young Children's Development Of Social-Emotional Skills, Amy L. Cordier

Dissertations and Theses

Young children's social and emotional skills (SE skills) are highly predictive of the ease with which they transition to kindergarten as well as their success in the K-12 school system and in life after graduation. Children from low socioeconomic status (SES) backgrounds often enter kindergarten with less well-developed SE skills and lag their peers throughout their school careers. Studies of social-emotional learning (SEL) programs indicate that these programs are successful in teaching SE skills, both in school and in after-school programs. However, less is known about the mechanisms of changes through which SEL programs improve children's SE skills and for …

Antecedents Of Fssb: Evaluating The Demographic Basis Of Support, Erika Ann Schemmel

Dissertations and Theses

The benefits of family-supportive supervisor behaviors (FSSB) have been well-documented in recent literature. However, less research has examined the antecedents of FSSB. The present study draws from two theoretical models of FSSB to investigate the demographic antecedents of FSSB in a military sample. Supervisor and employee gender, partnered status, parental status, and elder caregiving status were examined to determine by whom, and for whom, FSSB is provided, as measured by employee perceptions. It is hypothesized that supervisors and employees who are women, partnered, parents, and/or caregivers to elders would have higher employee-ratings of FSSB. Furthermore, the present study applied a …

Diversity In Recruitment: The Role Of Realistic Website Job Previews For Racial And Ethnic Minority Applicants, Jennifer Saucedo

Dissertations and Theses

Prior research has examined the effects of diversity-related recruitment on racial and ethnic minority applicants, but less research has focused on how objective and realistic information about diversity influences applicant outcomes. Drawing from previous literature on realistic job previews (RJPs) and social identity theory (SIT), the current study investigates how recruitment material with objective racial demographic information (i.e., percentage of racial minorities employed) and leader diversity testimonials (i.e., positive or realistic) on diversity recruitment webpages affect racial and ethnic minority applicant outcomes (i.e., organizational attraction, sense of fit, and organizational trust) using a 3x2 between-person experimental design. Finally, the study …

Does Structural Racism Influence How Black/African Americans Define Memory Loss And Cognitive Impairment? An Africana Phenomenological Study, Andre Pruitt

Dissertations and Theses

With the variety of research about dementia and Alzheimer's disease (AD), few studies have explored the effect of social structures, such as racism, on how Black/African Americans conceptualize memory loss, dementia, or AD. Furthermore, limited within the scholarship are the environmental factors and structural racism that are thought to influence cognitive impairments and meaning making about cognitive decline impacting Black/African Americans.

Most U.S. research centers on methodologies and epistemologies grounded in Eurocentric ways of knowing (objectivity, individuality, either/or logic). However, Eurocentric methodologies fail to acknowledge the cultural experiences with memory loss, cognitive impairment, dementia, and AD, as well as the …

Defining Dementia-Friendly Communities From The Perspective Of Those Affected, Iris Alexandra Wernher

Dissertations and Theses

More and more communities across the globe are pledging to become more "dementia friendly," yet many initiatives lack direction as to what this pledge might entail. The intent of this qualitative study, conducted in the metropolitan area of Portland and several other cities in Oregon, was to better understand how communities can increase their dementia friendliness – from the perspective of people living with dementia and their care partners. The study further aimed to clarify if and how age- and dementia-friendly efforts can be integrated.

Twenty-five community-dwelling individuals living with dementia and their 25 informal carers participated separately in semi-structured …

Understanding The Experiences Of Latino Medical Students In A Learning Medical Environment, Leslie García

Dissertations and Theses

Very little is known about the experiences and perceptions of underrepresented minority (URiM) medical students in the U.S. allopathic medical schools. The limited literature posits URiMs experience more adverse experiences in the learning environment and have different learning outcomes in comparison to their White peer counterparts. Latino medical students represent 7.1% of all entering medical students across all U.S. medical schools. While they represent the largest ethnic minority in the United States within parity lack representation among the physician workforce [sic]. There is a dearth of knowledge of what factors contribute to the success of Latino medical students progressing in …

A Case Study Of Mexican Immigrant Parents' Involvement In Their Children's Education, Evelia Vega

Dissertations and Theses

The purpose of this phenomenological case study is to explore the misconception that is occurring in schools today about Mexican Immigrant parents' involvement. Using the Sociocultural and Funds of Knowledge theories to ground this study, I conducted in-depth phenomenological semi-structured interviews with six participants. The participants were Mexican Immigrant parents who resided in a specific Oregon county where their children attended school. They shared their perceptions and experiences about being involved in their children's education. The analysis led to three themes in the findings, which were: Perceptions, Culture, and Communication. The first theme provided a glimpse into the participants' lived …

Why So Serious? Using The Belongingness Need Tenet From The Self-Determination Theory To Examine Workplace Humor And Its Outcomes, Katharine Lucille Mcmahon

Dissertations and Theses

The small body of literature for workplace humor remains fragmented due to the lack of coherence in conceptualization and theory. Furthermore, the distinction between positive and negative humor adds complexity to predicting the outcomes of humor. Focusing on the foundation aspect of humor as a form of social play provides guidance on choosing a theory-informed integrative framework that could explain the implications of humor in the workplace. The belongingness need tenet of the self-determination theory offers a promising framework to synthesize existing research and to direct future studies. Paper 1 reviews the literature and concludes with an integrative framework suggesting …