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“Souls Cannot Rest In Contested Places”: An Ethnographic Case Study And Archeological Environmental Assessment Of The North Shore Cemeteries., Henrietta K. Ransdell
“Souls Cannot Rest In Contested Places”: An Ethnographic Case Study And Archeological Environmental Assessment Of The North Shore Cemeteries., Henrietta K. Ransdell
Electronic Theses and Dissertations
This thesis is an ethnographic case study and archeological-environmental assessment of the North Shore Cemeteries to derive condition commentary and care recommendations for the landscape, cultural resources, descendant community, and Great Smoky Mountains National Park. Framed by theories of space-place culture, dispossession, and public lands co-management, this multi-methods, interdisciplinary thesis combines historical context, environmental conditions, archeological documentation, participant observations, and ethnographic interviewing of NPS and community affiliates to derive applied strategies for cemetery repair, operational efficacy, and this specific, public lands “co-management” relationship. With data from 12 interviews, eight participant observations, and six condition assessment surveys, it’s argued that perceptions …
Multimodal Emotion Recognition For Human-Robot Interaction Across Neuro-Diverse Populations., Ruchik Mishra
Multimodal Emotion Recognition For Human-Robot Interaction Across Neuro-Diverse Populations., Ruchik Mishra
Electronic Theses and Dissertations
This dissertation explores the integration of multimodal data streams and artificial intelligence pipelines to understand human affect in neurotypical and children with Autism Spectrum Disorder (ASD). This dissertation captures human affect in the context of human-robot interaction. For this, multiple studies have been presented with both children with ASD and neurotypical adults. This dissertation makes four contributions: 1) The first study introduces autonomy during perspective-taking teaching sessions by making verbal content generation through large language models (LLMs). This system is the first of its kind for teaching perspective-taking in a semi-autonomous manner under the supervision of domain experts. Furthermore, this …
The Dynamic Role Of Hyaluronan In Acute Cardiac Wound Healing., Danielle T. Little
The Dynamic Role Of Hyaluronan In Acute Cardiac Wound Healing., Danielle T. Little
Electronic Theses and Dissertations
During acute myocardial infarction (MI), the composition of the extracellular matrix (ECM) undergoes significant changes. While collagen accumulation is one of the most well-documented ECM alterations, hyaluronan (HA) is equally abundant. However, the cellular sources, enzymatic regulation, and functional significance of HA accumulation remain largely unexplored. Here, we hypothesized that activated cardiac fibroblasts produce HA via hyaluronan synthase 2 (HAS2), facilitating scar formation and stability. Our findings demonstrate that HA accumulates post-MI and persists for at least four weeks. Through HA sizing techniques, we determined the molecular weight of this persistent HA. Additionally, RNA sequencing analysis of failing human hearts …
For You, By Who? Undergraduate Students Enacting Critical Digital Literacy With The Tiktok "For You Page" Algorithm., Rachel Morgan
For You, By Who? Undergraduate Students Enacting Critical Digital Literacy With The Tiktok "For You Page" Algorithm., Rachel Morgan
Electronic Theses and Dissertations
This project explores undergraduate students’ digital literacy practices and algorithmic beliefs and awareness on algorithmically driven social media platforms like the TikTok For You Page (FYP). TikTok is a very successful social media platform with over 135 million users in the U.S. alone, nearly half of the U.S. population (Statista, 2025a). Central to TikTok’s popularity and success is its unique technological infrastructure, specifically the underlying algorithm of the FYP that shapes user experience. With a mixed-methods approach, I utilize survey data and text-based interviews (Prior, 2004) to examine participants’ experiences on the TikTok FYP. Drawing on a technofeminist methodology (Wacjman, …
Women And Gender Non-Conforming Introductory Stem Students Navigating Gender, Faculty Expectations, And College Support Systems., Trisha A. Douin-Manning
Women And Gender Non-Conforming Introductory Stem Students Navigating Gender, Faculty Expectations, And College Support Systems., Trisha A. Douin-Manning
Electronic Theses and Dissertations
Women and gender non-conforming students remain underrepresented in Science, Technology, Engineering, and Math (STEM) majors within higher education, and gender disparities persist in advancement to high-paying STEM careers (Maloy et al., 2021; NSF, 2015; Riegle-Crumb et al., 2018). This three-article style dissertation uses qualitative interviews with 29 women and gender non-conforming introductory STEM students and 11 STEM faculty to investigate how these students navigate through their introductory STEM courses. Women and gender non-conforming students in this study faced academic, familial, and gendered pressures to succeed in introductory STEM courses. Many of the students in this study described feelings of oppression …
Achieving Racial Equity In An Urban School District: Historical Conditions, Critical Policy Analysis, And Community Perspective., Whitney Taylor
Achieving Racial Equity In An Urban School District: Historical Conditions, Critical Policy Analysis, And Community Perspective., Whitney Taylor
Electronic Theses and Dissertations
This dissertation examines the development and impact of the Jefferson County Public Schools (JCPS) Racial Equity Policy through a historical analysis and the perspectives of African American community leaders. The study explores how systemic inequities, rooted in a legacy of racial discrimination, continue to shape the educational experiences of Black students within JCPS. Drawing on archival research and interviews with key community figures, it evaluates the policy’s intended role in dismantling structural barriers and the community’s cautious optimism regarding its effectiveness. Findings highlight persistent disparities in educational access and outcomes, emphasizing the enduring influence of deep-rooted biases and limitations of …
Teacher Perspectives On A Teacher Mentorship Program And Its Influence On A Sense Of Belonging And Professional Growth., Hyun Kang Wilson
Teacher Perspectives On A Teacher Mentorship Program And Its Influence On A Sense Of Belonging And Professional Growth., Hyun Kang Wilson
Electronic Theses and Dissertations
Teacher retention is crisis in the U.S. and globally. Literature suggests the first five years of teaching is a crucial time range to determine if teachers stay in the profession or quit. Teachers will leave the profession due to lack of support, poor school culture, feeling isolated, high work-related stress, poor compensation, and challenging student behaviors. Research suggests that new teacher mentorship programs are effective in addressing teacher support, ultimately improving teacher retention. Literature also suggests that employees are more likely to stay with a company if they feel belonged. To explore the further into a new teacher mentorship program …
“Nothing Can Prepare You For It”: An Interpretative Phenomenological Analysis Of The Lived Experiences, Well-Being, And Relational Connections Of First-Time Mothers Navigating Intensive Mothering Ideals And Expectations., Mona A. Dajani
Electronic Theses and Dissertations
Becoming a mother is a life-changing experience that alters how mothers view and experience their emotional, familial, occupational, and relational worlds. As mothering stories tend to be underrepresented and largely absent from the field of social work, this qualitative study utilized Interpretative Phenomenological Analysis (IPA) to center the voices of eleven first-time mothers navigating a culture of intensive mothering ideals and expectations. As a result, the main research questions of this study are: 1) What are the lived experiences of mothers navigating a culture with deep-rooted intensive mothering expectations and ideals? 2) How is well-being experienced and described in the …
Affective Teacher Tok: A Sociomaterial Analysis Of Teachers’ Digital Literacy Practices On Social Media., Jessica Nicole Gottbrath
Affective Teacher Tok: A Sociomaterial Analysis Of Teachers’ Digital Literacy Practices On Social Media., Jessica Nicole Gottbrath
Electronic Theses and Dissertations
Mass media often depicts teachers in oversimplified terms, as heroic saviors or dangerous agents of indoctrination, flattening the complex realities of their daily work and lived experiences. This polarization contributes to the ongoing deprofessionalization of teaching, where educators’ expertise is increasingly questioned and politicized. In response to these reductive portrayals and the everyday pressures of the profession, some teachers have turned to short-form social media videos as a creative outlet to share personal and professional insights. To explore how teachers reclaim agency through their digital literacy practices, this study employs mixed-methods research to investigate how educators use networked microvideos to …
Everything And Nothing Found In The House Of Leaves: A Multiliterate Analysis Of Multimodal Writing., Jennings Collins
Everything And Nothing Found In The House Of Leaves: A Multiliterate Analysis Of Multimodal Writing., Jennings Collins
Electronic Theses and Dissertations
The postmodern horror novel House of Leaves engages in a bevy of discourses across the humanities, a complex work that invites readers to engage with several multimodal forms of reading and writing to experience it fully. This thesis hopes to explore the novel’s place in various sites of discourse including film theory, philosophy, and horror genre theory; applying a multiliterate perspective to the work to study how the novel encourages multimodal and multiliterate thinking by applying studies of typography, experimental literature, and literary ontology. This thesis will emphasize a filmic analysis of text-within-text The Navidson Record, to address a …
Concurrently Implementing Islam And Democracy In Afghanistan: Failure Causes And Future Prospects., Mohammad Riaz Nassiry
Concurrently Implementing Islam And Democracy In Afghanistan: Failure Causes And Future Prospects., Mohammad Riaz Nassiry
Electronic Theses and Dissertations
Islam and democracy have been widely considered incompatible, especially in Muslim-majority countries. This thesis, with a contextual focus on Afghanistan, looks into the failure of the concurrent implementation of Islam and democracy in that country. The thesis takes a nuanced perspective and proposes a theory in which institutions (laws and regulations) and education play a prominent role in consolidating Islam and democracy. The research employs a mixed-method research design, with an aim to explore the influence of constitutional design and public education in shaping democratic outcomes within Islamic contexts. The findings reveal that Afghanistan’s constitution and laws were broadly compatible …
The Role Of Tgfβ-Activated Kinase 1 In Fibroblast Differentiation And Cardiac Remodeling After Injury., Daniel Chien Nguyen
The Role Of Tgfβ-Activated Kinase 1 In Fibroblast Differentiation And Cardiac Remodeling After Injury., Daniel Chien Nguyen
Electronic Theses and Dissertations
Immediately following myocardial injury, a robust reparative response is orchestrated through intercellular communication. While various cell populations play critical roles in this process, cardiac fibroblasts have long been recognized as essential mediators of collagen synthesis and scar maturation; however, recent investigations have uncovered significant heterogeneity within the cardiac fibroblast population, revealing distinct subpopulations with roles that extend beyond their traditional functions. Notably, after tissue injury, fibroblasts exposed to damage signals can transition to an inflammatory phenotype, utilizing paracrine and autocrine signaling to coordinate immune cell recruitment and activation. Yet, the mechanisms underlying inflammatory cardiac fibroblast differentiation and their influence on …
Perceptions Of Unstructured Recess And Classroom Behaviors In Elementary School Settings., Allison Shockley
Perceptions Of Unstructured Recess And Classroom Behaviors In Elementary School Settings., Allison Shockley
Electronic Theses and Dissertations
The priority on core curriculum areas such as math and reading has resulted in limited physical activity and regular recess routines. With the increased time spent on core curriculum, teachers and administrators have shifted their focus towards standardized student testing achievement. This focus has resulted in limiting or doing away with unstructured recess with the hopes that students will gain more core curriculum knowledge. This dissertation will focus on educators' perceptions of elementary school student behavior with varying recess time structures. This study began by examining the history of recess while analyzing the trickled- down historical inequities elementary students experience …
Volatile Organic Compounds And Their Relation To Sympathetic Activation And Autonomic Balance In Humans., Cameron Kyle Stopforth
Volatile Organic Compounds And Their Relation To Sympathetic Activation And Autonomic Balance In Humans., Cameron Kyle Stopforth
Electronic Theses and Dissertations
Cardiovascular disease (CVD) is a multifaceted pathology that affects almost half of Americans ≥20 years old. One modifiable risk factor associated with CVD is air pollution exposure. The intricacy of air pollution exposure and CVD can make it difficult to elucidate on the multitude of mechanisms underpinning these associations. In this dissertation, we selected a relevant exposure (i.e., volatile organic compounds (VOC)) and an intermediate outcome (i.e., autonomic balance) that may represent one of these pertinent mechanisms. We tested the central hypothesis that higher VOC exposures would lead to increased sympathetic activation and autonomic imbalance. Aim 1 (Chapter III …
Racial Disparity And Environmental Influences On Perinatal Health In Jefferson County, Kentucky., Felicia A Pugh
Racial Disparity And Environmental Influences On Perinatal Health In Jefferson County, Kentucky., Felicia A Pugh
Electronic Theses and Dissertations
Background: Severe maternal morbidity (SMM) risk has tripled over the past 30 years. Adverse infant birth outcomes in the U.S. have also increased with substantial Black-White disparities. Objectives: This work compares the frequency of adverse maternal and infant birth outcomes by maternal race (Black vs White) and examines associations between maternal ambient heavy metal exposures and birth outcomes in Jefferson County, Kentucky, 2017-2022. Methods: Jefferson County inpatient hospital delivery and birth certificate records of self-identified Black or White birthing parents were used. Incidence of SMM, stillbirth, preterm birth (PTB), and small for gestational age (SGA) with 95% confidence intervals (CI) …
Advancing Speech Intelligibility Assessment: Comparing School-Based Speech-Language Pathologists, Laypersons, And Speech Recognition Software., Hannah Stewart
Advancing Speech Intelligibility Assessment: Comparing School-Based Speech-Language Pathologists, Laypersons, And Speech Recognition Software., Hannah Stewart
Electronic Theses and Dissertations
This non-experimental study utilized a convenience sample (N = 86) to investigate the comparability of school-based speech-language pathologists (SLPs), laypersons, and speech recognition software in the assessment of speech intelligibility for children with phonological disorders. Eighty-nine percent of participants were female, and 92% were white. All participants completed a survey comprised of 25 audio recordings of single-word utterances from an AI-generated voice of a four-year-old male with a phonological disorder and were asked to select what word they believed was heard from a pool of 12 options. The survey also included a passage read by the same AI-generated voice, and …
Long-Term Changes In Bolus Parameters During Swallowing Post-Chemoradiation Treatment., Brittany Rebecca Smiley
Long-Term Changes In Bolus Parameters During Swallowing Post-Chemoradiation Treatment., Brittany Rebecca Smiley
Electronic Theses and Dissertations
Current treatment for oropharyngeal cancer involves chemoradiation, which can have profound effects on swallowing function. Submental muscle activity is critical for airway protection and bolus transit but is highly susceptible to radiation-related swallowing impairments. This study examined whether chemoradiation targeting the submental muscles leads to measurable changes in esophageal distension during swallowing in a rodent model. We hypothesized that rats receiving chemoradiation would exhibit aberrant esophageal distension compared to chemotherapy-only controls. Twenty male rats underwent four cycles of cisplatin concurrently with either radiation or sham radiation. High-speed videofluoroscopy swallow studies were conducted pre- and post-treatment with thin liquids to analyze …
Predicting Confidence In Performing Mental Health Actions Among Allied Professionals., Jean Marie Zelenko
Predicting Confidence In Performing Mental Health Actions Among Allied Professionals., Jean Marie Zelenko
Electronic Theses and Dissertations
One in five young people before the age of 25 exhibit onset of symptoms of an emotional or behavioral disorder (Kessler et al., 2005). Up to 80% of depressed youth do not receive services (Kataoka, 2002) and less than 50% of the time youth seek help for suicidal ideation and/or self-harm (Michelmore & Hindley, 2012). This high prevalence of mental health distress and low frequency of help-seeking among youth require examination of factors influencing youths’ likelihood of seeking help. One factor that increases the likelihood of help-seeking is encouragement from others to seek mental health services (Cusack et al., 2004). …
The Impact Of Consensus Decision Making On Creating Conditions For Psychological Safety In Sbdm Councils., Rachel Ann Klein
The Impact Of Consensus Decision Making On Creating Conditions For Psychological Safety In Sbdm Councils., Rachel Ann Klein
Electronic Theses and Dissertations
This study reflects an examination of the forces and factors that impact effective decision-making on a Site-Based Decision Making council (SBDM) in Kentucky. It explores the relationship between consensus decision-making, the leader of a school, and the stakeholders who sit on an SBDM council as it relates to members’ feelings of inclusion, value, and belonging. A qualitative case study was designed to capture observational data gathered during SBDM meetings, as well as data gathered during member interviews. This data was analyzed through a relativist theoretical lens, which revealed that when open, trusting relationships are established among council members, decision-making flourishes. …
Black Childhood In Focus: Counter-Histories Of Black Urban Childhood In Preserve The Baltimore Uprising, A 21st Century Digital Participatory Archive., Ameena Basheera X Ruffin
Black Childhood In Focus: Counter-Histories Of Black Urban Childhood In Preserve The Baltimore Uprising, A 21st Century Digital Participatory Archive., Ameena Basheera X Ruffin
Electronic Theses and Dissertations
This study examines the (mis)representation of Black urban childhood in the United States and proposes a framework for Black children’s inclusion in historical narratives. Black children have been excluded from constructs of childhood innocence, justifying violence against Black children and perpetuating anti-Black social hierarchies. This study builds on the work of Saidiya Hartman, advocating for a critical approach to studying, archiving, and understanding Black childhood through the lenses of region, race, age, and gender. Using the participatory digital archive Preserve the Baltimore Uprising as a case study, the research explores Black children’s presence and contributions during the 2015 Baltimore Uprising. …
Creating New Points Of Access: How Integrating Black Acting Methods Strengthens The Western Theatre Canon., Darrin Edward Dispenza-Mosley
Creating New Points Of Access: How Integrating Black Acting Methods Strengthens The Western Theatre Canon., Darrin Edward Dispenza-Mosley
Electronic Theses and Dissertations
Western acting techniques have historically disregarded the contributions and techniques of black and non-Western performance to the detriment of black actors. This disregard has created barriers for black actors when engaging in what has now become standard theatre training. This training is enforced by implementation of acting techniques in academia that favor codified techniques of Eurocentric acting. Despite black acting techniques being codified and taught within the black community and academia, outside of a few historically black colleges and universities (HBCUs), predominately white academia has implemented valuable training methods that black/African American Acting techniques can offer. By looking at American …
Student Perceptions Of School Climate And Safety After The Collective Trauma Of Covid-19 And Racial Injustice Syndemic., Amy Catherine Lyons
Student Perceptions Of School Climate And Safety After The Collective Trauma Of Covid-19 And Racial Injustice Syndemic., Amy Catherine Lyons
Electronic Theses and Dissertations
For people in marginalized communities, particularly the Black and African American community, the combined, disproportionate damage and loss from of the pandemic and a cacophony of racial injustices offer cause for labeling the phenomenon a syndemic. Syndemic is defined as “a conceptual framework for understanding diseases or health conditions that arise in populations and that are exacerbated by the social, economic, environmental, and political milieu in which a population is immersed” (Singer et al., 2017, p. 881). The purpose of this study is to explore, describe, and analyze Kentucky students’ perceptions of school climate and safety by demographic groups, racial …
Cns-Specific Hiv Reservoir Characterization In Humans: Advancing Our Understanding Through Novel Genomics Methods., Ghazal Sadri
Cns-Specific Hiv Reservoir Characterization In Humans: Advancing Our Understanding Through Novel Genomics Methods., Ghazal Sadri
Electronic Theses and Dissertations
The persistence of the human immunodeficiency virus (HIV) reservoir despite years of suppressive antiretroviral therapy (ART) represents the principal obstacle to achieving a functional cure. Because the intact, replication-competent portion of the reservoir drives viral rebound after treatment interruption, HIV cure strategies must specifically identify and target cells harboring these proviruses. Conventional reservoir‐characterization techniques typically require separate assays to capture integration sites, assess proviral integrity, and quantify clonal proliferation and they rely on short‐read sequencing. These limitations hinder our ability to understand how integration landscapes, the integrity of the HIV genome, and cell‐division dynamics intersect to maintain viral persistence in …
Light Without Memory., John Day
Light Without Memory., John Day
Electronic Theses and Dissertations
This collective work and thesis sought to remedy a fragmented sense of self in the wake of addressing trauma (Personal and generational) through therapy and diagnosis. Visualizing the experience of isolation and loss through deterioration of gelatin and pixels, it exposes the fragility of memory and our tools of preservation in the presence of time. While the images of my family, past and present, cannot speak, they can activate memory evoking a desire to foster relationships with those closest to us. As I explore my identity through family photographs, I find myself embodied within them. Fragments of a whole, bound …
Catholic High School Principals’ Experiences With Parent-School Relationships And Perceptions Of Self-Efficacy., Alexander J. Glaser
Catholic High School Principals’ Experiences With Parent-School Relationships And Perceptions Of Self-Efficacy., Alexander J. Glaser
Electronic Theses and Dissertations
Principals feel overworked in part due to their responsibilities and the demands of the modern educational institution. Furthermore, dynamics between schools and parents are changing in an increasingly polarized climate. Catholic schools face a unique challenge as school choice is more prevalent and client pools become more diverse. Understanding self-efficacy is elemental to building resiliency in principals leading schools in the current climate. Through this mixed-methods phenomenological study, I sought to understand Catholic secondary school principals’ levels of self-efficacy in daily tasks and determine how parent-school relationships explain these perceptions. I used descriptive data and interviews which led to several …
A Sacrifice On The Altar Of Unity: The Loss Of Black Identity In The Unification Of Kynett And Lagrange First Umc., Rebecca Sue Wishnevski
A Sacrifice On The Altar Of Unity: The Loss Of Black Identity In The Unification Of Kynett And Lagrange First Umc., Rebecca Sue Wishnevski
Electronic Theses and Dissertations
This study examines the 1996 merger of Kynett United Methodist Church, a historically Black church, and LaGrange First United Methodist Church, a traditionally White church in LaGrange, Kentucky. The study provides insight into nonurban Black churches, showing that while they may have smaller congregations in smaller towns, the Black church remains central to Black life and connection like its urban contemporaries. Methods for collecting primary source material relied heavily on oral histories performed by the researcher with Black and White individuals attending said churches and their experiences during the merger. The study reveals that although unification promised a modern building …
Differences In Prostate Cancer (Pca) Stage At Primary Diagnosis And Pca-Specific Mortality Among Rural Versus Urban Populations In Kentucky., Chase Herrmann
Differences In Prostate Cancer (Pca) Stage At Primary Diagnosis And Pca-Specific Mortality Among Rural Versus Urban Populations In Kentucky., Chase Herrmann
Electronic Theses and Dissertations
Kentucky Cancer Registry (KCR) prostate cancer (PCa) cases between the years of 1994 and 2021 were analyzed to examine differences between rural and urban populations’ primary stage at diagnosis and PCa-specific mortality. After adjusting for covariates, rural populations did not experience significantly higher odds of stage 3 diagnosis when compared to urban populations (OR = 1.02, 95% CI = 0.95 – 1.06). Rural populations had 16% increased odds of stage 4 diagnosis when compared to urban populations (OR = 1.16, 95% CI = 1.10 – 1.23). Rural populations had a 17% increased rate of PCa-specific death when compared to urban …
Temperament And Screen Time Into Adulthood, Kareem Barbis
Temperament And Screen Time Into Adulthood, Kareem Barbis
Electronic Theses and Dissertations
The possible correlation between language skills, temperament, and screen time in adulthood is understudied. It was hypothesized that high effortful control scores and low childhood screentime would corelate with higher cognitive reflection scores and higher language skills. Using a correlational design, 162 participants were studied (M age = 19.17 years old, 80% female, 86% White, 6% Hispanic). Participants completed an adapted version of the Adult Temperament Questionnaire (Evans & Rothbart, 2007), Cognitive Reflection Test (CRT; Fredrick, 2005), the Cognitive Reflection Test 2 (CRT-2; Thompson & Oppenheimer, 2016), Thompson & Oppenheimer, 2016), a childhood screen time questionnaire, a bilingualism questionnaire, and …
Investigating The Effect Of Fasting On Senescent Cells In Nothobranchius Furzeri Fish, Israel A. Akinola
Investigating The Effect Of Fasting On Senescent Cells In Nothobranchius Furzeri Fish, Israel A. Akinola
Electronic Theses and Dissertations
Senescent cells (SCs) have been documented to accumulate with age in the organism. Recent studies have shown that reducing the number of SCs in an organism result in tissue rejuvenation and extension of life expectancy. Intermittent fasting is reported to have multiple health benefits and is speculated to reduce the burden of SCs. Nothobranchius furzeri are a new model organism for studying aging and for which there are short- and long-lived strains available. We hypothesize that long- and short-lived strains of N. furzeri will accumulate SCs at different rates; and that fasting will reduce the burden of SCs.
The results …
Trust And Success: Franchisee Perspective On Relational Trust With The Franchisor And Impact On Unit Growth, Giovannie M. Hoff
Trust And Success: Franchisee Perspective On Relational Trust With The Franchisor And Impact On Unit Growth, Giovannie M. Hoff
Electronic Theses and Dissertations
Abstract
The problem addressed in this study was that it is unknown how franchisees perceive trust and its influence on unit growth and contractual control within the franchisor and franchisee relationship. The purpose of this case study was to explore the franchisee’s perspective of trust within the franchisor and franchisee relationship and its impact on growth and contractual control. A qualitative case study approach was used, with data collected from 13 participants from one franchise organization in the United States through semistructured interviews and questionnaire. Data were transcribed, coded, and analyzed thematically, with triangulation and member-checking ensuring credibility. Two key …