Digital Commons Network^™

Beyond Stereotypes: Exploring The Intersection Of Feminist Identity And Societal Expectations In Ama Ata Aidoo’S Changes: A Love Story (1991), Grace Adutwum

Electronic Theses and Dissertations

Changes: A Love Story by Ama Ata Aidoo explores the intersection of feminist identity and societal expectations of African women, specifically Ghanaian women. This work examines how Esi and other characters struggle for love, autonomy, and independence, and reveals how tradition often limits African women’s choices and agency. This research also highlights how Aidoo presents a distinct, context-specific approach to gender roles and pressure from society, rather than viewing feminism as a strict opposition to patriarchy. By using African feminism as a theoretical framework, this work analyzes how marriage, career, and independence shape Esi’s identity. The depiction of polygamy, independence, …

Disability Inclusion In Local Public Health Community Health Assessments And Community Health Improvement Plans, Haleigh Leslie

Electronic Theses and Dissertations

Introduction: Local health departments (LHDs) use community health assessments (CHAs) and community health improvement plans (CHIPs) to identify and address health needs of the populations they serve. People with disabilities experience health disparities, and there is limited information about how the health needs of people with disabilities are included in CHAs and CHIPs. The purpose of this study was to describe and quantify disability inclusion in LHD CHAs and CHIPs.

Methods: This cross-sectional, mixed methods study used the CHAs and CHIPs of accredited local health departments, data about LHDs and populations served, and interviews with LHD staff and community partners …

The Reliability And Validity Of Accelerometry And Gnss, Christine Coniglio

Electronic Theses and Dissertations

This dissertation seeks to evaluate the reliability, validity, and utility of accelerometers and GNSS in sport-like scenarios, assess accelerometry-derived metrics and GNSS for distance prediction, and explore how accelerometer placement, specifically chest and back, affect the detection of various locomotor events. In Study I, the purpose was to investigate the accelerometer reliability and predictive capabilities of accelerometers and GNSS to predict a known distance. Thirty physically active female participants (mean height = 163.6 ± 6.8 cm, mean weight = 57.8 ± 8.7 kg) completed jogging trials over two courses (5m and 20m). Each participant wore two tri-axial accelerometers (100Hz) and …

Commitment To The Profession: Elementary Teacher Perceptions Of Self-Determination And Professional Retention In Tennessee, Riley A. Prickett-Armstrong

Electronic Theses and Dissertations

Teacher burnout and loss of teachers in the profession have affected school and district capacity to effectively staff all positions. The pandemic brought about unique changes and challenges to classrooms worldwide, disrupting the educational process for over 94% of the world’s student population. The purpose of this phenomenological study was to examine factors influencing teacher self-determination and retention at the elementary school level in Tennessee school districts to better understand how administrators can support teachers. The central research question investigated elementary teacher perceptions of self-determination and professional retention. A series of in-depth interviews with twelve participants produced data and subsequent …

Assessing The Relationship Between The Incidence Of Campylobacteriosis And Ecological Risk Factors In Tennessee, Emmanuel Angmorteh Mensah

Electronic Theses and Dissertations

Background: Campylobacteriosis although is the leading causes of bacterial diarrheal illnesses, have not gained prominent awareness and there are gaps in the understanding of transmission routes for sporadic, non-outbreak cases and their risk factors at the communal level to humans. This study, therefore, aimed to identify the campylobacteriosis risk factors and risk perception from the existing literature in the United States, determine the incidence and ecological risk factors for campylobacteriosis zip code level in Tennessee, and to perform spatiotemporal analysis of campylobacteriosis incidence cases in Tennessee.

Method: To achieve the first aim, a scoping review was conducted to synthesize …

Racial And Geographic Disparities In Primary Care Transitions For Postpartum Women With Gestational Diabetes And Hypertension In South Carolina, Kajol Dahal

Electronic Theses and Dissertations

Introduction Gestational diabetes (GDM) and gestational hypertension (GH) are significant public health issues with lasting implications for maternal and child health (MCH). Despite clinical guidelines recommending postpartum care for all women, especially those with chronic conditions, less than 50% receive a visit within 12 months of childbirth. Recent policy changes extend postpartum Medicaid coverage from 60 days to 12 months. This study assessed differences in postpartum care visits by race/ethnicity and geography after the extension of postpartum coverage in South Carolina. Methods A retrospective cohort of 27,056 women (aged 20-44) who gave birth in 2021 were analyzed using Medicaid claims …

The Moderating Role Of Social Support For Lgbtq People In South Central Appalachia: Present Yet Unimpactful?, Paige Henry

Electronic Theses and Dissertations

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) minority stress theory states that LGBTQ people experience stressors specific to their identity that result in negative mental health outcomes. Social support has been shown to protect against these negative outcomes, but South Central Appalachia is known to be high stigma and low resource for this population. The present study examined the potential moderating impact of four sources of social support (family, friends, partners, and pets) on the relationship between minority stress experiences and psychological distress for LGBTQ people living in South Central Appalachia. Participants included 116 LGBTQ adults living in South Central …

Exploring Predictors Of Treatment Dropout In Primary Care Behavioral Health Using Andersen’S Behavioral Model Of Health Services, Mara W. Sindoni

Electronic Theses and Dissertations

A recent meta-analysis indicated a 19.7% dropout rate from outpatient mental health care. Andersen’s Behavioral Model of Health Services identifies predisposing, enabling, and need factors as potential predictors of treatment dropout. The Primary Care Behavioral Health (PCBH) model aims to improve accessibility of mental health care but research on dropout in this setting is lacking. This study examined bivariate relationships between Andersen's factors and dropout in PCBH, and interviewed participants about their intentions to attend subsequent PCBH visits. No statistically significant bivariate relationships were found, likely due to small sample size (n = 15). Reflexive Thematic Analysis identified two themes …

Reading Between The Lines: A Mixed Methods Investigation Of Teachers’ Understanding And Implementation Of The Science Of Reading, Karen L. Dumas

Electronic Theses and Dissertations

Throughout the nation, the science of reading (SoR) is sweeping through schools, realigning instructional practices, altering curricula, and causing a shift in educators’ ideologies. Therefore, exploring teachers’ understanding of the science of reading and the classroom implementation may offer valuable insights for school leaders, policymakers, and educators during this period of transition. This explanatory sequential mixed methods investigation researched SoR knowledge and implementation of K-3 general education teachers in Pennsylvania.

This study took place in two phases: quantitative followed by qualitative. During the quantitative phase, 141 K-3 teachers in Pennsylvania participated in the Teacher Understanding of Literacy Constructs and Evidence-Based …

Unraveling The Unknown: Characterization Of A Novel Antimicrobial Compound Found In Klebsiella Pneumoniae, Jasmal Cruz Perez

Electronic Theses and Dissertations

Klebsiella pneumoniae, a pathogenic bacterium resistant to numerous antimicrobials, is a worldwide health issue due to its ability to cause healthcare-associated diseases such as pneumonia and urinary tract infections. This study investigated an antimicrobial compound secreted by K. pneumoniae. The compound was found to possess inhibitory activity against Enterobacteriaceae members, including other Klebsiella pneumoniae strains, Citrobacter freundii, and Enterobacter cloacae. The inhibitory activity is mediated via a secreted protein that is active across a wide range of pH and temperature conditions. Higher concentrations of the compound enhanced antimicrobial activity. The antimicrobial protein suppressed biofilm formation during both …

Inner Bonds, Caitlin M. Maltbie

Electronic Theses and Dissertations

The artist, Cait Maltbie, discusses their Master of Fine Arts exhibition, Inner Bonds, which was installed at Slocumb Galleries in Johnson City, TN, from March 24, 2025, through April 4, 2025, with a public reception held on March 27, 2025. The exhibition consisted of multi-disciplinary work: zines, screenprints, and a sculptural installation mimicking the scenery and emotional environment of the imaginary Inner Bonds world. Inner Bonds refers to their comic series about feelings and how they are handled, from which all the content for this exhibition is derived. The work is focused on deconstructing the artist’s feelings so that they …

Exploring The Antagonistic Polymicrobial Interaction Of Alcaligenes Faecalis With Prokaryotic And Eukaryotic Microorganisms, Aly Hargrave

Electronic Theses and Dissertations

Alcaligenes faecalis, a generally nonpathogenic, Gram-negative bacterium, has been observed by our laboratory to possess antagonistic activity against antimicrobial-resistant genera Staphylococcus, Candida, and Bacillus. This study focused on exploring the inhibition mechanism of A. faecalis against the three genera, with an emphasis on S. aureus. A library of A. faecalis transposon mutants was constructed and identified fourteen possible genetic factors linked to this inhibitory activity. Characterization of this inhibition indicated that A. faecalis suppressed S. aureus planktonic and biofilm growth via a contact-dependent mechanism, with pronounced effects during biofilm attachment phase. In a Caenorhabditis elegans …

Kinetic Analysis Of Hydrolysis And Hydrothermal Conversion Of Methyl Cellulose To Dodecane, Joseph Olembo Were

Electronic Theses and Dissertations

Environmental pollution due to emission of greenhouse gases and increasing global energy demand are some of the concerns associated Analysis with the use of fossil fuels. These concerns have triggered the exploration of sustainable and efficient methods for renewable energy production. One such method is the conversion of cellulosic biomass to hydrocarbon fuels using hydrogen bronze metals. Cellulose is the most abundant biomass globally, and thus its utilization can lead to more sustainable energy production. Previous studies have reported the conversion of cellulose to hydrocarbons at high temperatures and hydrogen pressure. This work focuses on the conversion of methyl cellulose …

Student Performance And Course Modality: The Relationship Between Outcomes, Modality, And Course Subject, Olivia Baxley

Electronic Theses and Dissertations

The purpose of this quantitative study was to identify if a significant relationship existed between teaching modality and student performance outcomes while also considering the factor of course subject being taught during the 2021-2023 academic years. Three courses were included in the research: Math 1630 Finite Mathematics, English 1010 Composition I, and Biology 1110 General Biology. Each of the three courses are introductory level courses in the math, English, and science subject. The study also included statistical analysis on gender as related to student performance outcomes.

The findings presented of this research showed a significant relationship between teaching modality and …

Brand Media And Health Perceptions: A Thematic Analysis Of Generational Differences, Julie Irene Diaz

Electronic Theses and Dissertations

This thesis explores the influence of brand identity and media on shaping evolving perceptions of health across generations. The three generations considered are Generation X, Millennials, and Generation Z. The initial hypothesis predicted the popular media and brands that each generation interacts with are most likely to influence their perception. Additionally, the health brands most popular with each generation would influence their overall health perception, based on the identity and values of the brand. A qualitative study was conducted using focus groups to gather data about health perceptions, brand identity, media influence, and holistic health. The findings suggest that individuals …

Diversity In Beauty Brand Marketing On Instagram: The Case Of Fenty Beauty, Julia K. Narh

Electronic Theses and Dissertations

Diversity in beauty brand marketing is increasingly important as platforms like Instagram shape consumer perceptions. This study analyzes how Fenty Beauty, MAC Cosmetics, and L’Oréal represent diversity, particularly skin tone, in their Instagram content, using source credibility theory and social identity theory. A content analysis was conducted to evaluate how visual elements relate to engagement, measured by likes, comments, and shares. Findings show that Fenty Beauty features more dark-skinned models than its competitors. However, posts with darker-skinned models do not receive higher engagement. Instead, factors like model attractiveness and hair type, especially curly hair, drive interaction. Although Fenty’s posts generally …

Investigating The Role Of The Hypocretin/Orexin System In A Novel Model Of Polysubstance Dependence, Tyler Zarin

Electronic Theses and Dissertations

Substance use disorders (SUD) in the United States are steadily increasing. Potent and dangerous substances such as methamphetamine (MA) and fentanyl (FEN) are often co-used as a polysubstance (POLY), either intentionally or unknowingly as FEN is a common adulterant. SUD is characterized by physiological and psychological dependence involving the negative reinforcement of anhedonia and withdrawal which drive hypermotivated drug-taking behaviors. Current theory suggests that recruitment of hypocretin/orexin (HCRT) neuropeptide in reward and stress associated brain regions contributes to drug dependence. Despite strong evidence for HCRT’s role in mono-drug dependence, a relevant model for POLY dependence has yet to be developed, …

Intraspecific Genetic Variation In Green Salamanders (Aneides Aeneus) At Bays Mountain Park, Brianna Drake

Electronic Theses and Dissertations

Accurate taxonomy is crucial for conserving vulnerable cryptic species like the green salamander (Aneides aeneus) in the Southern Appalachian Mountains. Prior studies identified three distinct lineages within the A. aeneus complex: Northern Appalachians, Southern Appalachians, and Blue-Ridge Escarpment. One previously collected sample indicated green salamanders in northeast Tennessee fit within the Northern lineage. The present study uses molecular data of A. aeneus at Bays Mountain Park (BMP) in Kingsport, Tennessee, to determine where the BMP population fits within these lineages. It was hypothesized that individuals from BMP belong in the northern lineage. Tail tips were collected from thirty-four …

Ai For Sustainability In Appalachian Businesses: Challenges And Successes, Mariatu Mahmoud

Electronic Theses and Dissertations

This qualitative study examines the perception of Artificial Intelligence (AI) and how this technology can advance sustainable development in small businesses in Central Appalachia. Participants described how they leveraged AI-enabled technologies to address economic challenges as well as how they overcame the technological barriers often associated with emerging technologies. Findings reveal that AI can significantly improve efficiency, streamline workflows, and enhance visibility for Appalachian entrepreneurs. However, the research also highlights challenges, including trust issues, limited resources, and resistance to change, which hinder adoption. Results from this study produce strategies for adopting AI that enable small businesses to integrate innovation while …

Assessing The Utilization Of Building Information Modelling (Bim) In The Preservation Of Cultural Heritage: A Case Study Of Ashe-Street Courthouse, Boluwatife J. Oluwamakinde

Electronic Theses and Dissertations

This study examines how Building Information Modeling (BIM) was used in the Ashe Street Courthouse restoration, with an emphasis on its role in heritage preservation. It follows a context-oriented instrumental case study methodology and a systematic four-step approach: reviewing literature and historical records, conducting semi-structured interviews with renovation architects, and analyzing project documentation. The study compares BIM with traditional methods to assess documentation quality, stakeholder collaboration, and project efficiency. Findings show that BIM increases documentation accuracy through real-time modifications while preserving historical data. It also enhances collaboration by providing a centralized platform for architects, engineers, and preservation specialists, reducing errors …

Forest School Educators’ Approaches And Perceptions Of Teaching, Learning, And Children's Behaviors: A Qualitative Multiple-Case Study, Saundra Stiles

Electronic Theses and Dissertations

This qualitative multiple-case study explored five forest schools in the East Tennessee region of the United States. The aim of this research study was to further the understanding of forest schools. The purpose of this study was to understand and describe forest school educators’ approaches and perceptions to teaching and learning in relation to behavior management, the environment, and challenging behavior, as well as the ways in which forest school educators engage children in learning. This multiple-case study utilized a demographic survey, observations, photographs, focus groups, and semi-structured interviews to collect data. Data were analyzed using two-cycle coding, which revealed …

Cranial Ontogeny Of The Extinct Dwarf Tapir Tapirus Polkensis; With Comparison To That Of The Extant Tapirus Bairdii (Tapiridae, Perissodactyla), Johannah Orendorff

Electronic Theses and Dissertations

Tapirus polkensis is the smallest known species of tapir to ever live, and the largest deposit of their fossils is currently located at the GFS in Gray, TN. Phylogenetics suggest that the extant T. bairdii may be the sister taxon to T. polkensis, although they differ greatly in their morphology. Variation exists among adult T. polkensis specimens, with patterns not present in T. bairdii. For this study, as series of 2D GMAs, with TPSs, were rendered on 10 skulls of T. polkensis and 48 skulls of T. bairdii, across both species’ ontogenetic series. Analyses confirmed that growth …

Drinking Out Of The Fire Hydrant: Educators’ Perceptions Of Well-Being In A Teacher Preparation Program, Corey P. Wolfe

Electronic Theses and Dissertations

The process of becoming a teacher is complex, multi-layered, and often high-stakes. Teacher preparation programs are designed to equip prospective teachers with the foundational skills and knowledge needed for a successful teaching career. In addition to pursuing the academic degree in education, future teachers must meet credentialing and licensure expectations. Because of these expectations, novice teachers are often met with profound feelings of stress and anxiety. The purpose of this research exploration was designed to investigate elementary educators’ perceptions of well-being during their senior year in a pre-service teacher preparation program. Using a qualitative research design, six educators were interviewed …

From Self To Society: How Threat Type And Message Mode Affect Environmental Intentions Among Young Audiences, Lucas Vogt

Electronic Theses and Dissertations

This study examined the influence of threat type (personal vs. societal) and message mode (narrative vs. utilitarian) on young adults’ environmental intentions. Using the extended parallel process model (EPPM), this study argued for expanding the theory to include threat type (societal vs. personal) to clarify how threat is understood. A 2 x 2 factorial design was utilized to test the effects of threat type and message mode on environmental behavioral intentions. A sample of 266 university students participated in an online survey. Based on prior research, this study hypothesized that personal threats would yield the highest levels of environmental behavioral …

Intimate Partner Violence's Impact On Subsequent Relationships, Aurora Sloan

Electronic Theses and Dissertations

Intimate partner violence (IPV) negatively impacts relationships and the partners who engage in them. There has been research done into many facets of IPV relationships, such as risk factors and conflict. However, this thesis aims to answer the question, “How does IPV victimization affect subsequent partner selection, conflict management, experience of safety, and overall perception of the relationship?” In order to answer this question, I surveyed and interviewed previous victims of domestic violence and analyzed the content of their responses to identify common themes.

The Lived Experience Of New Graduate Nurses Implementing Evidence-Based Practice In A Clinical Setting, Kimberly A. Mcfarland

Electronic Theses and Dissertations

The purpose of this qualitative interpretive phenomenological analysis study was to explore the perceptions and lived experiences of new graduate nurses (NGNs) as they implemented evidence-based practice (EBP) in clinical settings. This study addressed the problem that NGNs often lack the skills and confidence to effectively apply EBP, despite its critical role in improving patient outcomes. The research aimed to provide insight into the challenges, support systems, and strategies that influence EBP integration during the transition from student to practicing nurse. The study utilized the interpretive phenomenological analysis methodology to analyze data collected through semistructured interviews conducted via the Teams …

Investigating The Role Of School Leaders’ Feedback In Texas Noncertified Teachers’ Professional Growth And Self-Efficacy, Sonja R. Long

Electronic Theses and Dissertations

The problem addressed in this study was that the role of school leaders’ feedback in noncertified teachers’ professional growth and self-efficacy is unknown. The purpose of this case study was to investigate the perspectives of noncertified teachers’ understanding of their school leaders’ feedback and how those practices contributed to their professional growth and self-efficacy. A qualitative case study approach was used, with data collected from 12 participants across six Texas school districts through semistructured interviews, questionnaires, and classroom observation documents. Data were transcribed, coded, and analyzed thematically, with triangulation and member-checking ensuring credibility. Two key findings emerged. First, supporting professional …

Social Identity And Eating Behaviors: How Cultural Norms Impact Disordered Eating, Cierrah J. Fulenwider

Electronic Theses and Dissertations

Disordered eating behaviors (DEBs), such as frequent dieting, emotional eating, and obsessive “clean eating,” are increasingly prevalent in our society and have been linked to significant physical and psychological health risks. However, the role of sociocultural influences, such as discrimination and social media, are often overlooked. This study examined the relationship between disordered eating behaviors and perceived discriminatory experiences, social media use, physical self-description, and attitudes toward eating among undergraduate college students. The sample consisted of 110 undergraduate students. Participants completed an electronic survey comprised of the Everyday Discrimination Scale-S (EDS-S), Social Media Usage Scale (SMUS), Eating Attitudes Test-26 (EAT-26), …

Longing For The Prodigal: Nonviolent Communication And The Journey From Estrangement To Understanding, Amelia D. Little

Electronic Theses and Dissertations

This study explores how parents who practice nonviolent communication (NVC) navigate conflict with their adult children, offering insights into how collaborative conflict resolution can transform intergenerational relationships. Drawing on family systems theory and sanctification theory, this qualitative study examines how parents shift from coercive and avoidant conflict strategies to become more empathetic and collaborative. Semi-structured interviews with ten NVC-practicing parents demonstrate that NVC extends traditional conflict styles theory (Kilmann & Thomas, 1978) by emphasizing emotional awareness as essential components of effective collaboration. Additionally, narrative analysis highlights how family storytelling reframes past conflicts, fostering relational healing. The study contributes to family …

The Relationship Between Anxiety, Self-Esteem, And Religiosity Among College Students At A Private Christian University, Maximo Fuentes Rojo Jr

Electronic Theses and Dissertations

ABSTRACT This study investigates the relationships among anxiety, self-esteem, and religiosity in a sample of 131 college students attending a private Christian university. Anxiety is a prevalent mental health concern for college students, often leading to detrimental effects on academic performance and overall well-being (Center for Collegiate Mental Health, 2020, 2022, as cited in Tan et al., 2023). Self-esteem, a critical component of self-concept, plays a significant role in mental health outcomes, with lower self-esteem linked to higher levels of anxiety (Baumeister et al., 2003; Beck, 1967). Religiosity has been identified as a potential coping mechanism, offering emotional support and …