Digital Commons Network^™

Approaching Trans Healthcare Competency: The Implementation Of Trans Health Education For Medical Providers In Appalachia, Rebecca Altschuler

Electronic Theses and Dissertations

Barriers to competent and safe healthcare disproportionately impact people who are marginalized because of their race, ethnicity, gender, or socioeconomic status. It is well documented that transgender patients in particular experience barriers to both accessing care and receiving high quality, non-discriminatory care (Hatzenbuehler & Pachankis, 2016; James et al., 2016; Rahman et al., 2019; Safer et al., 2016). This lack of access to culturally competent healthcare services contributes to health disparities that disproportionately impact the trans community. Literature on barriers to competent care for trans patients indicates that providers experience discomfort related to their ability to provide competent care (Safer …

The Modern Classrooms Project: Student Efficacy And Achievement, Rhiannon Dunn

Electronic Theses and Dissertations

This quasi-experimental, quantitative study was completed to determine if a Modern Classroom approach to teaching had a significant relationship with student self-reported efficacy measures and end-of-course test data when compared to classrooms taught with traditional instructional methods as well as if there was a difference in results for Honors and College Prep-level students. Participants were students enrolled in a ninth-grade English classroom in a suburban school in East Tennessee. The study focused on survey data collected from both types of classroom at the mid-point of the semester and then from the Modern Classrooms participants at the end of the semester, …

Exploring The Food Parenting Practices Among Black Immigrant Mothers In Metro Atlanta, Ga, Phoebe Tchoua

Electronic Theses and Dissertations

Introduction: Children of Black immigrant parents living in the US are at elevated risk of being overweight or obese, thus increasing their risks of morbidity and mortality as they age. Parents play a crucial role in shaping their children's nutrition through their food parenting practices, defined as behaviors or actions that affect the child's dietary habits. Three aims guided this study: (1) To examine food parenting practices among a sample of Black immigrant mothers living in Metro Atlanta using a modified Comprehensive Home Environment Survey (CHES); (2) To assess maternal knowledge, attitudes, beliefs, acculturation, and modeling in relation to …

Preference For Abstinence-Based Recovery And Public Stigma Toward Substance Use Disorders, Diamond Meadows

Electronic Theses and Dissertations

The present study drew from the publicly available Amerispeak survey (n = 6,515) and examined public stigma towards different substances, the relationship between preferences for abstinence-based recovery and stigma toward each substance, and whether perceived dangerousness of substances moderates the relationship between preferences for abstinence-based recovery and public stigma. The results indicate that the general public has greater stigmatizing attitudes towards methamphetamine use disorder than cocaine use disorder, opioid use disorder, and alcohol use disorder. Furthermore, a preference for abstinence-based recovery was associated with greater stigmatizing attitudes toward all SUDs. The perceived dangerousness of a substance did not moderate the …

Speech-Language Pathologists’ Perceptions Of The Severity Of Speech Sound Disorder, Alexis Moser

Electronic Theses and Dissertations

Objective: The purpose of this study was to determine speech-language pathologists’ (SLPs’) perceptions regarding the concept of severity of speech sound disorder (SSD).

Methods: An online survey of 40 questions was created using REDCap® and disseminated to currently practicing SLPs across the United States. A total of 296 responses were completed, and data were analyzed using descriptive statistics and coding according to grounded theory.

Results: The top five factors SLPs consider when determining SSD severity are types of errors, intelligibility, perceptual judgment, normative data, and percentile rankings. Most SLPs were unfamiliar with the International Classification of Functioning, Disability and Health …

Cultural Lag Does Not Exist: An Exposition And Critical Evaluation Of W.F. Ogburn’S Hypothesis, Heather L. Osborne

Electronic Theses and Dissertations

Despite a century of scholarly critique, William Fielding Ogburn’s cultural lag hypothesis (CLH) endures. The inclusion of Ogburn’s hypothesis in introductory sociology textbooks, reference books, and histories of technology lends an unwarranted authority to its scientific credibility. I critically assess Ogburn’s CLH and find that it is neither scientifically nor theoretically sound. Specifically, I discover presumptions of cultural integration and normative progressivism, the fallacy of ambiguity, problems of causal explanation, operationalization, and selective bias, which renders the CLH unmeasurable, unfalsifiable, and non-replicable. Finally, I briefly discuss the implications and make suggestions for future research.

Immersive Learning Environments For Computer Science Education, Dillon Buchanan

Electronic Theses and Dissertations

This master's thesis explores the effectiveness of an educational intervention using an interactive notebook to support and supplement instruction in a foundational-level programming course. A quantitative, quasi-experimental group comparison method was employed, where students were placed into either a control or a treatment group. Data was collected from assignment and final grades, as well as self-reported time spent using the notebook. Independent t-tests and correlation were used for data analysis. Results were inconclusive but did indicate that the intervention had a possible effect. Further studies may explore better efficacy, implementation, and satisfaction of interactive notebooks across a larger population and …

Parents' Perception Of Speech-Language Pathologists In Secondary Transition, Madelyn Hunt

Electronic Theses and Dissertations

Speech-Language Pathologists provide services to youth with Down syndrome. The purpose of this study was to (a) determine if parents are aware that speech-language pathologists can provide services to prepare their children for secondary transition; (b) identify the parents’ perceptions of the services provided by speech-language pathologists; and (c) determine if in the parents’ opinion, the speech-language pathologist provided a vital role in preparing their child for transition. Using nonprobability snowball sampling, this cross-sectional mixed-method survey study included 85 parents of youth (ages 14-22) with Down syndrome across the United States. Parents rated their experiences and described their beliefs and …

Understanding The Persuasive Attributes Of Twitch Advertisements: A Study On The Effects Of Current Advertisements And Sponsorships, Colleen Sharkey

Electronic Theses and Dissertations

The research in this study aims to investigate the effectiveness of Twitch’s current advertising option, which includes mid-roll, pre-roll, and sponsored streams. It will focus on usefulness of content, brand credibility, purchase intent, and streamer credibility. Twitch has seen a surge in growth and attention in recent years, with an average of 31 million daily visitors and 1.3 trillion minutes watched globally in 2021 alone (Twitch Sales, 2022). However, despite Twitch’s growing popularity as an entertainment and entrepreneurship platform, little research has been conducted on the impact of its advertising options on brand perception. This study seeks to address this …

The Hysterical Woman: An Analysis Of Trauma In Gothic Women’S Literature And Modern Horror Film, Molly Holdway

Electronic Theses and Dissertations

This thesis explores trauma related to hysteria through themes of confinement, isolation, and motherhood in the works “The Yellow Wallpaper” (1892) by Charlotte Perkins-Gilman, The Haunting of Hill House (1959) by Shirley Jackson, and The Babadook (2014) directed by Jennifer Kent. Hysteria is explored first as a diagnosis and then as a weaponized term meant to keep women facing isolation and grief in a continuous state of oppression. The gothic and gothic horror genres display these themes through the dark nature of the human mind, which is vital in understanding the stories of the female characters discussed and the …

Führer And Father In Flux: Fascism And Desire In The Works Of George Saunders, Don Delillo, And David Foster Wallace, K. Tyler Wick

Electronic Theses and Dissertations

Since the end of World War II, the possibility of fascism and totalitarianism as a global threat continues to proliferate in American art and literature to the point that many individuals paradoxically desire the very things that seek to control them. Postmodern literature often portrays fascism and totalitarianism as it exists under contemporary capitalist systems as a multiplicity of discreet machines operating within objects of desire. These objects are complicated by the 24-hour news cycle and the popularity of solitary, on-demand entertainment that in turn mediates the desires and fears of a population through strict control of information. This thesis …

Exploring Sexual And Reproductive Health Care In Central Appalachia Through The Experiences Of Transgender And Gender Non-Binary People, Chase Harless

Electronic Theses and Dissertations

Background: Transgender or nonbinary (TNB) individuals in the United States experience higher rates of sexual and reproductive health disparities when compared to their cisgender counterparts, along with lower access to care. TNB people in the south experience higher rates of disparities. Societal, interpersonal, and individual barriers contribute to these disparities in the TNB population. However, there is a paucity of research examining the sexual and reproductive health experiences of TNB people living in Central Appalachia.

Methods: An interpretive phenomenological analysis (IPA) research design was used to collect and analyze semi-structured interviews with TNB individuals living in central Appalachia regarding their …

Predicting High-Cap Tech Stock Polarity: A Combined Approach Using Support Vector Machines And Bidirectional Encoders From Transformers, Ian L. Grisham

Electronic Theses and Dissertations

The abundance, accessibility, and scale of data have engendered an era where machine learning can quickly and accurately solve complex problems, identify complicated patterns, and uncover intricate trends. One research area where many have applied these techniques is the stock market. Yet, financial domains are influenced by many factors and are notoriously difficult to predict due to their volatile and multivariate behavior. However, the literature indicates that public sentiment data may exhibit significant predictive qualities and improve a model’s ability to predict intricate trends. In this study, momentum SVM classification accuracy was compared between datasets that did and did not …

A Comparison Of The Expressive Language Characteristics In Schizophrenia And Wernicke’S Aphasia, Taylor Thomas

Electronic Theses and Dissertations

Mental illness and language disorders are rarely linked together as a way of making a comparison. In this study, a comprehensive scoping review was initiated to discuss the differential diagnostic characteristics of expressive language in Schizophrenia and Wernicke’s Aphasia (WA). This study will examine the domains of language where there are overlaps between the characteristics of expressive language. Semantics, pragmatics, and discourse will be further examined while comparing what aspects of expressive language are key in each domain. Schizophrenia being classified as a mental illness and WA being classified as an acquired language disorder, there are fundamental properties of language …

Selecting Classroom Grading Practices: A Qualitative Study Exploring Teacher Experiences, Tallye Gass

Electronic Theses and Dissertations

The purpose of this qualitative research was to understand the experience of selecting grading practices for a high school math or English classroom. There is no existing research related to understanding this phenomenon. This phenomenological study included three participants who were purposefully selected based on specific criteria: They must teach math or English in grades 9, 10, 11, or 12 and have at least three years of teaching experience. The participants were interviewed using videoconferencing software, and the interviews were recorded and transcribed. Open and axial coding was used to analyze the data. The theoretical framework applied for the interpretation …

Assessing A Pandemic: Spatiotemporal Analysis Of Covid-19 In Tennessee School-Age Children, Omobolaji Olawuyi

Electronic Theses and Dissertations

This study is a spatiotemporal analysis of the COVID-19 pandemic in school-age children (5-18 years) in Tennessee, from 2020-03-19 to 2022-02-12. Trend Analysis, Emerging Hot Spot Analysis, and a time series revealed three significant waves in both age groups. Therefore, Change Point Detection at the county level was completed using six defined change points to identify the wax and wane of the three COVID-19 waves. Hierarchical Cluster Analysis grouped counties with similar change points into six clusters. No spatial pattern was observed in distribution of the six clusters, however, when each change point was evaluated separately, spatial autocorrelation was present, …

Youth-Friendly, Person-Centered Contraceptive Care For Adolescents: Exploring The Capacity Of Safety-Net Clinics In Alabama And South Carolina, Kristen Surles

Electronic Theses and Dissertations

Introduction: In recent years, high quality contraceptive care for adolescents has shifted away from tiered effectiveness counseling and toward youth-friendly, patient-centered counseling (YFPCCC). YFPCCC is essential in the South, which has higher rates of sexual activity, lower rates of contraception use, and higher teen birth rates. This study examined Southern clinics’ characteristics which support YFPCCC and youth’s perceptions of the contraceptive care they receive.

Methods: This mixed methods study examined secondary data collected in two surveys and primary data collected through key-informant interviews. The first survey examined clinic characteristics impacting YFPCCC, and the second survey examined adolescents’ (aged 16-24) perspectives …

The Reinforcement Enhancing Effects Of Delta-9-Tetrahyrdrocannabinol (Thc) In Male And Female Rats, Kynah Walston

Electronic Theses and Dissertations

Cannabis is widely consumed by humans for pharmacological effects that are mediated by THC, though there is little evidence that THC is a primary reinforcer in non-human animal models. We hypothesized that THC may have potent reinforcement enhancing effects, comparable to other drugs (e.g., nicotine and caffeine) which are also widely consumed by humans, but difficult to establish as primary reinforcers in non-humans. In three experiments with male and female rats saccharin (SACC) or a visual stimulus (VS) served as reinforcers for operant behavior. We explored several pharmacological parameters of THC on responding for SACC or VS, including THC dose, …

Resident Assistants As Students And Personnel During The Covid-19 Pandemic, Amy Korstange

Electronic Theses and Dissertations

This qualitative phenomenological study explored the experiences of students working as resident assistants (RAs) in college or university housing departments during the March 2020 COVID-19 shutdown. Twelve current and former RAs participated in qualitative interviews exploring their experience as their institutions shut down because of COVID-19. Three broad categories of experience were found: RAs who were considered essential employees and required to work during the pandemic, RAs who were given the option of working during the pandemic, and RAs who were laid off at the beginning of their pandemic. The central research question was regarding the perceived experience of RAs …

Witness, Revival, Testimony, Laura Ann Schroeder

Electronic Theses and Dissertations

The artist, Laura Ann Schroeder, discusses her Master of Fine Arts thesis exhibition, Witness, Revival, Testimony, which was installed at Tipton Gallery in Johnson City, TN from March 2, 2023 through March 31, 2023, with a public reception held on March 24, 2023. The exhibition consisted of a collection of sculptural works and installations that evoke scenes and memories from the artist’s childhood. This body of work deconstructs the traditional family dynamic and the private domestic space through recreations of everyday life. The artworks are primarily made with repurposed consumer textiles and techniques like stitching and quilting that have historically …

Bibliotherapy: A Literary And Linguistic Analysis Of Literature, Matthew Curry

Electronic Theses and Dissertations

Bibliotherapy—the process of utilizing literature for its therapeutic properties—has been around for centuries; however, it wasn’t until a surge of research in the 1920s that the process became recognized as an adequate method of therapy. With the rising mental health crisis looming over the United States, the time to develop, establish, and advocate for a bibliotherapeutic curriculum in K-12 public education is now. Using literary works such as Gary Paulsen’s Hatchet, Helena Fox’s How it Feels to Float, and Laurie Halse Anderson’s Speak, this thesis establishes the literary, therapeutic, and pedagogical reasoning for the implementation of such …

Dyadic And Ecological Associations With Intimate Partner Violence (Ipv): Using Hierarchical Linear Modeling To Differentiate Ipv From Community Crime, Rachel Carpenter

Electronic Theses and Dissertations

Research on intimate partner violence (IPV) and intimate partner sexual violence (IPSV) has largely focused on individual and dyadic-level risk factors, but recently studies have explored how the surrounding environment is associated with IPV/IPSV. Studies that have explored community-level variables typically only use IPV/IPSV samples and do not first compare indicators of IPV/IPSV to those of general crime in those same communities. To address these gaps, this study was conducted in two parts. Data were retrieved from the Tennessee Bureau of Investigation Reporting System, County Health Rankings and Roadmaps System, the US Census Bureau, and other sources. Study 1 first …

A Score Of Voices: Creating And Scoring An Original Film With A Cappella Choir, Zachary James Moore

Electronic Theses and Dissertations

Film scores typically feature large instrumental ensembles, sometimes with choir added at pivotal moments. Rarely, however, is the choir entrusted with a greater percentage of the score, and far too scores explore the sonic potential that vocal music has to offer. In fact, in a recent study of 800 films, none contained a score that was completely c. Thus, the body of unaccompanied choral film scores is practically non-existent. This curious gap in repertoire inspired me to create the documentary Downstream (2023) and score it entirely with an unaccompanied choir. The full score to this new work is contained within …

Impacts Of Online Debate On Ipda Inter-Team Communication, Ethan Riley Arbuckle

Electronic Theses and Dissertations

This paper looks to analyze the differences in inter-team communication created by the International Public Debate Association’s (IPDA) switch to the virtual debate format. The analysis includes a breakdown of literature covering virtual communication, the history of the IPDA, and virtual debate. Literature has shown negative gender representation, and that virtual communication has significant internal batters to the same function as face-to-face communication. Given the impacts that virtual communication has had on connectivity, and speech patterns this research attempts to find if those impacts have been consistent in its application to the IPDA. The study uses a quantitative survey methodology …

Narratives Of Existence And The Narrative Existence: Ontological Unity In The Border Trilogy And Quantum Theory, Rebecca Leigh Mcintosh

Electronic Theses and Dissertations

Because the humanities and the sciences approach philosophical questions in contrasting ways, the study of literature and the study of physical science are often viewed as unrelated realms of scholarly inquiry. Science aims to provide a methodological approach for gathering knowledge about the world, while the humanities focus on criticism or analysis of cultural artifacts. However, even though the conceptual frameworks applied in scientific study and literary study are often incompatible or remarkably divergent, their methods for conceptualizing and transmitting ideas are the same, for humanity understands the world and experience of this world through narratives composed of referential metaphors. …

Adverse Birth Outcomes: Investigating The Role Of Nativity And Perceived Racial Discrimination Among Black Mothers Enrolled In Des Moines, Iowa Healthy Start., Kendria Kelly-Taylor

Electronic Theses and Dissertations

Birth outcomes for Black women in the United States (US) are disproportionately worse in comparison to non-Black women, even when controlling for potential confounders. Existing studies suggest foreign-born (FB) Black women present better birth outcomes in comparison to US-born (USB) Black women. Also, the longer FB Black women live in the US, the more their perinatal health advantage diminishes. Racial discrimination has been hypothesized as a potential reason for this decline. This dissertation investigates the relationship between nativity and adverse birth outcomes while also exploring how the reporting of racial discrimination impacts birth outcomes among FB and USB Black mothers …

Menstruation Stigma: A Qualitative Exploratory Study Of The Lived Experiences Of Nepali Women., Imisha Gurung

Electronic Theses and Dissertations

Despite the numerous challenges and barriers that menstruation taboos and stigma pose to the health and well-being of Nepali women and girls, this problem has received little attention in Nepal and has been under-researched. This study fills a critical gap in our understanding of the lived menstruation experience of Nepali women utilizing a qualitative descriptive approach in Kathmandu, Nepal. The data collection comprised in-depth, semi- structured interviews with 22 Nepali women. The findings provide various influencing socio- cultural factors at multiple levels of socioecological model that shapes the lived menstruation experiences of Nepali women and the impact on their mental, …

Land Tenure And The Urban Institutional Politics Of Sustainability: How Sustainability "Lands" In The Relationships Between Global North And South Contexts., Lindsey Connors

Electronic Theses and Dissertations

Sustainability is not simply a moral concept but is essential for human survival, and the tensions inherent in sustainable development bear repercussions that are increasingly placed onto the poor and powerless (Redclift 1987). While sustainability has become a relevant concept for urban knowledge and research especially in the global South, much of our urban sustainability knowledge is shaped by research and typologies from the global North (Nagendra et al. 2018; Parnell & Robinson 2017; Roy 2005). This dissertation considers the spatial transferability of sustainability knowledge from a relational perspective (Massey 2002). Sustainable development can be understood from this perspective as …

Peer Perceptions Of Parent-Students Seeking Higher Education, Alexandria M. Wall

Electronic Theses and Dissertations

With a growing number of parents pursuing academia, it is imperative that researchers understand the social environment in which parent-students function. Stereotypes of parent-students may be held by peers, faculty, and other educational supervisors. Across two previous independent studies, evidence and rationale were provided to suggest that both positive and negative perceptions of parent-students exist, with noted differences between gender. The purpose of the current 2x2x2 between-subjects study was to analyze the social perceptions of students enrolled in higher education as varied by parenthood status, age, and gender. The social perceptions included measures accounting for perceptions of intelligence and academic …

Developing The Nonprofit Theatre: Building A Foundation For The Emerging Theatre Company, Kelsey Mcmillan

Electronic Theses and Dissertations

This paper aims to guide entrepreneurial theatre artists in beginning a nonprofit theatre arts venture. It will provide an in-depth analysis of the foundations required to begin a nonprofit theatre organization and analyze the need for expanding upon traditional structures and styles. Incorporating evidence and research from relevant literature, coursework, and market data as well as analysis of a strategic plan for The Common Theatre Company, this paper finds that non-profit theatre companies can be positively served by developing unique products and services and a nontraditional governance model as an extension of the foundational needs of a nonprofit organization. The …