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Reentry For Formerly Incarcerated Individuals: A Focus On Workforce Reentry And Recidivism In Appalachia, Margaret E. Francisco Aug 2025

Reentry For Formerly Incarcerated Individuals: A Focus On Workforce Reentry And Recidivism In Appalachia, Margaret E. Francisco

Electronic Theses and Dissertations

Formerly incarcerated individuals face challenges to successful reentry, a critical component of reducing recidivism and improving public health outcomes. These challenges are particularly acute in rural Appalachia, where structural disadvantages such as limited economic opportunities, healthcare access, and public transportation intersect with stigma and systemic barriers related to prior incarceration. This dissertation addresses these gaps through a mixed-methods examination of reentry and recidivism, grounded in public health frameworks and focused on the unique context of rural Appalachia.

This work includes three studies. First, a PRISMA-guided systematic review synthesized qualitative research on barriers and facilitators to employment following incarceration. Findings highlighted …


Empowerment Through The Sisters Lifting As We Climb Network: Examining The Organization’S Impact On Black Women, Sharnay Hearn Davis Aug 2025

Empowerment Through The Sisters Lifting As We Climb Network: Examining The Organization’S Impact On Black Women, Sharnay Hearn Davis

Electronic Theses and Dissertations

This phenomenological case study examines the role of empowerment within the “Sisters Lifting as We Climb Network” through the experiences of Black women participants in Pittsburgh, Pennsylvania. Utilizing in-depth semi-structured interviews, the research investigates the organization's origins, evolution, and social support mechanisms that foster empowerment, as well as participants' experiences with programs and activities over the past nine years. Additionally, the study identifies areas for organizational improvement to further enhance participant empowerment.

The findings of this research support the empowerment theory framework by clarifying the preconditions, processes, and outcomes of empowerment within the Network, which fosters sisterhood and enhances participants' …


An Examination Of Legal Status, Law Enforcement Perception, And Crime Victimization And Reporting Among Hispanic Immigrants, Guadalupe C. Cabrera Aug 2025

An Examination Of Legal Status, Law Enforcement Perception, And Crime Victimization And Reporting Among Hispanic Immigrants, Guadalupe C. Cabrera

Electronic Theses and Dissertations

This study relied on in-depth interviews with naturalized citizens and lawful permanent resident Hispanic immigrants to explore their perceptions of law enforcement and experiences with crime victimization and reporting. Past literature has explained that the absence of legal status may deter crime reporting. We added to this body of work by investigating relationships among legal status, trust, and reporting behaviors. This study finds that direct experiences with law enforcement and acquired knowledge may be a better indicator of law enforcement trust and crime reporting compared to legal status. While most participants expressed trust in law enforcement, others felt neutral due …


Perceptions Of First-Year College Students On Respect In The Classroom During Their High School Career, Jane Adele Bailey Aug 2025

Perceptions Of First-Year College Students On Respect In The Classroom During Their High School Career, Jane Adele Bailey

Electronic Theses and Dissertations

This study examines the influence of teacher respect on classroom climate, student- teacher relationships, and academic performance. Through interviews with college students reflecting on their high school experiences, this research identifies specific teacher actions and communication that foster respect in the classroom. By identifying what respectful communication and actions are through the interviews, teachers will be able to use these in their classrooms.

Six themes were identified by the participants lived experiences. They are: teacher demeanor, social interaction, attitude, emotional support, instructional management and facilitation, and listening. The results gave specific actions and communication, in the eyes of the participants, …


Beyond The Individual: A Dyadic Mixed-Methods Study Of Work–Life Balance In Entrepreneurial Households., Juliana Binhote Aug 2025

Beyond The Individual: A Dyadic Mixed-Methods Study Of Work–Life Balance In Entrepreneurial Households., Juliana Binhote

Electronic Theses and Dissertations

Entrepreneurs operate at the intersection of work and family systems; yet, their experiences with work–life balance (WLB) remain underexplored—particularly in relational contexts. While existing research highlights the psychological demands of entrepreneurship, it often overlooks how family dynamics shape entrepreneurs’ experiences of balance, conflict, and boundary management. Guided by boundary theory, conservation of resources theory, and the goal attainment balance model, this dissertation investigates the question: How do entrepreneurs experience and make sense of their work-life balance? To answer this question, I designed a dyadic exploratory mixed-methods study. In Study 1, I conducted in-depth interviews with family business entrepreneurs and their …


An Exploration Of Lgbtq+ Runner Motivation And Constraints., Michael Clemons Aug 2025

An Exploration Of Lgbtq+ Runner Motivation And Constraints., Michael Clemons

Electronic Theses and Dissertations

Running offers extensive benefits beyond physical fitness, encompassing mental, emotional, and social advantages. However, LGBTQ+ individuals face unique challenges in participating in the running community, which remains predominantly White, cisgender, and heterosexual. With the LGBTQ+ population in the U.S. growing, there is a need to understand their motivations and barriers to participation in running events and training groups. This study explores these motivations using self-determination theory, comparing LGBTQ+ and non-LGBTQ+ runners to identify differences in driving factors such as social connectivity, self-esteem, and competition. Additionally, it examines barriers LGBTQ+ runners face, ranging from structural obstacles to intrapersonal challenges, and how …


Analysis Of An Ethanol Sensitive Bmp-Nkx2.3-Fgf Signaling Pathway In Pouch Morphogenesis., Hieu Dai Le Vo Aug 2025

Analysis Of An Ethanol Sensitive Bmp-Nkx2.3-Fgf Signaling Pathway In Pouch Morphogenesis., Hieu Dai Le Vo

Electronic Theses and Dissertations

Craniofacial malformations lie at the heart of Fetal Alcohol Spectrum Disorders (FASD). While there is growing evidence for a genetic component to FASD, little is known of the cellular mechanisms underlying these ethanol-sensitive loci in facial development. Bone Morphogenetic Protein (Bmp) signaling pathway dependent pouch formation is a key mechanism in facial development. We have previously shown that multiple Bmp mutants are sensitized to ethanol-induced facial defects. However, ethanol does not directly impact Bmp signaling. This suggests that downstream effectors, like nkx2.3 and Fibroblast Growth Factor (Fgf) signaling, may mediate the impact of ethanol on Bmp mutants. Here, I …


Reclaiming Space: Unhoused Population And Their Use Of Public Libraries., Marcellos Desmond Jackson Aug 2025

Reclaiming Space: Unhoused Population And Their Use Of Public Libraries., Marcellos Desmond Jackson

Electronic Theses and Dissertations

This study explores how unhoused individuals navigate and utilize the spatial dynamics of public libraries, with a specific focus on how they assert agency into the public space. Public space is examined at the institutional level and through the influential roles of individual workers. Public libraries serve as both refuge and resources for unhoused individuals, and this study highlights the complex dynamics that arise within them. Drawing on observations and informational informal interviews, I examine how unhoused people utilize and navigate the physical space of a public library in a large metropolitan area. I find that unhoused people adapt to …


An Exploration Of Factors Influencing Sophomore-Year Persistence At A Regional Institution In Southern Appalachia, Jonathan W. Mitchell Aug 2025

An Exploration Of Factors Influencing Sophomore-Year Persistence At A Regional Institution In Southern Appalachia, Jonathan W. Mitchell

Electronic Theses and Dissertations

The purpose of this qualitative and interpretative phenomenological study was to explore factors that participants identified as playing roles in their persistence through their sophomore years at a regional university located within Southern Appalachia. Research on second-year retention efforts is far lacking compared to first-year retention efforts. Reflecting the heavy emphasis placed on the first year, there is also more research on first-year retention. However, students can feel a sharp decline in support entering sophomore year, making that just as critical of a transition. Student retention has been emphasized in higher education since its inception, as an institution’s goal in …


Role Of Cellular Proteins In The Regulation Of Herpes Simplex Virus Type 1 Gene Expression And Dna Replication, Joseph R. Heath Aug 2025

Role Of Cellular Proteins In The Regulation Of Herpes Simplex Virus Type 1 Gene Expression And Dna Replication, Joseph R. Heath

Electronic Theses and Dissertations

Herpes simplex virus type 1 (HSV-1) is a ubiquitous human pathogen that infects the majority of the human population. To facilitate infection, this virus relies on a combination of host and viral factors. Previous studies have revealed a number of host proteins that associate with the HSV-1 genome throughout infection but their putative role(s) in this process remain undefined. This study aims to examine two such proteins to determine their contributions to HSV-1 gene expression and DNA replication. The first of these factors is Ints3, a subunit of the Integrator complex. This protein complex functions in transcription regulation, and Ints3 …


Examining The Lived Experiences Of International Students At East Tennessee State University, John The Baptist Anodjo Aug 2025

Examining The Lived Experiences Of International Students At East Tennessee State University, John The Baptist Anodjo

Electronic Theses and Dissertations

This research investigates the lived experiences of international students at East Tennessee State University (ETSU), specifically examining how they navigate social, academic, and structural challenges. Through in-depth interviews with 20 international students from a variety of nationalities, I analyzed issues related to legal status, housing, food insecurity, healthcare, and social integration. I found that students encounter barriers due to immigration policies, financial constraints, and limited access to essential resources. Additionally, international students benefit significantly from support provided by campus services, community organizations, and their social networks, which play a vital role in their adjustment process. While institutional resources are beneficial …


"No One Leaves For Free": A Media Analysis Of The Lived Experiences And Cumulative Impacts Of The Flint Water Crisis., Jordan Leigh Gatewood Aug 2025

"No One Leaves For Free": A Media Analysis Of The Lived Experiences And Cumulative Impacts Of The Flint Water Crisis., Jordan Leigh Gatewood

Electronic Theses and Dissertations

In April 2014, the city of Flint, Michigan changed their municipal water source from Lake Huron to the Flint River. The effects of this change have been felt far and wide as news broke across the nation that this water was contaminated with lead and residents of Flint were getting sick. This research analyzes 170 news articles from three local and three national news outlets over a 10-year span, 2014 to 2024, to determine how community voice is presented in news media to portray the lived experiences and cumulative impacts of the Flint Water Crisis. Applying a Critical Environmental Justice …


Deaf Faculty Members’ Experiences In Higher Education Institutions, Stephanie Proctor Horvath Aug 2025

Deaf Faculty Members’ Experiences In Higher Education Institutions, Stephanie Proctor Horvath

Electronic Theses and Dissertations

Deaf faculty members bring diverse perspectives to higher education, yet their experiences remain underexplored in academic research. The critical first year of teaching can shape their career experiences, revealing both opportunities for growth and systemic barriers. The purpose of this study was to understand deaf faculty members’ experiences, focusing on their transition into academic roles, the accommodations provided in their workplaces, and the challenges they faced. This study employed a qualitative phenomenological design, utilizing semi-structured interviews with 15 Deaf faculty members, whose teaching experience ranges from 1 to 30 years. In the reflexive thematic analysis and AI-coding of this data, …


Exploring Factors Influencing Care And Outcome Among Stroke Patients In Tennessee, Omodele Agbejimi Aug 2025

Exploring Factors Influencing Care And Outcome Among Stroke Patients In Tennessee, Omodele Agbejimi

Electronic Theses and Dissertations

Introduction: Stroke is the fifth leading cause of death in Tennessee. Socioeconomic variables influence the delivery of stroke treatment and its outcomes. Despite advances in acute stroke care, the burden of stroke keeps increasing. This study aimed to explore literature on factors contributing to stroke care and outcomes in the U.S., assess the determinants of stroke patients’ outcomes, and examine the geographical disparities in stroke hospitalization and stroke death rate and their association with stroke care accessibility in Tennessee.

Methods: A scoping review was conducted using socio-ecological models to explore literature on factors contributing to stroke care and outcomes. A …


The Diversity Of Our Weightlifting Uniforms: A Qualitative Analysis Of The Experiences Of Gender And Sexual Minorities In Gyms, Rachel M. Schott Aug 2025

The Diversity Of Our Weightlifting Uniforms: A Qualitative Analysis Of The Experiences Of Gender And Sexual Minorities In Gyms, Rachel M. Schott

Electronic Theses and Dissertations

Gender and sexual minority (GSM) populations experience significant mental and physical health disparities compared to their cisgender, heterosexual counterparts. A particularly understudied modality that may contribute to these disproportionate health outcomes is decreased engagement in physical activity (PA). Gyms are a primary source for PA, yet understanding GSM experiences in these spaces is relatively understudied. The purpose of the present study is to better understand the experiences of GSMs in gym spaces with an emphasis on barriers and facilitators to their engagement. We conducted semi-structured phone interviews among self-identified gender and sexual minorities across the U.S. Thematic analysis was used …


The Intersection Of Appalachian Identity And Gambling Behavior, Noah S. Anderson Aug 2025

The Intersection Of Appalachian Identity And Gambling Behavior, Noah S. Anderson

Electronic Theses and Dissertations

This study examined the relation between Appalachian identity and gambling behavior among students in central Appalachia (n = 395). One-way ANOVAs revealed no significant differences in engagement, F(2, 392) = 0.65, p = .523, or severity, F(2, 392) = 0.33, p = .718, across identification groups. Moderated regression showed that identity did not significantly moderate the engagement–severity relation (B = 0.073, p = .099), though engagement itself was a strong predictor of harm (B = 0.696, p < .001, R² = .521). Negative affect predicted both engagement (B = 0.074, p = .001) and severity (B = 0.069, p = .001), while identity remained non-significant. Logistic regression found that identity predicted gambling engagement (Exp(B) = 1.18, p = .034) only when controlling for severity. These findings relay the importance of empirical efforts in Appalachia and suggest that Appalachian identity may not be an independent risk factor in gambling behavior.


Evaluating Online Autism Information: A Content Analysis Of Language, Quality, And Interventions, Jada R. Beal Aug 2025

Evaluating Online Autism Information: A Content Analysis Of Language, Quality, And Interventions, Jada R. Beal

Electronic Theses and Dissertations

The internet is a widely used source of autism-related information, yet previous studies demonstrate that the quality, accuracy, and language used in such content remain inconsistent. This study conducted a content analysis of 356 autism-related internet sources obtained from top Google search results, examining their use of neurodiversity-affirming language, the quality of health-related information, and the inclusion of evidence-based interventions. Results showed that medical model language and person-first terminology were more common than neurodiversity-affirming language. Sources targeting caregivers were significantly more likely to use medical model language than those aimed at autistic adults. Only 12.92% of sources included quotes or …


Integrated Stem Education For In-Service K-5 Elementary Teachers: Definitions, Self-Efficacy, And Teaching Practices, Amani Alhassan Aug 2025

Integrated Stem Education For In-Service K-5 Elementary Teachers: Definitions, Self-Efficacy, And Teaching Practices, Amani Alhassan

Electronic Theses and Dissertations

Increasing interest has been evident in implementing integrated science, technology, engineering, and mathematics (STEM) teaching in public schools. However, teachers need to be professionally prepared and increase self-efficacy in teaching integrated STEM in their classrooms. Little is known about how teachers' self-efficacy in teaching integrated STEM is related to teachers' practices around STEM integration, particularly in K-5 classrooms.

This convergent mixed-methods study involved surveys with open- and close-ended questions to determine the integrated STEM perceptions, definitions, classroom teaching practices, and self-efficacy level in teaching integrated STEM for 79 northeast Tennessee K-5 teachers. The study also investigated the relationship between teachers' …


In A Safe-Space Of Her Own: Alice's Journey Through A Traumatized Wonderland To Find Attunement And Recovery, Cheston A. Axton Aug 2025

In A Safe-Space Of Her Own: Alice's Journey Through A Traumatized Wonderland To Find Attunement And Recovery, Cheston A. Axton

Electronic Theses and Dissertations

Throughout Alice’s Adventures in Wonderland/Through the Looking-Glass’s 160-year existence, Lewis Carroll’s seven-year-old protagonist has experienced many changes and alterations. With an ever-growing pop culture interest, Alice’s original narrative has undergone numerous adaptations, with each new variation diving deeper into the impact of trauma on Wonderland.

This thesis continues this existing discourse by examining Wonderland’s capacity to facilitate recovery in the aftermath of severe trauma. Through this research, the traumatic experiences of Alice, from Christina Henry’s The Chronicles of Alice: Alice and American McGee’s Alice: Madness Returns, are examined concerning their effect(s) on her construction of Wonderland, as …


The Effects Of Off-Season Evidence-Based Training Block Periodization Program On The Performance Of Soccer Athletes In A Di School: An Exploratory Study, Ibrahim F. Almughathawi Aug 2025

The Effects Of Off-Season Evidence-Based Training Block Periodization Program On The Performance Of Soccer Athletes In A Di School: An Exploratory Study, Ibrahim F. Almughathawi

Electronic Theses and Dissertations

The investigators explored the effects of a two-year evidence-based block periodization strength training program on performance outcomes in NCAA Division I male soccer athletes. The investigators aimed to examine longitudinal changes in body composition, explosive strength, and match-play physical demands, as well as the associations between field-based performance assessment and GPS-derived metrics. Using a retrospective design, data were drawn from a research data repository for athletes who participated in a long-term sport science monitoring program under the same head coach and training conditions. Performance measures included vertical jump assessments (static and counter movement jumps under bodyweight and external load), isometric …


Give Me A Break: Exploring The Use Of A Reset Room On Secondary School Students And Resilient Practices In Tennessee, Alex White Aug 2025

Give Me A Break: Exploring The Use Of A Reset Room On Secondary School Students And Resilient Practices In Tennessee, Alex White

Electronic Theses and Dissertations

The culmination of toxic stress and social-emotional instability can result in significant challenges for students. Incorporating an appropriate response to address the social-emotional needs of students must be a priority if schools seek to see improvements in attendance, discipline, and ultimately academic success. Resilient middle and high schools recognized the need to create innovative spaces for students to learn how to self-regulate challenging emotions during the school day. The purpose of this quantitative research study was to investigate the relationship between chronic absenteeism, office disciplinary referrals, and the use of Resilient Schools Reset Rooms in middle and high schools from …


Idiomatic Compositional Techniques In John Rutter's Requiem, Marguerite Walsh Aug 2025

Idiomatic Compositional Techniques In John Rutter's Requiem, Marguerite Walsh

Electronic Theses and Dissertations

John Rutter is an extremely significant figure in choral music, and his 1985 Requiem is one of his most widely performed works. Despite this popularity, it has yet to be analyzed in a rigorous academic capacity. Requiem is a harmonically rich and sophisticated work, and said lack of previous analysis represents a gap in theoretical research. This thesis analyzes Requiem for significant harmonic structures and idiomatic compositional techniques and applies those techniques in an original composition. Subtopics of note included harmonic non-functionality, modulations, and orchestration. The original work is comprised of two movements for choir and piano respectively titled “Requiem …


An Evaluation Of Key Components Of Natural Resource Camps, Undergraduate Persistence And Success In Natural Resources, Brandy Bishop Aug 2025

An Evaluation Of Key Components Of Natural Resource Camps, Undergraduate Persistence And Success In Natural Resources, Brandy Bishop

Electronic Theses and Dissertations

This study explores the key components that connect natural resource camps, undergraduate persistence, and overall success through gainful employment within the natural resource industry. The aim of this study was to assess early interest and attitudes towards natural resource career pathways and how education interventions shape students’ career outcomes thus leading to overall success. A longitudinal mixed method design was used combining Conservation Careers Camp survey data (n = 39) with institutional records for Forestry majors (n =655) in the Arthur Temple College of Forestry and Agriculture on the Stephen F. Austin State University campus. Quantitative data was analyzed through …


Perceived Leadership Behaviors And Workplace Motivation: The Predictive Role Of Generational Cohorts In The U.S. Construction Industry, Leslie D. Klinegardner Aug 2025

Perceived Leadership Behaviors And Workplace Motivation: The Predictive Role Of Generational Cohorts In The U.S. Construction Industry, Leslie D. Klinegardner

Electronic Theses and Dissertations

The purpose of this study was to examine the extent to which perceived leadership behaviors predicted workplace motivation among construction workers across generational cohorts in the Greater Houston, Texas area. Grounded in self-determination theory, the research explored how transformational, transactional, and passive-avoidant leadership behaviors predicted the satisfaction and frustration of psychological needs for autonomy, competence, and relatedness. The analysis also considered whether leadership behaviors and generational cohort served as significant predictors of workplace motivation outcomes. The study followed a quantitative, predictive, cross-sectional design using survey methodology. Data were collected using the Multifactor Leadership Questionnaire (MLQ) and the Basic Psychological Need …


Exploring The Impact Of Generative Ai To Mitigate Educator Burnout, Katie E. Acevedo Aug 2025

Exploring The Impact Of Generative Ai To Mitigate Educator Burnout, Katie E. Acevedo

Electronic Theses and Dissertations

This qualitative case study examined how sixth–12th grade educators at a single-gender public school in West Texas perceived the role of generative AI in reducing workload, minimizing stress, and supporting professional autonomy. The study focused on concerns related to teacher burnout and the time demands of instructional and noninstructional responsibilities, exploring how emerging technologies might offer practical relief. The study aimed to understand how educators use generative AI tools and identify both the benefits and challenges associated with their integration. Framed by job demand-resource theory, connectivism, and heutagogy, the research explored how generative AI can function as a job resource, …


Overcoming Second-Order Barriers To Teachers’ Technology Integration: A Study Of Positive Impacts, Crystal Ann Hume Aug 2025

Overcoming Second-Order Barriers To Teachers’ Technology Integration: A Study Of Positive Impacts, Crystal Ann Hume

Electronic Theses and Dissertations

This study explored K–12 public school teachers’ self-efficacy, value, and pedagogical beliefs about technology. The teachers worked in a medium-sized, semi-affluent public school district in North Texas. The study investigated second-order barriers to technology integration and what might positively impact teachers’ self-efficacy, value, and pedagogical beliefs. This study used a qualitative descriptive methodology to collect qualitative data about their beliefs by interviewing and observing K–12 classroom teachers who had completed a bachelor’s degree through a traditional teacher education program. Teachers with alternative certifications or noncertified classroom instructors were omitted. Findings revealed that external factors, failure, mistakes, confidence, and professional development …


Principal Self-Efficacy: A Qualitative Study, Vance E. Self Aug 2025

Principal Self-Efficacy: A Qualitative Study, Vance E. Self

Electronic Theses and Dissertations

This qualitative study explored elementary principals’ perspectives on the importance of selfefficacy in relation to management responsibilities, instructional leadership, and moral leadership as they impact student achievement measured by the STAAR in a Central Texas school district. The research addressed the growing challenges principals face in high-accountability environments, focusing on how their beliefs in their leadership abilities affect school performance and student outcomes. The purpose was to examine principals’ views on selfefficacy across three domains and to consider implications for leadership preparation, district support, and policy. The study was grounded in a constructivist paradigm and employed a qualitative case study …


Electronic Health Record Downtime, Grace R. Baldauf Aug 2025

Electronic Health Record Downtime, Grace R. Baldauf

Electronic Theses and Dissertations

Electronic health record (EHR) downtime presents significant challenges to patient safety and care quality in acute care settings, particularly regarding timely medication administration. This project addressed the problem of late or absent medication doses during planned or unplanned EHR downtime. The investigator aimed to evaluate the effectiveness of a structured downtime plan in improving nurses’ ability to administer medications on time during periods of EHR unavailability. The investigator used a quantitative design to implement a downtime plan evaluation paradigm. Data were collected using retrospective chart reviews of medication administration records pre-implementation and postimplementation of the downtime plan. The sample included …


The Impact Of Mindfulness Therapy To Reduce Disruptive Behavior In High School, Wendy Nell Peters Aug 2025

The Impact Of Mindfulness Therapy To Reduce Disruptive Behavior In High School, Wendy Nell Peters

Electronic Theses and Dissertations

The aim of this project was to determine the impact and effectiveness of Gina Biegel’s mindfulness techniques for stressed teens method on adolescent anxiety and the disruptive symptoms that lead to high school adolescents being assigned to detention. This project described a quantitative correlational design research project that investigated a small adolescent sample size, with a goal of decreasing the number of local high school adolescent students who are repeat detention offenders, by implementing Gina Biegel’s mindfulness techniques for stressed teens method on those high school adolescents who were assigned to detention. This was achieved by collecting demographic data from …


Institutional Betrayal And Military Vaccine Mandates: An Inquiry Into Loss Of Health Autonomy Concerning Unlimited Liability Contractual Employment In The Covid-19 Era, Aaron G. Dehaven Aug 2025

Institutional Betrayal And Military Vaccine Mandates: An Inquiry Into Loss Of Health Autonomy Concerning Unlimited Liability Contractual Employment In The Covid-19 Era, Aaron G. Dehaven

Electronic Theses and Dissertations

The balance between government control and personal liberty is a growing concern in the modern world. Nowhere is this more evident than in discussions surrounding government policy in public health and individual health autonomy. The Covid-19 pandemic forced many institutions to change their standard operating procedures by adapting to rapidly changing health guidance instituted to protect public health. These changes highlighted the role of health autonomy and individuals’ rights to refuse medical treatments. The Department of Defense changed many aspects of how it operated during the pandemic, including the mandate of the Covid-19 vaccine for all service members. For various …