Digital Commons Network^™

Distress Tolerance And Sleep Quality: Potential Moderating And Mediating Factors, Alivia Kay Murdock-Frazier

Graduate Theses, Dissertations, and Problem Reports (ETD)

Research has shown that insomnia and poor sleep quality are related to a variety of negative physical and mental health outcomes. There is emerging evidence that the psychological construct of distress tolerance is related to the quality of one’s sleep, including the presence of insomnia. However, few studies have explored how additional factors may be related to this association. This study aimed to replicate previous research supporting the association between distress tolerance and sleep and exploring this relation by examining three different hypotheses (e.g., health behaviors, perceived stress, and emotion regulation) that could potentially explain how these two variables are …

Exploration Of Coping And Mental Health In West Virginia Farmers, Jodi Meadows Richmond

Graduate Theses, Dissertations, and Problem Reports (ETD)

Compared nationally, West Virginia currently ranks lowest for life expectancy, highest for drug related deaths and 35^th for access to adequate health (WV DHHR Organization Assessment & Strategic Plan, 2022). The state also ranks first in the nation for depression with one in four adults experiencing some form of depressive condition each year (CDC, 2020). The rurality of the state may limit social interaction and availability of medical treatment facilities (Brew et al., 2016).

The situation is even more dire for those in farming-related occupations. Farmers often struggle with management stress, utilizing appropriate coping strategies, and accessing mental health …

“Situation Is Out Of Control:” Drug Use, Violence, Resistance, And Politics During The Vietnam War, Andrew Domenic Ray

Graduate Theses, Dissertations, and Problem Reports (ETD)

The Vietnam War was notable because it was a very violent and very public war. Throughout the course of the conflict, the United States imposed anti-guerilla warfare on a grand scale. American soldiers were often given orders to destroy the enemy at all costs; but in a war with no discernable front lines, the difference between combatant and non-combatant was, at best, blurry. The way the war was being fought, coupled with its unpopularity and emerging counterculture at home, made the Vietnam War a hub for illicit drug use among American soldiers. American soldiers use drugs for a number of …

Improving Timely Palliative Care Consultation In The Micu: A Nurse-Driven Quality Improvement Initiative, Sandy Louise Gray

Graduate Theses, Dissertations, and Problem Reports (ETD)

ABSTRACT

Improving Timely Palliative Care Consultation in the MICU: A Nurse-Driven Quality Improvement Initiative

Sandy L Gray

Background: Early palliative care in intensive care units improves outcomes and reduces costs, yet referrals are often delayed. At J.W. Ruby Memorial Hospital’s medical intensive care unit (MICU), baseline median time to consultation was 112 hours (mean=246), exceeding recommended benchmarks and highlighting the need for a standardized process.

Purpose: This quality improvement project evaluated a nurse-driven screening tool to improve timeliness and consistency of palliative care consultations in the MICU.

Intervention: The tool was embedded in the electronic health record (EHR) …

Evidence-Based Lighting Design For Healthcare: Health Effects Of Timed Blue-Light At Night (Blan) On Night-Shift Staff, Seyedeh Nazli Hosseini

Graduate Theses, Dissertations, and Problem Reports (ETD)

The effects of light at night on night-shift clinical staff in healthcare settings is a topic of growing significance, considering the widespread adoption of artificial lighting and the increasing prevalence of night-shift work in the healthcare industry. The intersection of neuroscience and architecture provides a unique lens to explore the intricate relationship between lighting conditions and the circadian hygiene of night-shift medical staff. This project investigates the strategies associated with light exposure schedules for staff during night-shift work in healthcare settings.

Exposure to artificial light at night may contribute to mood disturbances and sleep disorders and consequently affect alertness and …

Communicated Narrative Sensemaking In The Grandparent-Grandchild Relationship, Madison Clara Martin

Graduate Theses, Dissertations, and Problem Reports (ETD)

Storytelling is a primary form of communication between grandparents and grandchildren that has been shown to strengthen relational bonds and enhance grandchildren’s well-being. However, the specific narrative features and interactional processes involved in grandparent-grandchild storytelling remain underexplored, particularly regarding how they influence well-being and perceptions of generational differences. Guided by Communicated Narrative Sensemaking (CNSM) theory, this study examined the content (story framing) and process (interactional sensemaking behaviors) of grandparent-grandchild storytelling episodes as reported by young adult grandchildren (N = 110). Participants completed an online survey in which they recounted a storytelling episode with a grandparent and reported on individual well-being …

A Critical Narrative Inquiry Into The Experiences Of Latino Male Graduate International Students Attending A Pwi, Cesar Miguel Castellon Gort

Graduate Theses, Dissertations, and Problem Reports (ETD)

This qualitative study examines how Latino male international graduate students navigate identity, belonging, and exclusion within U.S. higher education. Although international enrollment has increased, the experiences of this student population remain largely invisible in research and institutional practice. Guided by Intersectionality and Latino Critical Race Theory (LatCrit), this study investigates how intersecting dimensions of race, language, age, gender, and immigration status shape these students’ academic and social experiences. Using a critical narrative methodology, data were gathered through semi-structured interviews and identity web exercises with four participants. Employing story chaining to link individual narratives, four central themes emerged: 1) Racialized and …

Nuclear Reactions: Making Sense Of The Accident At Three Mile Island, Jordan Emily Bennett

Graduate Theses, Dissertations, and Problem Reports (ETD)

This thesis examines the causes and consequences of the nuclear accident at Three Mile Island in March of 1979. First detailing the event, this thesis then examines activist narratives following the accident, with a particular focus on women’s “motherist” activism in the community outside the plant, before turning to questions of memory and the creation of a public memory of survivorship in the community surrounding the plant. In considering these questions, this thesis seeks to shed light on the differences between official and communal narratives of the accident in an effort to understand the impacts that the partial meltdown at …

Revitalizing The Urban Riverfront: Redesigning The West End Bridge In Pittsburgh,Pa For Sustainable Multi-Use Connectivity And Public Space Creation., Mina Kargari Rezapour

Graduate Theses, Dissertations, and Problem Reports (ETD)

Urban waterfronts are critical assets for cities, offering opportunities for ecological restoration, public engagement, and multi-modal transportation. However, many riverfronts remain underutilized due to infrastructure barriers and lack of accessibility.

Pittsburgh’s riverfront is dynamic asset that supports recreation, cultural expression, and community interaction. The Three River Heritage Trail Loop, a visionary project led by River Life over the past 20 years, seeks to connect diverse neighborhoods and natural assets along the city’s rivers. At the heart of this initiative is the West End Bridge, serving as the bookend and a pivotal gateway to complete the loop and critical link for …

An Analysis Of Usopc National Governing Body Policies Related To Body Pressures, Body Image Concerns, And Eating Pathology, Sarah Margaret Sadler

Graduate Theses, Dissertations, and Problem Reports (ETD)

Athletes are often exposed to body pressures in sport environments (Voelker & Reel, 2020), which can contribute to body image concerns and eating pathology (Petrie & Greenleaf, 2007, 2012) with lasting consequences for performance and well-being. Although research has highlighted the harmful impacts of these concerns, and has called for a broader investigation into the sources of athletes’ experiences of these concerns (Voelker et al., 2022), little is known about the role of sport organizations in influencing athletes’ body pressures, body image concerns, and eating pathology. Using a descriptive qualitative research design within a post-positivist paradigmatic approach, the current study …

Neurobiological Variables Mediating The Relationship Between Breast Cancer And Sleep Disruption, Brittany Domenique Elliott

Graduate Theses, Dissertations, and Problem Reports (ETD)

Neurobiological Variables Mediating the Relationship between

Breast Cancer and Sleep Disruption

Brittany D. Elliott, MS

Breast cancer is the most commonly diagnosed malignancy in women, with more than two million new cases diagnosed world-wide each year. Improvements in screening technology and diagnostics have increased survival rates, but cancer-associated sleep disruptions persist for the majority of breast cancer survivors well beyond the treatment period. In addition to reducing quality of life, reduced sleep quality is associated with greater incidences of affective dysfunction, reduced treatment efficiency, aggressive cancer progression, increased symptom severity, and increased mortality by all causes. Thus, identifying the variables …

Trauma-Informed Yoga As An Adjunct To Treatment As Usual Within Inpatient Substance Use Disorder Treatment: A Feasibility Trial., Suzanne Vogler

Graduate Theses, Dissertations, and Problem Reports (ETD)

Yoga interventions have been used more frequently in recent years within health and wellness settings to address both clinical and non-clinical issues. More specifically, yoga interventions and trauma-informed yoga (TIY) interventions are being explored within the treatment of substance use disorders (SUD). Initial research suggests that yoga interventions could be beneficial to the treatment of SUDs as an adjunct to treatment or a stand-alone intervention as part of continued recovery (post-clinical treatment) (Fitzgerald et al., 2021; Mallik et al., 2019). Although initial research is promising, the current quantity and quality of studies specifically exploring the feasibility and potential benefit of …

Extinction Bursts Reexamined: The Role Of Consummatory Time And Response Reallocation, Braden Toler

Graduate Theses, Dissertations, and Problem Reports (ETD)

Two experiments were conducted to examine how the removal of the opportunity to consume reinforcement and the reallocation of that time might account for extinction bursts during within-session transitions from FR 1 to extinction. In Experiment 1, rats and pigeons were trained under FR 1 schedules and subsequently exposed to within-session extinction. Total counts of responses suggested that extinction bursts occurred for each subject, but when adjusted to exclude responses that would have overlapped with food consumption, no bursts were observed. In Experiment 2, pigeons experienced four extinction arrangements: conventional extinction, response-independent reinforcement, conditioned reinforcement, and differential reinforcement of alternative …

History Of Federal International Education Policy (1900-2024): A Four-Dimensional View In Action, Winda Wastu Melati

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation examines the history of the evolution of United States international education policy from 1900 to 2024, employing document analysis methodology to explore key themes that have shaped its trajectory. The study utilizes Cooper et al.'s (2004) Four-Dimensional View of Policy theory (normative, structural, constituentive, and technical) to analyze the complex interplay between diplomatic objectives, economic considerations, national security concerns, immigration, internationalization of higher education, and international students in the United States. The research traces major policy shifts from early initiatives like the Boxer Indemnity Scholarship Program to post-9/11 security measures and recent administrative changes by examining primary sources …

A Randomized Controlled Trial Of Group Telehealth Workshops Based On Parent-Child Interaction Therapy For Caregivers Of Children With Autism Spectrum Disorder, Erinn J. Victory

Graduate Theses, Dissertations, and Problem Reports (ETD)

Autism spectrum disorder (ASD) is a neurodevelopmental disorder associated with various symptoms that interfere with functioning requiring intensive early intervention; however, many families experience barriers to accessing behavioral services due to provider shortages, cost of treatment, and lack of transportation. Parent-Child Interaction Therapy (PCIT) has demonstrated effectiveness as a supplemental treatment for disruptive behaviors in children on the autism spectrum. The current study aims to determine the efficacy of a 2-day group telehealth parent-only workshop based on PCIT for improving caregivers’ use of positive parenting skills, child disruptive behavior, compliance to caregiver commands, and child psychosocial functioning. Thirty-three caregivers and …

The Perceived Effects Of Peer-Assisted Learning In A Collegiate Instrumental Pedagogy Classroom, Hannah Wagoner

Graduate Theses, Dissertations, and Problem Reports (ETD)

Peer-assisted learning (PAL) is an approach that teachers can use in the classroom to increase students’ ownership of their learning. Besides increased autonomy, PAL can provide several other academic and social benefits, such as increased achievement and fostering a sense of community. This study aimed to examine the effects of PAL on college students’ performance on a secondary instrument. Five students in a collegiate instrumental pedagogy course experienced PAL activities in class while learning secondary instruments. After a statistical and content analysis of all the data, results showed that 1) all but one of the participants improved in their performance …

The Influence Of Faculty Mentorship On Graduate Student Development Through The Lens Of Self-Efficacy, Connor Lynn Ferguson

Graduate Theses, Dissertations, and Problem Reports (ETD)

This exploratory sequential mixed-methods case study explores the relationship between perceived self-efficacy and faculty mentorship with biomedical sciences graduate students. The intent of the study was to understand the extent at which faculty mentorship contributes to self-efficacy development in the population of biomedical sciences doctoral students enrolled at a mid-Atlantic R1 institution. Data collected consisted of a survey assessing perceived self-efficacy and mentoring, interviews and documents. Data analysis explored themes related to the perceived academic and professional development of the students through their responses. The research highlights the significance of the mentor-mentee relationship and influence of the mentor on the …

The Experiences Of Women College Presidents While Leading Through An Institutional Crisis: The Perceived Successes And Failures Of Crisis Communication Strategies, Madison Marie Speck

Graduate Theses, Dissertations, and Problem Reports (ETD)

This multi-site case study explored the uncommonly discussed yet organic intersection between the study of crisis communication and the study of crisis leadership and in turn, what it means in the context of a college presidency. This study has a unique focus on women presidents at small, private colleges and the ways in which they communicate with various stakeholders during a crisis environment. The research is guided by Boin’s Model of Crisis Leadership which guides and assesses crisis leadership performance; however this study introduces nuances to the framework that are suggested as a result of the findings; most of which …

Abuse Liability Of Electronic Cigarettes In Non-Smoking Electronic Cigarette Users, Andrea Renee Milstred

Graduate Theses, Dissertations, and Problem Reports (ETD)

Electronic cigarettes (ECIGs) are devices designed to aerosolize nicotine and are increasing in popularity among both former cigarette smokers and naïve tobacco users. Extant research has shown the dependence potential of ECIGs, though there is not a consensus on the severity of nicotine dependence caused by ECIG use. As a result of becoming dependent on nicotine, individuals may experience withdrawal symptoms (i.e., irritable, craving, depressed mood) when abstaining from nicotine. The majority of previous research on ECIG use has included samples of ECIG users who are former or current smokers. The present study evaluated ECIG withdrawal suppression among a population …

Depicting The Donald: How Framing Of Donald Trump In Media Changed Throughout The Course Of His 2015-2016 United States Presidential Campaign, Jakob O. Janoski

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study examined how framing of Donald Trump in online news images may have changed throughout the course of his 2015-2016 United States presidential campaign. Previous research suggests that Republican presidential candidates may get more coverage but not necessarily be framed as more favorable (Moriarty and Popovich, 1988). The content analysis comprised of 18 constructed weeks in which images from various outlets were analyzed in nine categories (e.g., “facial expression” and “posture”) and coded as either “more favorable,” “N/A” or “less favorable.” It was found that image favorability of Trump dipped from the Pre-Primary period to the Primary period then …

Associations Among Psychosocial Factors, Health-Related Quality Of Life, And Adherence In Pediatric Inflammatory Bowel Disease, Cecelia I. Nelson

Graduate Theses, Dissertations, and Problem Reports (ETD)

Inflammatory Bowel Disease (IBD) is a prevalent disorder among youth in the United States. IBD is one of the leading causes of chronic pain in adolescence and symptoms can lead to reduced quality of life, social embarrassment, and lower self-esteem. Adherence to medical regimens for IBD is incredibly important to prevent morbidity, mortality, and impaired health-related quality of life (HRQOL). However, adolescents struggle generally with adherence and the regimen for IBD can be complicated and include aversive side effects. Psychological factors, such as depressive symptoms, are key factors associated with non-adherence. Nevertheless, gut-specific anxiety (GSA) is a psychological factor that …

Prevalence Of Depression And Suicidal Ideation In First-Generation College Students As Compared To Their Non-First-Generation Peers, Abigail A. Wellings

Graduate Theses, Dissertations, and Problem Reports (ETD)

First-generation college students face numerous challenges and barriers in academia and related areas that impact their mental health in a manner that their non-first-generation peers may not experience. This population reports higher incidences of stress and distress, depression, and anxiety. However, little is known about the prevalence of suicidal ideation in this population. The current study hypothesized a difference between first-generation students and non-first-generation students on depressive symptoms and suicidal ideation. Participant data was gathered from the Center for Collegiate Mental Health (CCMH) 2015-2016 data set. Primary analyses will be independent samples t-tests and hierarchical linear regression. Results showed a …

The Picture Of (Mental) Health: A Photovoice, Narrative Inquiry, And Critical Participatory Action Approach To Music Major Mental Wellness, Paige Zalman

Graduate Theses, Dissertations, and Problem Reports (ETD)

Higher education is experiencing a mental health epidemic (Venit, 2022). There is unprecedented student demand for psychological services that colleges are unable to meet (Lipson et al., 2019a), leading to high rates of mental illness-related attrition (Koch et al., 2018). Two groups of students at particularly high risk of mental illness-related attrition are students with historically marginalized identities, whether by race, gender, income, or another factor (Eisenberg et al., 2013), and music majors, a group that has been shown to have greater rates of mental illness than students in other majors (Lipson et al., 2016; Spahn et al., 2004). While …

Success Beyond Access: Examining Institutional Barriers To Persistence And The Supports Needed By Nontraditional Students Participating In A Tuition-Free Community College Program, Amanda K. Roeher

Graduate Theses, Dissertations, and Problem Reports (ETD)

This research study examined the experiences of nontraditional community college students attending through a tuition-free grant. The intent of the study was to explore the student identified barriers to degree persistence and the student support services nontraditional students recognize as being beneficial towards their academic journey. This qualitative case study was guided by three research questions and utilized Bean and Metzner’s (1985) Nontraditional Student Attrition Model as a guide for study design and analysis. Data collection consisted of student interviews and institutional document collection. Data analysis explored themes related to nontraditional student motivations for attendance, persistence factors, and student support …

A Critical Event Narrative Analysis Of African Women Immigrant Entrepreneurs In The United States: Impacts Before, During, And After The Covid-19 Pandemic, Damilola T. Fasinu

Graduate Theses, Dissertations, and Problem Reports (ETD)

This doctoral research presents a qualitative critical event narrative study focused on African Women Immigrant Entrepreneurs (AWIE) in the United States during the COVID-19 pandemic. The study aims to explore the unique challenges, coping mechanisms, and resilience strategies of AWIE by examining their experiences before, during, and after the pandemic. The research is driven by three guiding questions: (1) How do AWIE describe their experience before the pandemic? (2) During the pandemic? (3) After the pandemic? This inquiry provides a comprehensive narrative, capturing the challenges and successes experienced in the pre-pandemic environment, documenting the immediate impacts of the pandemic on …

Exploring The Relationship Between Perfectionism And Academic Achievement In College Stem Students, Alexander Joseph Tylka

Graduate Theses, Dissertations, and Problem Reports (ETD)

Higher education practitioners and researchers in the STEM field continue seeking ways to effectively identify and understand student challenges as part of an effort to support student success, retention, and persistence. These efforts have led researchers to explore non-cognitive personality factors such as perfectionism as a way of understanding students’ thoughts, feelings, behaviors, and outcomes. This research explores two fundamental research questions regarding the ability of perfectionism to predict end-of-term GPA. First, does perfectionism predict end-of-term GPA using the 2x2 model of dispositional perfectionism? The hypotheses associated with the 2x2 model were used to address this question, and the results …

Utilizing Suas-Based Remote Sensing For Sustainable Outdoor Recreational Trail Design And Monitoring, Isaac C. Kinder

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study utilizes sUAS-based remote sensing and hydrologic models to analyze and predict locations susceptible to water-based trail erosion. Erosion is frequently cited as the most significant environmental impact of trails and often requires costly design and management considerations. A professionally designed trail totaling 4 km in length was segmented based on presence or absence of water-based erosion for analyses and then flown with sUAS technology. Three Logistic regression (LR) models were generated utilizing several hydrologic terrain models of varying resolutions to determine the effects of spatial resolution on the models’ predictive accuracies. Receiver operator characteristics, kappa, and overall accuracy …

Theorizing Mathematical Proof As Becoming: A Deleuzio-Guattarian Investigation, Joshua P. Case

Graduate Theses, Dissertations, and Problem Reports (ETD)

In this dissertation, I utilize the post-structural philosophy of Gilles Deleuze and Félix Guattari as a lens for investigating the proof process. Deleuze and Guattari were both post- structural philosophers who, like many in this tradition, troubled traditional notions related to stable identities, meaning, language, and mathematics. For Deleuze, sense and meaning is not the result of a sterile, transcendent effect or condition that is associated with propositions and states of affairs. Rather, it is the result of a material production that emerges from the world and that has independence from language and the mind. I apply this framework to …

From Class To Craft: An Investigation Into The Practice Of Acting Techniques Applied To Angelo In Shakespeare’S Measure For Measure, Charles Wesley Meeks

Graduate Theses, Dissertations, and Problem Reports (ETD)

This document examines the character development and performance process of Angelo in Measure for Measure by William Shakespeare. This production was directed by Professor Jerry McGonigle and performed in the mainstage season of 2022-2023 School of Theatre & Dance at West Virginia University. The ensuing text will outline the production process from the actor’s point of view including preparations, auditions, casting, rehearsals, performances, and final reflection. This text will include historical research, personal and directorial notes, textual analysis, table work and discussion, acting techniques, training, and education applied throughout the production period, and reflections of these experiences and discoveries.

Adverse Childhood Experiences Predict Mortality Risk: The Role Of Social Support & Social Strain, Meredith A. Willard

Graduate Theses, Dissertations, and Problem Reports (ETD)

Childhood adversity has long-lasting negative effects across the lifespan including increased mortality risk. The love and support individuals receive from others, also known as social support, has shown to be a protective factor against ACEs. However, little research has investigated the amplifying effects of social conflict and strain that often accompanies social relationships. Utilizing data from the Midlife Development in the U.S. (MIDUS) study, I tested whether higher levels of social support would buffer the negative effects of adverse childhood experiences on mortality risk, and whether higher levels of social strain would amplify these associations. The sample included 6,150 participants …