Digital Commons Network^™

A Mixed Methods Study Of The Transition To Adult Health Care For Sexual Minority Young Adults With Chronic Pain: Understanding The Impact Of Stigma, Cecily Newel Conour

Graduate Theses, Dissertations, and Problem Reports (ETD)

Sexual minorities with chronic pain are likely to experience stigma stemming from their sexual identity and chronic pain. Pain stigma and sexual minority stigma are associated with increased health disparities and differences in health care utilization, particularly for adults. The transition to the adult health care system appears to be a critical point to understand the impact of stigma on health care utilization to then improve outcomes. With a sample of 48 sexual minority young adults with chronic pain, the current study investigated transition experiences using an explanatory, sequential mixed-methods design that was both observational and cross-sectional. Participants completed quantitative …

Provider Satisfaction Between General Dentists And Endodontists, Vaidehi Kumar

Graduate Theses, Dissertations, and Problem Reports (ETD)

Purpose: Burnout and low professional fulfillment are major issues for dental providers, impacting their well-being, patient care, and workforce stability. While burnout has been widely studied in dentistry, less is known about professional fulfillment and how it varies by specialty and work environment. This cross-sectional study compared professional fulfillment and burnout between general dentists and endodontists, and examined how practice setting, demographics, and job factors affect occupational well-being. Methods: Licensed dentists (n=147; 72 general dentists and 75 endodontists) participated in an anonymous online survey. The Professional Fulfillment Index (PFI) was used to measure three sub-domains: Professional Fulfillment, Interpersonal Disengagement, and …

I Think, Therefore I Can: Self-Efficacy, Self-Regulation, And Sense Of Belonging In Introductory Physics, Danielle Christine Maldonado

Graduate Theses, Dissertations, and Problem Reports (ETD)

Cognitive and affective beliefs in physics classrooms are important indicators of student success beyond traditional measurements of academic performance. This body of work explores major beliefs and processes, including self-efficacy, self-regulation, and sense of belonging, as they relate to academic achievement among introductory undergraduate physics students. First, this dissertation explores the development of physics self-efficacy and physics sense of belonging, two highly correlated variables. This work identifies unique sources of physics self-efficacy and sense of belonging development from current and prior academic experiences, personality factors, and demographic variables. Then, relationships between early- semester self-efficacy and sense of belonging, mid-semester …

Personal Narratives Of Young Adults With Epilepsy: Exploring The Transition To Adulthood Amidst Stigma And Disclosure Fears, Kirby-Estar Gilene Laguerre

Graduate Theses, Dissertations, and Problem Reports (ETD)

Navigating the transition to adulthood presents unique challenges for young adults with epilepsy, particularly concerning stigma and the fear of disease disclosure. While significant social difficulties, such as increased unemployment rates and decreased relationship satisfaction, are prevalent among individuals with epilepsy, current transition programs often fail to address these psychological and social aspects that are vital for an independent adult life. Instead, the majority of the attention for young adults transitioning into adulthood is focused on the shift to adult-oriented healthcare systems. Consequently, there is a critical need for research that goes beyond a healthcare focus and explores the social …

Cultural Perceptions And Willingness Or Reluctance To Use Ai Chatbots For Emotional Support By International African Students In Higher Educational Institutions In The United States, Zakariah Issah

Graduate Theses, Dissertations, and Problem Reports (ETD)

The increasing use of artificial intelligence (AI) chatbots for emotional support underscores the need to understand how cultural perceptions shape their adoption among international African students in higher education institutions in the United States. Guided by the Technology Acceptance Model (TAM) and Social Stigma Theory, this qualitative study explored the perceptions, motivations, and barriers influencing the use of AI chatbots for emotional support. Semi-structured interviews were conducted with 20 undergraduate and graduate students from 10 African countries. The findings reveal that participants viewed AI chatbots as conditional and situational sources of emotional support rather than replacements for human relationships. Convenience, …

Influences Of Response Rate And Distribution On Accuracy Estimates: The Value Of Replications Based On Analytic Approach, Olivia Brianne Harvey

Graduate Theses, Dissertations, and Problem Reports (ETD)

Accurate observational data are essential for drawing correct conclusions about behavioral phenomena and ensuring the replicability of research findings. Accuracy is the extent to which an observer’s recorded responses correspond with true values (i.e., the actual occurrence of behavioral events). Correspondence is quantified using one of several percentage-based algorithms. However, these accuracy estimates may be influenced by characteristics of the data, such as response rate and response distribution, as well as the algorithm used to calculate them. The purpose of this dissertation was to evaluate how response rate, response distribution, and the algorithm used to evaluate accuracy influences estimates. Across …

Romantic Narrative In Three Early Piano Cycles By Robert Schumann: Papillons, Op. 2; Fantasiestücke, Op. 12; And Kinderszenen, Op. 15, Lingqing Huang

Graduate Theses, Dissertations, and Problem Reports (ETD)

This research project compares Romantic instrumental narrative in Robert Schumann’s Papillons, Op. 2; Fantasiestücke, Op. 12; and Kinderszenen, Op. 15, with particular attention to how pianists communicate cyclic continuity in performance. In this study, narrative continuity refers to relationships formed across ordered short pieces through contrast, interruption, return, literary association, fantasy, memory, tonal and motivic recall, and the shaping of sound and time. Comparative score analysis shows that Schumann creates a distinct form of continuity in each cycle. In Papillons, he creates a public, ballroom-based form through masquerade, waltz-like dance, abrupt entrances, interruption, and the gradual dissolution of the social …

"If I Knew Then What I Know Now": Analyzing Online Narratives Of Regretful Parents, Marina Binti Mohd Hamdan

Graduate Theses, Dissertations, and Problem Reports (ETD)

This exploratory study seeks to understand the extent to which parenthood affects individual self-actualization by identifying the trade-offs, compromises, and sacrifices that parents make within the context of family life. Using a thematic analysis of 221 archived posts from the Reddit community r/regretfulparents, this study examines how social pressures surrounding parenthood may be related to experiences of parental regret. Specifically, it identifies two domains: pressures to be parents, including social norms, familial coercion, and interpersonal conflict, and pressures of parenting, including issues of labor, number of children, and challenging children. Across these domains, this study explores how tensions between personal …

Women In Music: Experiences Of Women Oboists In Us Symphony Orchestras, Brianna Corgel

Graduate Theses, Dissertations, and Problem Reports (ETD)

The evolution of women in American music has been a gradual and ongoing process. Historically, women were largely excluded from public musical life and did not achieve widespread acceptance as professional musicians until the 20^th century, largely due to prevailing cultural and societal expectations. In the 19^th century, women typically performed in domestic settings for small gatherings of family and friends. Female instrumentalists were generally limited to the piano and a few string instruments, while wind instruments—such as the oboe—were discouraged because they were considered unladylike or visually unappealing when played. The 20^th century saw the emergence …

Effect Of Delay On Reinforcer Preference And Efficacy, Ciara Jasmine Rodriguez

Graduate Theses, Dissertations, and Problem Reports (ETD)

Behavior intervention plans are used to increase desired behavior and decrease problem behavior, and these plans require the use of effective reinforcers. High-quality reinforcers that are delivered immediately tend to be the most effective, but optimal reinforcement parameters are not always feasible or appropriate in applied settings. Some reinforcers may be disruptive, teachers’ competing responsibilities may introduce delays to reinforcer delivery, and reinforcers may not be immediately accessible. Stimuli may lose their reinforcing value with delay to their receipt, and this is referred to as delay discounting. Thus, there is likely a point where a less preferred but immediately delivered …

Dispositional Mindfulness And Autonomic Reactivity, Thomas Dylan Boyer

Graduate Theses, Dissertations, and Problem Reports (ETD)

To explain how different facets of mindfulness were associated with task performance in distinctive ways, Lindsay and Creswell (2017) proposed the Monitor and Acceptance Theory (MAT). According to this model, the mindfulness facet of monitoring present state awareness was thought to influence task performance differently than the nonjudgmental acceptance facet of mindfulness, but no studies to date have examined this model with respect to an individual's physiological response to stressful tasks. Because dispositional mindfulness has been associated with both increased and decreased physiological and affective reactions to stress in previous studies, the present study tested whether the Monitoring facet of …

Greed, Guilt, And Generative Ai: Emotional Dynamics In Digital Consumer Interactions, Danielle Lynn Hass

Graduate Theses, Dissertations, and Problem Reports (ETD)

ABSTRACT

GREED, GUILT, AND GENERATIVE AI: EMOTIONAL DYNAMICS IN DIGITAL CONSUMER INTERACTIONS

Danielle Hass

Digital consumer interactions are increasingly shaped by complex emotional dynamics. As digital platforms and Generative AI (GenAI) technologies proliferate in our everyday lives, it is critical to understand the emotional undercurrents and how they impact consumer behavior. This dissertation investigates these dynamics through three essays that explore how emotions impact consumer experiences in digital spaces, with an overall goal to offer theoretical and practical insights into the interaction of human psychology and technological advancement in the consumer behavior field.

Essay One examines the paradox of pleasure …

The Impacts Of Experiential Learning On Moral Development, Jacob Tyler Greenfield

Graduate Theses, Dissertations, and Problem Reports (ETD)

Burnout remains a widely studied phenomenon in the healthcare literature, with much of the focus placed on reactive mitigation strategies that lack meaningful engagement with moral development. Healthcare education programs rarely incorporate formal learning experiences that promote moral development as a means of addressing burnout symptoms. This qualitative single case study examined how health professions students describe the impact of experiential learning on their moral development. Participants engaged in adapted photovoice methods, focus groups, and interviews to reflect on how serving as a Project MUSHROOM student leader influenced their morality. Four themes emerged: 1) recognizing bias and the need to …

Self-Leadership And Perceptions Of Artificial Intelligence: A Single-Case Study, Patrik Garren

Graduate Theses, Dissertations, and Problem Reports (ETD)

The purpose of this single-case qualitative project is to uncover how self-leadership’s behavioral and cognitive strategies influence perceptions of Artificial Intelligence (AI) and AI adoption. While existing literature acknowledges that there is an association between self-leadership, technology’s perceived usefulness and ease of use, as well as comfort with AI preparedness and its professional impact, there is limited research on how self-leadership shapes perceptions of AI and AI adoption in real-life contexts. To fill this gap in contemporary literature, this project analyzes qualitative semi-structured interviews with 25 healthcare professionals involved in the implementation of ‘AI Model 1’ at their mid-sized United …

The Effects Of Gesture And Age On Jurors’ Perceptions Of Child Witnesses, Jihan Hani Rashed

Graduate Theses, Dissertations, and Problem Reports (ETD)

Jurors’ perceptions of child witnesses can have significant influence in judicial outcomes, particularly in cases where children’s testimony is central (Goodman et al., 1997; Goodman et al., 1998; Castelli et al., 2005). The role of gesture in shaping jurors’ perceptions is underexplored. Studies highlight that gesture enhances memory recall and reduces cognitive load, making it an important component of effective communication (Goldin-Meadow et al., 2001; Hudson & Sheffield, 1998; Cook & Fenn, 2017). The present research consisted of two studies examining whether child witnesses’ use of gesture during recall of an alleged crime affected jurors’ perceptions of witness credibility and …

Psychometric Assessment Of The Ambivalent Ageism Scale: Investigating Measurement Invariance And Stability Across Groups And Time, Carly Pullen

Graduate Theses, Dissertations, and Problem Reports (ETD)

The goal of the current study was to examine the psychometric properties of the Ambivalent Ageism Scale (Cary et al., 2017) and to provide an understanding of how ageist attitudes might change or remain the same in response to a cultural and societal event. Measurement invariance is the assessment of the psychometric equivalence of a construct (e.g., ageism) across groups or waves of measurement (Putnick & Bornstein, 2016). The first step in measurement invariance analyses is configural measurement invariance, which is the evaluation of the factor structure, with the goal of producing the same number of factors and the same …

Manipulating Unit Price During Alternative Reinforcement Schedule Thinning In A Concurrent- Schedules Arrangement, Katherine A. Cucinotta

Graduate Theses, Dissertations, and Problem Reports (ETD)

Reinforcement schedule thinning, a critical component when addressing target behavior using differential reinforcement of alternative behavior schedules, aims to decrease alternative reinforcement rates while maintaining suppression of a target response (Davis et al., 2023; Hagopian et al., 2011). When multiple response options are available, manipulating the relative unit price across options alters the relative efficiency with which reinforcement is obtained and can shift responding toward an alternative behavior. Thus, altering the relative unit price can be a beneficial tactic when reinforcement for a target behavior cannot be withheld. Using concurrent-schedule arrangements, two experiments evaluated the conditions under which target response …

Trust, Literacy, And Choice: Exploring How Taxpayers Decide Between Self-Preparation And Professional Assistance, Bethany Jo Elam

Graduate Theses, Dissertations, and Problem Reports (ETD)

Each year, taxpayers must decide whether to self-prepare their tax return or hire a tax professional. While the decline in paper filing has made electronic filing the standard, the ease of access to both DIY tax software and tax professionals allows taxpayers to switch between these options each year if they wish. While previous research has focused on tangible predictors such as cost and accuracy, psychological factors, such as trust, remain largely unexplored in the modern tax-filing environment. This study investigates the relationship among perceived tax literacy among taxpayers, various dimensions of trust, and the intention to use tax software. …

The Bleeding Edge Of Misogyny: How Gender-Based Harassment And Infrastructural Neglect Shape Menstrual Distress, Mackenzie J. Miller

Graduate Theses, Dissertations, and Problem Reports (ETD)

Despite growing attention to menstrual health, organizational research has largely overlooked how workplace conditions shape menstrual experiences. Dominant perspectives frame menstruation as an individual issue that negatively affects work, neglecting how features of the work environment – such as gender-based harassment and access to menstrual-related infrastructure – contribute to menstrual distress. Addressing this gap, this dissertation adopts a bidirectional perspective, examining how social and material workplace conditions shape menstrual distress, defined as the extent to which menstrual symptoms interfere with daily functioning. Drawing on the transactional model of stress and objectification theory, I hypothesized that gender-based harassment would predict menstrual …

Early Life Adversity And Reward Reactivity In Humans, Maria C. Potts

Graduate Theses, Dissertations, and Problem Reports (ETD)

Both animal and human research has identified early life adversity (ELA) as a prominent risk factor for substance use disorder (SUD). However, the underlying mechanisms linking ELA to SUD development remain unclear. Animal studies point to differences in reward responsiveness as the primary explanation; specifically, that ELA could lead to individual differences in the attribution of incentive salience to reward-predictive cues, or the “sign-tracking” behavioral phenotype. Sign-tracking has been linked to addiction-related behaviors in both animal and human studies, but no human studies have examined whether sign-tracking could partially explain the link between ELA and SUD. In fact, human studies …

The Effect Of Innovative Value Proposition On Buyer Reactions: The Moderating Roles Of Price Orientation And Perceived Risk, Chad Stuttz

Graduate Theses, Dissertations, and Problem Reports (ETD)

Value propositions are essential to the success of personal selling in the Business-to-Business (B2B) context. While earlier studies have offered valuable insights into the roles of value propositions in driving B2B sales, they have often regarded value propositions as uniform. In this dissertation, I argue that value propositions vary in their levels of innovativeness. The dissertation introduces the concept of innovative value proposition (IVP) and proposes that IVP indicates greater future growth potential to buyers, leading to more favorable reactions such as responsiveness and willingness to engage than less innovative ones. Additionally, the dissertation explores the moderating effects of buyer …

Bridging The Gap: An Innovative Life Skills And Job Readiness Initiative For Those Facing And/Or Experiencing Homelessness, Alyssa Rae Lester

Graduate Theses, Dissertations, and Problem Reports (ETD)

Homelessness disrupts occupational functioning across all domains of daily life, yet individuals in transitional housing frequently lack access to structured life skills programming tailored to their current level of functioning. This doctoral capstone project developed, implemented, and evaluated a life skills and job-readiness curriculum at the West Virginia Coalition to End Homelessness West Run transitional housing facility in Morgantown, West Virginia. Grounded in Bronfenbrenner's Ecological Model of Human Development and the Bridging the Transition from Homeless to Housed framework, the curriculum addressed four domains: personal development, household management, financial literacy, and vocational readiness. A mixed-methods design combined a structured staff …

The Dual-Factor Model (Dfm) Of Mental Among Appalachian Youth, Mawyah Adel Bashatah

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background. Adolescent mental health is a critical public health concern, particularly in rural Appalachian communities where rates of depression, anxiety, and substance use exceed national averages and access to mental health resources remain severely limited. Traditional mental health frameworks rely predominantly on the identification and reduction of psychopathological symptoms, neglecting the independent contributions of positive well-being to adolescent risk and resilience. The Dual-Factor Model (DFM) of mental health offers a more comprehensive alternative by simultaneously assessing subjective well-being (SWB) and psychopathology, classifying individuals into four distinct groups: Complete mental health, Vulnerable, Symptomatic but content, and Troubled. Despite the DFM’s growing …

“Black Students Matter”: A Phenomenological Study Of Black Student Experiences At A Predominately White Institution In Appalachia During The Dual Pandemic Of Covid-19 And Systemic Anti-Black Racism, Toni Owens

Graduate Theses, Dissertations, and Problem Reports (ETD)

As the spread of COVID-19 escalated into a global pandemic in 2020, simultaneously, the nationwide media in the United States (U.S.) highlighted coverage of the country’s ongoing incidents of longstanding systemic anti-Black racism in America, another pandemic. In the Summer of 2020, a collective of Black students at West Virginia University (WVU) signed and publicly submitted a petition to the university’s leadership with a list of demands to address their needs as they were further exacerbated by the dual pandemic. This study is guided by the question, “What are the lived experiences of Black Students at West Virginia University during …

Interpersonal Dark Side Of Impostor Thoughts: Predicting Workplace Ostracism Via Surface Acting And Cognitive Dissonance, And The Moderating Role Of Self-Leadership, Asiye Zeytonli

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation investigates the "interpersonal dark side" of workplace impostor thoughts

(WIT), exploring how the internal experience of feeling like a professional fraud translates into

the social exclusion of colleagues through defensive ostracism. While prior literature has

extensively documented the intrapersonal distress associated with the impostor phenomenon,

such as anxiety and burnout this research addresses a critical gap by examining how these

internal states drive behaviors that harm the organizational social fabric. Drawing upon an

integration of Conservation of Resources (COR) theory and Cognitive Dissonance Theory

(CDT), I propose and test a dual-pathway model. The first pathway (COR) suggests that …

Bridging The Sensory Gap With Occupational Therapy: Program Development For Sensory Integration In Inpatient Rehabilitation For Adults With Central Nervous System Injuries, Callie Marie Honaker

Graduate Theses, Dissertations, and Problem Reports (ETD)

Objectives: This project aimed to identify sensory processing deficits in adults with central nervous system injuries and to inform the development of sensory-informed program components in an inpatient rehabilitation setting. Participants: A total of 76 adults admitted with diagnoses including cerebrovascular accident, brain injury, and spinal cord injury were included. Methods: A structured sensory screening and mental health questionnaire were administered and compared to prescreening admission documentation and PHQ-9 scores. Descriptive statistics and inferential analyses were conducted. Results: Sensory impairments were highly prevalent, with participants demonstrating an average of three impairments across the sensory domains. Proprioceptive, tactile, and visual deficits …

Operationalizations Of Adverse Childhood Experiences And Health Prediction, Sarah Josephine Miller

Graduate Theses, Dissertations, and Problem Reports (ETD)

Exposure to adverse childhood experiences (ACEs) has been consistently linked to suboptimal health outcomes and behaviors across the lifespan. As such, there has been widespread adoption of measures like the 10-item cumulative ACEs count measure developed by Felitti and colleagues (1998) across research literature and clinical practice. However, this measure was not developed with consideration of optimal psychometric properties and thus consists of several limitations that inhibit understanding of the specific dimensions of adversity that influence health outcomes. This 3-study dissertation focused on different measurement and statistical techniques to better understand the associations between ACEs and health. In study 1, …

Taxpayers Willingness To Use Ai Conversational Tools, Nessrine Mesto-Assaad

Graduate Theses, Dissertations, and Problem Reports (ETD)

With the rapid emergence of Artificial Intelligence Conversational Tools (AICTs), such as ChatGPT and Google Gemini, and their widespread use, the need to understand users’ acceptance of this emerging technology has increased. Prior research has investigated users’ acceptance of AICTs in hospitality, tourism, e-commerce, and retail industries. However, users’ acceptance of the use of AICTs for tax information remains relatively underexplored in the tax context. Therefore, this study investigates taxpayers’ willingness to accept and use AICTs for tax-related questions when e-filing their tax returns. Drawing on the Artificial Intelligence Device Use and Acceptance (AIDUA) model as a research framework, this …

A Constraint-Based Approach To Developing Melodic Improvisational Skills In Intermediate Jazz Piano Students, Alton Xian Rong Wong

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study examines the pedagogical value of a constraint-based approach in helping students develop improvisational fluency and coherence by facilitating audiation. Although there are pedagogical texts on jazz improvisation that incorporate exercises shaped by constraint-based thinking, there is neither a systematic framework for their application with students of varying levels and musical backgrounds, nor a clear explanation of their pedagogical purpose. This research investigates how constraint-based pedagogy, through the lens of rhythmic, harmonic, and melodic parameters, can be applied independently or collectively to support the development of improvisational fluency in intermediate level jazz piano improvisers. It argues that musical constraints …

Be A Man: Hypermasculinity And Hostile Attribution Bias As Predictors Of Violence, Kaley Nicole Potter

Graduate Theses, Dissertations, and Problem Reports (ETD)

In recent years, violence has risen to record-high numbers in communities and correctional facilities, with men perpetrating the vast majority of violent crimes. Hypermasculine values (e.g., power, aggression, and domination) have been linked to aggressive and violent behavior. Hostile attribution bias, which leads individuals to attribute hostile intent to neutral or ambiguous stimuli, has also been linked to aggression.

The current study used structural equation modeling (SEM) to examine hypermasculinity and hostile attribution bias as predictors of proclivity for violence, comprised of aggression and historical violence. The model was iteratively modified to assess changes in model fit and constructs. Male …