Digital Commons Network^™

Beyond #Blacklivesmatter Through An Understanding Of Intersectionality And Ethical Leadership: A Critical Autoethnography Of A Black Female Graduate Student Living With Multiple Hidden Dis/Abilities, Shariese Katrell

Theses and Dissertations

There can be numerous questions to be asked concerning the perspective of a Black female graduate student at a predominately White institution who lives with multiple hidden dis/Abilities (Gillborn, 2015). This critical autoethnography can help discover and uncover new issues and establish transformational changes that could expand knowledge and research surrounding the critical analysis of intersectionality and Disability Studies and Critical Race Theory from an/abled feminist approach. Transformative politics can be identified in this study, which examines socialism and the systematic structures and power within academia at the graduate level (Trevino et al., 2008). The issues of Black disability feminism, …

A Formative Process Evaluation Of Social Care Programming In A Health Care System Serving A Predominantly Rural State, Samuel Bethel

Theses and Dissertations

Health and social care continue to integrate, but relatively little is known about how social care is designed, implemented, and maintained across the health care continuum. This is especially true for health systems serving rural and under-resourced communities. To fill these gaps, this dissertation project applied formative process evaluation methods to a single case study of the largest health care system serving a predominantly rural state and its integrated social care programming. Data were collected from in-depth, semi-structured interviews following a purposeful and snowball sampling method among key informants for the design, implementation, and maintenance of social care programming as …

Multilevel Factors Affecting Covid-19 Vaccination Among African American Communities In South Carolina, Ran Zhang

Theses and Dissertations

Background: Persistent health disparities has led to significant public health challenges, especially for African American (AAs) communities, and have been exacerbated by the COVID-19 pandemic. Achieving high population vaccination rates are crucial to controlling the virus’ spread. However, AAs have higher rates of COVID-19 infection and mortality than Whites, yet their vaccination rates remain relatively low. The dissertation aimed to investigate the multilevel factors and mechanisms that affect AAs’ vaccination behavior. The first objective is to assess the impact of the intrapersonal level factor (i.e., perceived barriers to vaccination) on vaccination behavior. The second objective is to investigate the impact …

Using Latent Class Analysis To Conceptualize Heterogeneity Among Non-Resident Parents With Current Child Support Orders And Arrears: Identifying Windows Of Opportunity, Victoria Adkins Charles

Theses and Dissertations

Approximately 40% of children living in poverty are in a single parent household headed by their mother (Grall, 2017). The public child support services program exists to provide the service of establishing and enforcing child support orders for parents with primary legal custody of their child. Even with the child support services system in place, child support goes uncollected (Grall, 2020). Many of the non-resident parents (NRP) who are not paying live at poverty level as well. Child support research has focused primarily on NRPs’ ability to pay, but, generally, has drawn on the information contained in the constellation of …

Wellness Interventions For College Students With Intellectual Or Developmental Disability: A Multi-Manuscript Dissertation, Madeline Bree Saunders

Theses and Dissertations

This multi-manuscript dissertation comprises two interconnected articles that collectively explore the experiences of college students with intellectual or developmental disabilities (IDD) engaging in wellness interventions within inclusive postsecondary education (IPSE) settings in the southeastern region of the United States. Wellness interventions within both manuscripts adhere to procedures outlined by the Wellness Counseling Intervention (WCI; Barrio Minton et al., n.d.) and group adaptation (WCI-G; Ohrt & Castle, n.d.). Manuscript 1 (Chapter 3) involves a mixed-method approach to understand the experiences six student participants, group members, engaging in the WCI-G across a total of 10-weeks. Manuscript 2 (Chapter 4) adheres to consensual …

Student Experiences With Self-Determination And Agency: Centering Disabled Voices Through Photovoice, Rebecca Boineau Smith Hill

Theses and Dissertations

Young adults with intellectual and developmental disability (IDD) are less likely than young adults without disability to be employed, enrolled in postsecondary education, or live independently after high school (Lauer & Houtenville, 2017; Newman, et al., 2011). Self-determination, or the freedom to act as the primary causal agent in one’s life (Palmer & Wehmeyer, 1998), is a well-documented component of enhanced quality of life (Shogren et al., 2017) and a predictor of postschool success (Mazzotti et al., 2021; Test et al. 2009) for students with disabilities. People with IDD are less self-determined than their nondisabled peers, and often less self-determined …

Patients’ Experience Of Care Following Perinatal Case Conference, Mary Elise Nolen

Theses and Dissertations

The Perinatal Case Conference (PCC) at Prisma Health-Midlands Maternal-Fetal Medicine (MFM) is a biweekly multidisciplinary meeting to discuss pregnancies with prenatally identified congenital anomalies. Patients are primarily cared for by MFM and may have appointments with various subspecialists during their pregnancy. The goals of the PCC are multidisciplinary collaboration in planning for the management of each pregnancy and familiarizing each practitioner with the pending cases, so if or when intervention is needed, the clinicians are familiar with the case.

Researchers performed a chart review and surveyed patients whose pregnancies were discussed in the PCC to learn the patient’s perspective of …

Cancer Screening For Patients With Intellectual Disability: Exploring Parent And Caregiver Perspectives, Jennifer Ryan

Theses and Dissertations

Intellectual disability (ID) is defined as a combination of deficits in cognitive and adaptive function, both of which must be present early in life. Adults with ID frequently have unique healthcare needs; however, they also require care that is routine for all adults. This includes cancer screening. The goal of this study was to evaluate whether or not adults with ID are undergoing cancer screening, understand the barriers they have faced in obtaining screening, and collect recommendations from parents and caregivers on ways to improve access to and facilitate screening for this population. We surveyed parents and caregivers of adults …

The Impact Of Culturally Relevant Pedagogy And Appropriate De-Escalation Strategies On African-American Male Office Discipline Referrals, Kourtney Michael Chapman

Theses and Dissertations

This study investigated the impact of culturally relevant pedagogy and appropriate de-escalation strategies on African American male office discipline referrals. This study took place in a Title I elementary school located in South Carolina and focused on five teachers of African American male students who received one or more office discipline referrals in the previous school year between September to November. These teachers were provided with an 8-week professional development training on how to implement into the general education classroom culturally relevant pedagogy and appropriate de-escalation strategies. The professional development focused on cultural relevance in a classroom, how to create …

Professional Helper Engagement And Student Perspectives In K-12 Nontraditional ​Educational Settings​, Rachel Gilreath

Theses and Dissertations

Nontraditional educational settings (NES) cater to diverse student populations, including those considered at-potential or at-risk. Research on interventions and the role of helping professionals in these settings is limited. This dissertation comprises two studies aimed at elucidating interventions and support mechanisms for at-potential students in NES, alongside exploring the role of school counselors in fostering their holistic development. The first study conducts a systematic review synthesizing existing research on interventions in NES, revealing insights into research scarcity, author diversity, and areas for future inquiry. Subsequently, the second study investigates the perceptions of at-potential youth within NES, particularly in the southeastern …

An Emic Conceptualization Of Veteran, “You're Either One Of Two Things; You're Captain America Or You're Broken”, Steven Wahle

Theses and Dissertations

The Global War on Terror (GWOT) conflicts have been sustained by an all-volunteer force for over 20 years. There have been no drafts, war bond drives, nor rationing. This is a departure from previous prolonged military conflicts in U.S. history. Volunteers with veteran status are often venerated publicly to express gratitude for their voluntary military service. However, the criterion for veteran status is inconsistent.

In the U.S., former military members tend to be regarded on one of two ends of a spectrum as archetypes in attempts to honor such service. On one end is the veteran hero veteran to be …

A Proposal For A Compassionate Behavior Consultation - A Pilot Study, Danina Lynne Thatcher

Theses and Dissertations

Teachers frequently encounter disruptive or other challenging behavior in their classrooms, which often results in poor outcomes for both teachers and students. Behavior consultation is frequently used to assist teachers in managing challenging behavior. However, it is difficult for teachers to implement behavioral interventions with consistent fidelity, even with consultative support. This pilot study utilized a multiple-baseline design to evaluate the effects of a compassionate behavior consultation on teachers' implementation fidelity of evidence-based classroom management practices in three junior high classrooms. It also assessed the teacher's ratings of the social validity of the consultation process and resulting interventions. A compassionate …

Consent Behavior, Beliefs In Action: Longitudinal Associations Between Parenting And Adolescent Consent Beliefs And Behaviors, Corinne Archibald

Theses and Dissertations

More research is needed to consider how individual beliefs and socialization agents (i.e., parents) throughout adolescence inform consent-related sexual behaviors. Thus, the current study used an ecological systems approach to the theory of reasoned action (TRA) to examine how parents' consent beliefs were related to adolescents' internal and external consent behaviors, via their beliefs about the importance of consent. Having used longitudinal, nationally sampled data from the Healthy Sexuality Project, this study ran SEM path analysis models on 386 caregiver(s) and adolescents. Results found mothers' and fathers' consent beliefs were positively associated with adolescents' consent beliefs a year later and …

Promoting Athletic Training Careers Among American Indian And Alaska Native Communities, Wyatt Whitegoat

Theses and Dissertations

Athletic training, recognized for its role in providing specialized healthcare services focused on prevention, assessment, treatment, and rehabilitation of injuries for the athletic population, represents a growing profession within the healthcare field. As the need and value of athletic training services continues to grow, it is imperative for academic and Federal institutions to adapt programs and policies that reflect the diversity of the communities they serve.

Despite ongoing efforts, which should not be minimized, to promote diversity, equity, and inclusion in the athletic training profession, significant progress remains limited, particularly in increasing representation of American Indian and Alaska Natives (AIANs). …

Examining Mental Health Professionals' Attitudes Towards Individuals With Rural Accents, Emily Heavner

Theses and Dissertations

Bias against people from rural areas is ingrained in American culture, and stereotypes that people from rural regions are backwards, uneducated, and unintelligent are prevalent (Fulkerson & Thomas, 2016; Hartman et al., 2023; Howley, 2009; Shirley, 2010). Many people from rural areas have accents that mark them as coming from a rural region (Flanigan, 2000). Research suggests that accent is a reminder that the speaker is from a different cultural group than the listener, triggering biases and stereotypes about the speaker (Chakraborty, 2017). Because accent and rural culture are not often discussed as part of multicultural competence, many mental health …

The Interconnectedness Of Indigenous Health: Local, National, And International Influences, Courtney Claussen

Theses and Dissertations

Indigenous Peoples have always understood the interconnectedness of health. There are many Indigenous-specific health determinants that positively or negatively impact prevalent health conditions. Each of the products in this three-part portfolio highlight health determinants that directly or indirectly contribute to the health of Indigenous Peoples. Key topics within each product include Cultural Protocol, culturally safe practices, food security and access, type 2 diabetes, and localized health approaches. The products also highlight the historical and current impacts of colonization on Indigenous health. Each product interconnects to consider the variable ways Indigenous-specific health determinants impact Indigenous populations. In the first product, I …

Pl 93-638: Utilizing The Indian Self Determination And Education Assistance Act (Isdeaa) To Enhance And Improve Oral Health Outcomes In A Tribal Community, Adriann Darlene Ricker

Theses and Dissertations

American Indians and Alaskan Natives experience the worst oral health outcomes. However, we are transitioning to a new era where Indigenous communities are reclaiming the narrative and health. This dissertation in practice was inspired by tribal self-determination and reclamation of health found through the newly established Fort Peck Tribal Health Dental Department utilizing the Indian Self Determination and Education Assistance Act (PL 93-638). The guiding framework for the Fort Peck Tribal Health Dental Department and this dissertation is the Indigenous Primary Health Care Delivery Model which illuminates elements of community, empowerment, and self-determination with culture as center to all healthcare …

A Wrong Made Right: A Qualitative Cross-Case Comparison Study Examining Program Influences On College Readiness, Persistence, And Student Success Outcomes At A Predominantly White University And Historically Black College, Richard Harper

Theses and Dissertations

The increase of underprepared students entering college decreases persistence and graduation rates at postsecondary institutions, ultimately declining degree attainment and social mobility of American citizens (U.S. Department of Education, 2016, McGuire, 2018). ACT, Inc. (2017) data suggests that overwhelming percentages of high school graduates are academically underprepared and are not college-ready. Moreover, an overwhelming number of academically underprepared students come from historically underrepresented populations. To help increase access and college readiness among these populations, specialized programs and services must be implemented to ensure these students are successful at the college level. The Dr. Charles W. Donaldson Scholars Academy is a …

Measuring Evidence Application In Routine Mental Health Settings: Testing A Coding System And Providing A Proof Of Concept, Eleanor Wu

Theses and Dissertations

Over the past 25 years, there have been increasing calls to advance the application of evidence in routine mental health settings for youth and families. Methods in the field for characterizing evidence application have played a critical role in shaping these efforts, which, to-date, have largely focused on measuring providers’ adherence to practices from evidence-based programs in treatment sessions. While this program-centric paradigm for characterizing evidence application has supported the widespread implementation of evidence-based programs in public mental health settings, it is limited in scope and applicability for characterizing all the ways that evidence may be applied across a service …

Sexual Quality Of Life In Sexual And Gender Minority Women After Cancer, Heather Schneider Miles

Theses and Dissertations

Sexual quality of life (SQoL) is a critical aspect of well-being, encompassing physical, emotional, and social dimensions. For sexual and gender minority women (SGMW)—lesbian, bisexual, transgender, or queer—cancer presents unique challenges. This dissertation examined the relationships between cancer treatment symptoms, social support, and communication with the cancer care team (CCT) on SQoL among SGMW survivors of breast, gynecological, and colorectal cancers. Quantitative data from 37 participants were collected using PROMIS® measures, assessing demographics, treatment history, post-treatment symptoms, perceived social support, and communication with the CCT. Additionally, in-depth interviews with five participants provided qualitative insights into their experiences and the meaning …

Beyond The Ivory Tower: The Underrepresentation Of African American Women In The Academe, Ashia Hall Muhammad

Theses and Dissertations

This dissertation addressed the underrepresentation of African American women attaining doctoral degrees at universities across the nation. It also explored the McNair Scholars Program, and the role the program played in preparing African American female students for graduate school and completion of the doctoral degree. In line with the phenomenology research design, semi structured interviews were conducted with five participants to gain a better understanding of their lived experiences. The interview protocol for this study was approved by the University of Arkansas at Little Rock Institutional Review Board. Thick descriptions of the participants' experiences were explored to gain insight on …

Does Suicide Prevention Knowledge Predict Suicide Prevention Behaviors Among Hope Squad Members?, Angie S. Bledsoe

Theses and Dissertations

This was one of the first studies that looked at the effect that suicide prevention knowledge acquired through suicide prevention training (QPR training and Hope Squad curriculum) may have on suicide prevention behaviors (gatekeeping behaviors) in an adolescent population (Hope Squad members). Additionally, this study looked at how Hope Squad members' intent to intervene may mediate the relationship between suicide prevention knowledge and suicide prevention behaviors. The current study found that on average Hope Squad members' suicide prevention knowledge, gatekeeping behaviors, and intent to intervene increased from prior to starting the Hope Squad program's curriculum to the end of the …

Replication Study On Ostracism And Self-Isolation The Role Of Shame And Guilt, Zhi Quan Lim

Theses and Dissertations

This study explores the ostracism and solitude-seeking link by conceptually replicating the two studies (Ren et al., 2016; 2022) using different methods of inducing the feeling of being ostracized in the participants. In this study, I asked participants to recall a memory of being ostracized to induce the feeling of being ostracized. I am also interested in if shame and guilt mediate this connection. One hundred and thirty-two participants took part in the study. I divided the participants into two groups (the ostracized group and the control group). After finishing the first task, the participants took a modified version of …

Unanswered Calling: The Dynamics Of Occupational Calling Misalignment Between Leader And Follower, Hilda Obiri-Yeboah

Theses and Dissertations

Emerging research about occupational calling has shifted from occupational psychology to the organizational behavior field. However, the current research mostly focuses on individual calling but ignores the dynamics between varying levels of leader and member occupational calling interactions and potential outcomes. Guided by Social Exchange Theory and leader-follower fit, this thesis investigates four leader-follower occupational calling alignment and misalignment situations and their differentiated attitudinal and behavioral outcomes. Moreover, it identifies important boundary conditions that mitigate the negative effects of the misalignment. This paper synthesizes existing literature and presents a comprehensive model to understand occupational calling's impact on leader-follower dynamics. It …

Psychological Safety Of Pre-Licensure Nursing Students: A Longitudinal, Qualitative Study, Laura Butler

Theses and Dissertations

Background: Previous studies have explored the concept of psychological safety among pre-licensure nursing students; however, the literature is notably sparse on personal descriptions of pre-licensure nursing students' experiences of psychological safety in clinical settings. Individual descriptions of psychological safety will provide added insight and understanding about the elements that shape psychological safety in pre-licensure nursing students. Objectives: This research aimed to longitudinally explore pre-licensure nursing students' experiences of psychological safety during clinical rotations and how their experiences of psychological safety change over time. Methods: This study used a longitudinal, qualitative, descriptive approach. Participants were recruited from a nursing program in …

Intergenerational Transmissions Of Body Image And Eating Issues: An Analysis Of Maternal And Interpersonal Socialization From College-Age Women, Elena Kae Cotter

Theses and Dissertations

Negative body image affects countless young American women and can lead to serious eating concerns if overlooked. A young girl may develop negative body image if she is pressured to fit into dominant social appearance standards perpetuated by the media and social groups such as her friends, peers, and family, especially her mother. One relationship that remains underexplored is that between mothers and daughters, specifically regarding young adult women and their retrospective thoughts on their mothers’ influence on their self-presentation at a young age. This study uses qualitative interviews and content analysis of transcribed interview texts, focusing on maternal influence …

A Case Study Of The Design Of The Developmental Mathematics Corequisite Courses At Arkansas’ Public Two-Year Colleges, Jean Anne Swillum

Theses and Dissertations

Students determined to be underprepared for college-level mathematics would be enrolled in a sequence of developmental mathematics courses before taking their college-level mathematics course. Students who started in the lowest level of developmental mathematics had a twenty percent chance of completing their college-level mathematics credits (Bailey et al., 2010). Two innovative approaches were implemented to assist students with completing their college-level mathematics course. First, creating mathematics pathways courses aligned with student’s degree plans. Second, implementing developmental mathematics corequisite courses supporting the mathematics pathways courses. Thus, reducing the time it took an underprepared mathematics student to complete their college-level mathematics requirement. …

Law Enforcement And Traumatic Experiences: A Qualitative Study With Administrators, Tami Jo N. Lieberg

Theses and Dissertations

The culture and work experiences of law enforcement lead to unique workplace trauma. The cumulative and complex trauma commonly faced by law enforcement officers can activate multiple stress-related illnesses, including Post-Traumatic Stress Disorder (PTSD). These illnesses can have high personal costs to the individuals, lead to loss of departmental productivity and effectiveness, and incur higher expenses for taxpayers due to overtime and high turnover rates and potential lawsuits. Research over several decades has identified risk and resiliency factors for officers. One identified risk and resiliency factor is relationship with management. This research study explores how department leaders can assist officers …

“There’S A Term For That?”: Moral Injury In K-5 Teachers, Grace Ahn

Theses and Dissertations

The purpose of this study was to examine how changes in the nature of teacher work due to factors such as high-stakes accountability systems and teaching during the COVID-19 pandemic contributed to teachers’ experiences of moral injury. Understanding moral injury is important because it is an issue for teachers who remain in the profession and for those who decide to leave. Moral injury has been examined in the context of American Public Education and scholars have contributed to the growing body of moral injury in teachers. However, a review of the literature reveals the need for more empirical data to …

The Relationship Of Self-Determination And Self-Construal On College Adjustment, Rayhane Baniardalan

Theses and Dissertations

This study investigated the interplay between self-construal (individualistic vs. collectivistic), basic psychological needs (autonomy, competence, relatedness), and college adjustment among a diverse student population. Contrary to expectations, self-construal did not directly predict overall adjustment. However, horizontal individualism (valuing personal achievement over group success) was negatively associated with adjustment. Supporting self-determination theory (SDT), all three basic psychological needs were positively correlated with all three domains of college adjustment (academic, social, and psychological). The strongest correlations were between relatedness and social functioning, and competence and social functioning. Racial differences in adjustment could not be examined due to sample limitations. Interaction effects between …