Digital Commons Network^™

Examining Mental Healthcare Underutilization Among Latino Immigrants: Healthcare Providers’ And Community Health Workers' Perspectives, Geovani Muñoz

Theses and Dissertations

Latinos continue to experience many logistical and systemic barriers to professional mental health services (Derr, 2016) despite being the second-largest racial-ethnic group in the United States (U.S.). With a community of 65 million people (U.S. Census Bureau, 2024), Latinos experience mental healthcare inequalities (Cook et al., 2019) due to structural, cultural, and systemic barriers. Although prior research has emphasized culturally responsive care as a pathway to reducing disparities (Nagy et al., 2025), much of the literature has focused on Western medical models, with limited attention to community-based perspective. Guided by the Knowledge, Attitude, and Practices (KAP) framework, the present study …

Dietary Acculturation, Dietary Inflammatory Potential, And Metabolic Syndrome Among Immigrants In The United States: A Mixed-Methods Approach Using Nhanes And Qualitative Data, Esse G. Foka Nzaha

Theses and Dissertations

Background and Objectives: Immigrants in the United States undergo acculturation — a process of sociocultural and behavioral adaptation to the host country. Increasingly, behavioral adaptations have been associated with cardiometabolic health and chronic disease risk. Metabolic syndrome (MetS), a cluster of conditions including abdominal obesity, elevated blood pressure, impaired fasting glucose, elevated triglycerides, and reduced HDL cholesterol, is a major risk factor for type 2 diabetes mellitus, cardiovascular diseases and other chronic diseases, including cancer. Despite the growing immigrant population in the U.S., the role of diet and dietary acculturation in MetS development remains poorly understood in this population. This …

Managing Identity, Claiming Expertise, And Emotional Labor: A Constructivist Grounded Theory Of The Experience Of People With Serious Mental Illnesses In Primary Care, Jeffrey Ciak

Theses and Dissertations

People with serious mental illnesses (SMI) die 15 to 20 years before their peers without mental illness primarily due to chronic physical health conditions. Preventative care and treatment for chronic physical health conditions primarily occurs through primary care, but the experience of people with SMI in primary care is understudied. This constructivist grounded theory dissertation explored the experiences of people with SMI in primary care. Theoretical sampling resulted in 19 participants who were adults with SMI and long-term anti-psychotic use. Data was collected through one-to-two-hour long intensive interviews. The analytical process occurred concurrently with data collection. The abductive analytical process …

The Influence Of Metacognition On College Readiness And Persistence, Michael L. Fitzgerald

Theses and Dissertations

This applied dissertation examined the influence that metacognition has on college readiness and its most traditionally used metrics: performance-based outcomes and persistence. Specifically, this study addressed to what degree underlying metacognitive structures differ between college students’ successful metrics of performance and persistence compared to a more general sample of college students.

The research characterized metacognition along three domains of analysis: (a) selfefficacy/ motivation, (b) soft skills/psychological capital (Psycap), and (c) expected value of control (EVC). The quantitative study included 54 college students and a crosssectional design. Participants completed a four-part Likert-style survey, where their responses were measured along the three …

Effect Of Employees’ Breakfast Choices On Energy Levels In The Hispanic Population Working In Healthcare In South Florida, Jennifer Rivas

Theses and Dissertations

This applied dissertation was designed to examine the effect of employees’ breakfast choices on perceived energy levels among Hispanic healthcare workers in South Florida. As breakfast consumption has been widely associated with cognitive function, productivity, and metabolic stability, this research focused on understanding how specific breakfast patterns influence daily energy in a population that plays a critical role in regional healthcare delivery.

A qualitative survey was developed by the researcher and was used to collect data from Hispanic employees working in a variety of healthcare settings. Participants completed a structured survey assessing breakfast habits, nutritional quality, frequency of consumption, and …

Instructional Systems Design In Lesson Planning For Substance Use Treatment Groups: A Mixed Methods Exploratory Study, Michelle Robin Gould

Theses and Dissertations

This study explored lesson planning for substance use disorder (SUD) treatment groups, investigating the presence of components from the ADDIE (Analysis, Design, Development, Implementation, Evaluation) instructional systems design (ISD) process in routine facilitator lesson planning practices. Using an exploratory mixed-methods convergent parallel design, data were collected via an online survey featuring closed- and open-ended questions regarding self-reported planning activities and perceived effectiveness. Quantitative analysis confirmed that SUD facilitators perform tasks associated with all five ADDIE phases. Qualitative findings showed that facilitators perceive themselves as effective planners despite logistical and organizational constraints. However, facilitators do not appear to conceptually link instructional …

Student Centered Approaches To Analyzing Engagement And Discourse, Kamil Hankour

Theses and Dissertations

Student engagement and participation in classroom discourse are widely recognized as powerful predictors of meaningful science learning, yet students’ own perspectives on the factors that shape their engagement and participation are currently underexamined. Prior research has established strong links between engagement, discourse and outcomes such as academic achievement (Bae & DeBusk-Lane, 2019; Fredricks et al., 2004; Sedova et al., 2019), but less is known about how students understand and interpret their experiences across individual, group-level and classroom contexts, particularly within historically marginalized populations (Cook-Sather, 2013; Schaefer et al., 2024). This three paper dissertation advances a line of inquiry integrating a …

Psychological Richness From Shared Experiences In Romantic Relationships: The Moderating Role Of Attachment, Sae Y. Kim

Theses and Dissertations

Psychological richness, defined by experiences that are novel, complex, and perspective changing, has been proposed as a third dimension of the good life alongside satisfaction and meaning. Although prior work has focused on richness at the life level, romantic relationships may be an important context in which psychologically rich experiences occur. In Study 1, a correlational study, adult attachment was associated with psychological richness in life, such that secure attachment was positively related to psychological richness, whereas anxious and avoidant attachment were negatively associated. Informed by the results of this study, I designed Study 2 to be a 4-day daily …

Sensory Constellations, Madaline K. Gardner

Theses and Dissertations

This thesis situates neurodiversity within the field of fine arts by integrating disability studies, institutional critique, and material practices in painting and printmaking. Through visual analysis and studio-based research, the project examines how tactile engagement, color relationships, and repetitive mark-making can articulate embodied experiences of neurodivergence. It challenges dominant institutional frameworks that pathologize neurodivergent behaviors by reframing stimming as a generative and communicative practice. The resulting body of work includes both image-making and the creation of tactile objects designed to facilitate sensory interaction. The thesis proposes alternative ways of understanding artistic practice and accessibility within art institutions.

Comorbid Psychosis In The General Population, Mariam Sankoh

Theses and Dissertations

Psychosis is a complex psychiatric phenotype characterized by substantial heterogeneity in symptom presentation, psychosis diagnosis, comorbidity patterns, and genetic architecture across diverse populations in the general population. Despite advances in psychiatric epidemiology and genomics, important gaps remain in understanding how psychosis symptoms and psychosis-related diagnoses manifest across racial and ethnic groups and how evolutionary genomic factors may contribute to disease risk and cross-ancestry genetic prediction. This dissertation, Characterizing Comorbidity in Psychosis in the General Population, integrates epidemiological, psychometric, and evolutionary genetic approaches to examine psychosis across diverse populations.

Aim 1 examined racial and ethnic differences in psychosis comorbidity patterns …

From Cultural Binaries To Coexistence: A Graphic Autoethnography Of Individualism And Collectivism In An International Context, Shahad Alsubaie

Theses and Dissertations

This arts-based autoethnographic study investigates individualism and collectivism, specifically through my study-abroad experience traveling from Saudi Arabia to the United States. Through arts-based reflective practice, I depicted the diasporic experience of being ontoepistemologically collectivistic while navigating a primarily individualistic society. I use the medium of a graphic memoir to illustrate and develop frameworks of confluence that embrace the two distinct cultural orientations simultaneously. This arts-based self-study not only contributes to the body of transnational scholarship but also serves as a reference for international students, researchers, and educators to use arts-based subgenres and data analysis methods to gain better insights into …

24-H Circadian Rest-Activity Rhythms And Physical Frailty In Older Adults: A Biopsychosocial Perspective On Sex Differences And Social Capital, Jisu Kim

Theses and Dissertations

Physical frailty is a prevalent geriatric syndrome characterized by age-related decline across multiple physiological systems. Physical frailty is associated with an elevated risk of adverse health outcomes, including chronic disease progression and all-cause mortality, representing a significant and growing public health concern. Disrupted circadian rest-activity rhythms (RARs) are increasingly recognized as clinically meaningful markers of physical frailty in older adults. However, the extent to which biological sex and social determinants of health (SDoH), particularly social capital, contribute to or modify the associations between RARs and physical frailty remains underexplored.

Therefore, this dissertation summarizes the existing literature on age-related changes in …

To Put It Simply, Men Are Like Kites., Yangyang Zhang

Theses and Dissertations

This thesis explores the performative professionalization of So-called “emotional mentors” on mainstream Chinese social media platforms, specifically Douyin (the Chinese version of TikTok). and its impact on the contemporary Chinese emotional landscape. Through a series of undercover investigations in livestreams, I analyze the rhetorical tactics and professional jargon used by these “Gurus” to attract and monetize vulnerable audiences.

The research highlights a critical paradox: while promising emotional clarity, these methods from “Love Gurus” often corrupt the sincerity of intimate bonds, resulting in significant emotional labor and self-doubt for Female. The project aims to demystify this predatory industry and its role …

Loved Right: Encouraging The Responsible Adaptive Reuse Of Historic Buildings In The Information Age, Christie Chirinos

Theses and Dissertations

This research contributes to interior design scholarship by situating immersive virtual reality (VR) as an efficiency tool and an architectural visualization tool within adaptive reuse and historic preservation practice. Interior designers are increasingly tasked with mediating between cultural heritage, community stakeholders, regulatory constraints, and economic feasibility, in buildings that already exist. By positioning VR as a tool with utility across every stage of the design process, this study expands interior design research beyond material and spatial interventions to include storytelling and technological innovation as drivers for design decision-making. The work bridges interior design, preservation, and participatory planning, demonstrating how immersive …

Perceptions Of Black And African American Nurses On Leadership And Access To Professional Opportunities In Healthcare Within A Multicultural Workplace And How This May Impact Their Decision Making: A Phenomenological Study, Saeeka S. Richards

Theses and Dissertations

This applied dissertation is designed to provide a more compelling understanding of the perceptions of leadership and access to professional opportunities in healthcare within a multicultural workplace among Black and African American nurses. It is designed to explore their feelings and actions in dealing within a multicultural workplace as these relate to how they view leadership and how they perceive professional opportunities in their field. It will highlight how they manage themselves and cope with feelings of cultural dissonance when aspects of their own culture may collide with characteristics of other cultures. This research aims to bring awareness to the …

Graduate Student Retention: Examining Why Master’S Students Leave And What Motivates Their Return In A Large Public University System, Sonja Prophete

Theses and Dissertations

Graduate student persistence is a relatively unexplored area in the literature of higher education studies; specifically, at a multi-institutional scale at the master's level. This research study examines the factors which cause students to discontinue their master's degrees, and what conditions could possibly support them returning to their program at a large urban public university system. The current study was guided by Hoyt and Winn's (2004) distinction between non-returning students, and Bean & Metzner's (1985) theoretical model of student attrition. A sequential mixed-methods study was conducted to examine the institutional and environmental influences on students' decision-making processes.

The quantitative data …

A Front-End Analysis Of Teacher Retention At A High Poverty K-5 Public School, Nicole Gray

Theses and Dissertations

This dissertation explored the experiences of educators impacted by teacher retention issues at a high-poverty K-5 public school. Researchers have studied the decline in individuals entering into the education profession as well as the high rates of individuals exiting the profession. With individuals leaving the profession at high rates, and not enough entering to replace those that are leaving, there is now a massive shortage with not enough teachers to meet the needs of students in public schools. The few individuals that are entering into the profession are not being retained, especially at high-poverty schools. This study explored the thoughts …

Cultural Heritage Curriculum And Student Identity Development: A Mixed-Methods Study, Alexus Corley

Theses and Dissertations

This applied dissertation was designed to examine the influence of a cultural heritage curriculum on first-grade students’ cultural knowledge, awareness, and understandings of culture. Specifically, the study investigated the extent to which participation in a 4-week cultural heritage curriculum influenced students’ knowledge of cultural history and contemporary contributors, their understandings and perspectives about culture, and the convergence of quantitative and qualitative findings.

Using a qualitative-dominant mixed-methods research design, the study was conducted with 19 first-grade students enrolled in a Title I elementary school in Central Florida. Quantitative data were collected using the researcher-developed cultural knowledge preintervention and postintervention assessment and …

In Search Of The Soul Of Creativity: Authorship, Agency, And Meaning In Refractive Collaboration With Generative Ai, Fatima Nazir

Theses and Dissertations

When images can be generated in seconds, what remains uniquely human in the act of creation? In Search of the Soul of Creativity: Authorship, Agency, and Meaning in Refractive Collaboration with Generative AI investigates where authorship, agency, and meaning reside within design practices mediated by generative AI. Rather than using AI to produce predictable results, this research deliberately relinquishes control to observe how generative systems interpret language through their own learned associations. Through a practice-led investigation across four generative models within the Higgsfield platform, user prompts were progressively shortened from full sentences to single words, revealing recurring patterns and cultural …

Using Sports Performance Assessment Technologies To Help Narrow Achievement Gaps Of Black Male Adolescent With Other Racial Groups, Patavious R. Sorrell

Theses and Dissertations

This exploratory qualitative collective case study explored how sports performance assessment technologies (SPATs) may support the development of self‑regulatory and motivational processes associated with self‑efficacy among Black male adolescent student‑athletes. Guided by Social Cognitive Theory and the Technology Acceptance Model, the study examined the perceptions of eight coach‑teachers in the Southeastern United States who integrated video analysis, data analytics, goal‑setting and tracking applications, wearable devices and gaming platforms, and reflective communication tools into their coaching practices.

Data were analyzed thematically, revealing three major themes: self‑regulation, self‑mastery assessment, and academic transfer. Findings indicated that SPATs were most effective when used as …

Beyond The Classroom: Examining The Relationship Between Student Engagement, Academic Motivation, And Retention, Jeanine Marie Dinardo

Theses and Dissertations

Student retention rates at community colleges have remained low across the United States in recent years. Student engagement is important because it increases motivation and improves academic performance and retention. The purpose of this correlational study was to examine the relationships between student engagement, academic motivation, academic performance, and retention among students at a small community college in the mid-Atlantic region of the United States. The study was guided by self-determination theory. The sample consisted of 80 community college students. Data were collected through a questionnaire given to participants through their college email. The data were collected using SurveyMonkey and …

Teachers’ Perceptions Of The Decline In Reading Scores Among Fourth- And Fifth-Grade Students, Brigetta Foules-Sims

Theses and Dissertations

The purpose of this qualitative instrumental case study was to explore teachers’ perceptions of the factors contributing to the decline in reading achievement among fourth- and fifth-grade students in a rural elementary school in a southern state. The study explored teachers’ perceptions of the causes of declining reading performance, the instructional challenges they encounter when addressing reading difficulties, and the resources and supports they believe are necessary to improve student outcomes.

Data were collected through semi structured interviews with eight certified fourth- and fifth-grade teachers. Five themes emerged from the data: (a) increasing academic demands reveal foundational reading gaps, (b) …

Exploring Excessive Absences In An Urban School Setting: Implications For Student Academic Success And High School Graduation, Tamieka Mclaughlin

Theses and Dissertations

This qualitative phenomenological study explored the perspectives of parents and teachers regarding excessive student absenteeism in an urban high school setting and the implications of persistent absences for students' academic success and high school graduation. Excessive absenteeism remains a major challenge for schools in urban communities where children experience multiple personal, family, school and community factors that may influence attendance. Understanding how parents and teachers perceive these factors can provide insight into the experiences and challenges associated with chronic absenteeism, as well as the strategies they believe may support improved student attendance, academic success, and progress towards high school graduation. …

Preferred Practices For A Student Support Services Program To Improve Retention Of African-Caribbean Students Enrolled In U.S. Universities, Jean F. Edouard

Theses and Dissertations

The problem addressed in this research was the high attrition rate of African-Caribbean students enrolled in U.S. universities. This study aimed to ascertain preferred practices in student support services programs to improve the retention of African-Caribbean students enrolled in U.S. higher education institutions. African-Caribbean students come to the United States with premigration experiences (e.g., language, cultural differences, and financial constraints). This generic qualitative study used semistructured Zoom interviews lasting 45–60 minutes with 12 African-Caribbean students who left their country of origin after age 12; interviews offered insight into their lived experiences and perceptions of U.S. higher education institutions. This study …

Exploring The Dynamics Of Strategic Plan Implementation: A Qualitative Exploration Of The Process And Metrics Of Success Through The Lens Of Nonprofit Leadership, Nicole L. Melendez

Theses and Dissertations

Nonprofit organizations invest significant time and financial resources into developing strategic plans that paint a vision for the organization’s future. However, research suggests that approximately 60–90% of strategic plans are not successfully implemented. As nonprofit organizations face increasing demands, understanding the factors that contribute to successful strategic plan implementation is essential.

The purpose of this qualitative multiple case study was to understand the lived experiences and perceptions of nonprofit executives and board leadership regarding best practices for successful strategic plan implementation, providing insights that can assist with identifying and understanding the efficacy and impact of strategic plan initiatives within the …

Low Early Reading Skills In Children Entering Kindergarten In An Urban K-8 Center, Shelly D. Smith-Harding

Theses and Dissertations

This applied dissertation was designed to investigate the preparedness of kindergarten children in early reading skills, drawing comparisons from their experiences in comparable preschool programs and to gain insight about how to address the problem of low early reading skills among children entering kindergarten. Using archival data from i-Ready reading diagnostic tests over a 4-year period (2021-2022 to 2024-2025), the researcher compared students who attended an urban K-8 Center Head Start program (n=47) with students from other preschools (n=33).

The researcher conducted an independent t-test with SPSS, version 30 software, to analyze differences at the baseline (Assessment Period 1) and …

Perceptions And Experiences Of Teachers Regarding How Their Students’ Attendance Rate Impacts Their Academic Achievement, John Logan Jr.

Theses and Dissertations

Chronic absenteeism has emerged as a critical educational concern nationwide, particularly following the COVID-19 pandemic. National data indicate that chronic absence rates increased from 15% in 2019 to 28% in 2022, and in the targeted rural South Carolina district, 25% of students were chronically absent in 2022–2023, rising to 28% in 2023–2024. Persistent absenteeism is associated with lower academic performance, widened achievement gaps, and diminished long-term educational and workforce outcomes, especially among socioeconomically disadvantaged and minority students.

The purpose of this qualitative phenomenological study was to examine teachers’ perceptions and experiences regarding how students’ attendance rates influence academic achievement in …

Employee Perceptions On The Role Of Job Demands And Burnout On Employee Engagement In Nonprofit Sector: A Qualitative Descriptive Study, Tania P. Sierra

Theses and Dissertations

This applied dissertation was designed to explore how nonprofit employees perceive the role of job demands and burnout in shaping employee engagement. The study focused on nonprofit organizations in Southern Arizona and used a qualitative descriptive methodology to center employee voice and provide context-rich insights into workplace well-being. Semi-structured interviews were conducted with 15 participants representing diverse roles and career stages. The study aimed to inform nonprofit leaders and stakeholders about the relational and structural conditions that influence engagement, resilience, and emotional labor in mission-driven environments.

Thematic analysis revealed six interrelated themes, including role multiplicity, time pressure, emotional labor, and …

The Investigating Factors Affecting Teacher Retention In Rural Areas, Lajada Robinson

Theses and Dissertations

This dissertation investigated the factors influencing teacher retention in Mississippi's rural communities. The purpose of this study was to identify the specific variables that contribute to teacher retention in rural areas within Mississippi and to investigate strategies for improving teacher recruitment, retention, and job satisfaction. A mixed-methods research design was utilized, which included quantitative surveys and qualitative interviews with teachers, administrators, and education stakeholders in rural Mississippi.

By conducting a mixed-methods research design incorporating quantitative and qualitative interviews, the study sought to collect comprehensive data from teachers, administrators, and education stakeholders in rural Mississippi. The study explored key factors such …

Factores Motivacionales, De Aprendizaje Y De Enseñanza Que Median En La Elaboración De Un Rediseño Instruccional Para Un Curso Práctico A Nivel Doctoral De Evaluación Cognitiva, Carlos F. Sellas-Hernández

Theses and Dissertations

La impartición de cursos de Práctica en Evaluación Cognitiva representó un desafío pedagógico, principalmente por la amplitud y complejidad de los contenidos que deben abordarse en un marco temporal limitado. Esta investigación exploró los factores motivacionales y las estrategias de aprendizaje y enseñanza que median en el diseño instruccional del curso integrando la estrategia del Aula Invertida como enfoque metodológico.

El estudio se enmarcó en un enfoque de métodos mixtos con un diseño tipo paralelo convergente. Se condujo un análisis de necesidades con estudiantes que estuvieron o hayan tomado el curso utilizando el Cuestionario de Motivaciones y Estrategias de Aprendizaje, …