Digital Commons Network^™

Addressing Aggressive Behaviors In Long Term Care Settings: How Do Caregivers Feel Supported?, Betty Kortey

All Graduate Theses, Dissertations, and Other Capstone Projects

Caregivers are faced with great challenges when it comes to handling aggressive behaviors among long term care residents and, therefore, need support in managing resident aggression. Qualitative in depth interviews will be cond ucted with a convenience sample of caregivers on the occurrence and management of aggressive behaviors in long term care settings. The findings of the research will show that caregivers have difficulties handling aggressive situations which sometimes leads to caregiver stress and high turnover. Long term care facilities give inadequate support in managing aggressive behaviors leading to challenges in staffing. Findings will help fill the gap in the …

Enhancing College And Career Readiness Of Hmong Adolescents Through Group Work In High School, Xeev Vang

All Graduate Theses, Dissertations, and Other Capstone Projects

Hmong adolescents face many challenges during high school, particularly college and career readiness. School counselors are trained professionals who can help. This transcendental phenomenology study explored the lived experiences of six Hmong adolescents and how they make sense of college and career lessons in a group work format over six weeks. Data was collected through participant journals and interviews. Each participant interview was recorded, transcribed, and analyzed using Moustakas (1994) phenomenology method of data analysis. Five domains, sixteen themes, and three subthemes emerged. Family members are crucial influencers in college and career decision-making. Barriers include language, financial, family, culture, and …

A Phenomenological Study Of The Utilization Of Student Voice By Midwest Urban Secondary Schools Within School Improvement Plan Strategies, Jessica Peifer Busse

All Graduate Theses, Dissertations, and Other Capstone Projects

This phenomenological study aims to understand and establish the influence of student voice, particularly from marginalized students, in the school improvement process to yield positive student experiences for urban, comprehensive ninth- through twelfth-grade high schools in the United States Midwest. The focus of this study will be to compare the experiences of White students and students of color within the school system, compare the experiences of students when student voice is utilized as a school improvement plan strategy, and identify the correlation between the student voice strategy and school leadership viewpoints. The study of student voice will begin with a …

A Critical Phenomenological Study Of White Educators Who Engage In Antiracism, Maria-Renée D. Grigsby

All Graduate Theses, Dissertations, and Other Capstone Projects

Racism is reflected in political, economic, and educational institutions throughout the United States. These institutionalized systems were successfully designed to have a chilling effect on any progress toward antiracist change. It impacts the achievement level of K-12 students of color in the public school system who make up the majority population in public schools nationwide. Yet, their teachers remain largely white. This is especially important in Minnesota, which ranks fiftieth in the country for graduation rates of Black and Latinx students. The method used for this study is critical phenomenology which is important when looking at the influences of race, …

Virtual Classes In The U.S. University: Exploring Zoom Fatigue Experience Based On English Competency And Course Engagement Among International Students, Esther Son

All Graduate Theses, Dissertations, and Other Capstone Projects

Online video conferencing platforms, such as Zoom, are widely used for virtual classes. Zoom platforms bring flexibility and convenience, but also contribute to fatigue which is called “Zoom fatigue”. The purpose of the study is to investigate Zoom fatigue among international students at the U.S. university, and its links to Zoom-mediated communication in the field of education. The study investigates 152 international students to examine how English competency affects Zoom fatigue, and how course engagement affects Zoom fatigue in virtual classes at the U.S. university. The results show that English competency and course engagement have a negative relationship with Zoom …

Prompting And Protecting Radical Environmental Justice Activism, Ava Corey-Gruenes

All Graduate Theses, Dissertations, and Other Capstone Projects

As environmental crises are systemic, intersectional, and extreme, this thesis frames corresponding action as a necessary and appropriate response. Using semi-structured interviews with people who identified as having engaged in radical environmental justice (EJ) activism, this study explores the following two research questions: the types of environmental actions and attitudes these activists report engaging in, and the types of factors and experiences they report as inhibiting and encouraging those actions and attitudes. This information might help unearth actions and policies that can help prompt, sustain, and protect engagement in radical EJ activism, which is here defined as activism that addresses …

Facilitating Posttraumatic Growth Among Service Members And Veterans Through A Book Study Group Intervention, Susan Craig

All Graduate Theses, Dissertations, and Other Capstone Projects

Posttraumatic growth (PTG) is defined as “positive psychological changes experienced as a result of the struggle with traumatic or highly challenging life experiences” (Tedeschi et al., 2018, p. 3). Trauma affects 60% to 80% of the population (Boals, 2018). This is especially true for service members and veterans (SM/V) due to the inherent danger that comes with the job. Posttraumatic stress disorder (PTSD) and its many comorbidities can plague the SM/V population. Treatment options are well-established but not always effective. Bibliotherapy can present a non-threatening way to introduce alternative perspectives, such as PTG, to navigating trauma. The aim of this …

Trauma And Dynamic Needs: Examining The Role Of Adverse Childhood Experiences (Aces) On Changes In Youth Needs While In Residential Placement, Ashley Lockwood

Graduate Thesis and Dissertation 2023-2024

The prevalence of adverse childhood experiences (ACEs) for youth in residential facilities is greater than youth in the general population and those in other justice settings. Despite recent advancements in the literature on ACEs and treatment for justice-involved youth, an expansion of this inquiry continues to be warranted. The Risk, Needs, and Responsivity framework has not conceptualized the influence of trauma across youth sex and race/ethnicity in rehabilitation efforts. Therefore, the current study has two primary objectives: (1) to explore the presence of ACEs in the lives of youth in residential facilities, and (2) examine the association between ACEs and …

Breaking Cultural And Financial Barriers In Olympic Sports, Maureen A. Weston, Professor Of Law

Vanderbilt Journal of Entertainment & Technology Law

Nelson Mandela has said that “[s]port has the power to change the world. It has the power to inspire. It has the power to unite people in a way that little else does . . . . It is more powerful than governments in breaking down barriers.” Sports can have tremendous value, not only to the individual participants in promoting physical and mental health, skills, and teamwork, but also to society in fostering community, civic pride, and a sense of belonging, even among the fans. Sports have significant economic, political and cultural impacts at the local, national, and international spheres. …

Humor As An Instructional Communication Tool: Revisiting Humor And Exploring The New Punchline In Human-Machine Communication, Melissa M. Looney

Graduate Thesis and Dissertation post-2024

This research examined the role of humor in instructional communication, focusing on human-to-human and human-machine communication (HMC). As artificial intelligence (AI) becomes increasingly embedded in learning environments, it is critical to understand how elements such as humor influence user perceptions and, consequently, affective learning outcomes. Previous arguments about humor in educational settings, particularly those centered on traditional student-teacher interactions, have been arguably derelict. Therefore, this research revisited earlier assertions about humor, extending the inquiry to include online communication and AI-driven chatbots in learning management systems. Specifically, the study explored how humor and the type of agent (human or AI chatbot) …

"What Do You Mean By...?" The Role Of Plain Language In Jury Instructions, Jamie L. Vega

Graduate Thesis and Dissertation post-2024

Extant literature indicates there are significant problems related to how jurors comprehend instructions. Cognitive fluency literature explains that when information is presented in plain language, it enhances cognitive fluency by reducing the cognitive load on the reader or listener. Therefore, utilizing a quantitative experiment, this study sought to explore the use of plain language and its role when presenting instructions to jurors. A total of 212 participants were randomly assigned to one of the two jury instruction conditions and one of the six case facts, where they were asked to read a hypothetical self-defense case scenario followed by the corresponding …

Effects Of Language Differences On Healthcare Barriers Experienced By Arab Americans, Abigail Yazdiya

Honors Undergraduate Theses

This study analyzes the effects of language differences on healthcare services for Arab Americans. The research specifically investigates the subpopulation of ESL (English Second Language)/bilingual Arab Americans, in order to learn about the effect of a lack of interpretation services and therefore the use of family translators on healthcare treatment. There has been a lack of research on this growing population in the United States. Language barriers can hinder the already difficult process of healthcare. These barriers, combined with other barriers, such as cultural factors, can negatively affect healthcare treatment and outcomes. This study uses surveys to reach people in …

Exploring Hypervigilance Among Trans+ People Navigating Cisgendered Healthcare, Emma M. Tukdarian

Graduate Thesis and Dissertation 2023-2024

This thesis uses the limited research on LGBTQ+ specific hypervigilance and queer battle fatigue to explore the prevalence of hypervigilance and fatigue in trans+ medical experiences, even when emotions aren't centered in their narratives, while also using participants' narratives and minority stress theory to suggest changes to the American medical system. Data was taken from a previous study of in-depth interviews on healthcare experiences of 60 trans+ young adults ages 18-24. Analysis of the data was done in NVivo using line-by-line coding for mentions of emotional responses linked to hypervigilance within interview transcripts. Results show that 67% of participants shared …

A Social Portal To Online Higher Education: How Students With Disabilities Experience Online Courses, Marisa Lucca

Graduate Thesis and Dissertation 2023-2024

Although people with disabilities have made significant strides toward educational equity, they continue to face struggles in college that perpetuate their dismal college outcomes. Current research focuses on struggles endured in the on-campus setting and provides little insight into online course experiences. Toward addressing the knowledge gap, the study opened a social portal to online higher education, leveraging disability as an experiential lens to understand online course challenges and the potential for universal design for learning practices to reduce obstacles to academic success. We considered online course experiences concerning impairment effects and disablism within a social relational disability studies perspective. …

Competing Narratives And Converging Perspectives: Analyzing The Dynamics Of The Pulse Memorial Crisis, Amy E. Maciel

Graduate Thesis and Dissertation 2023-2024

In the wake of the Pulse nightclub massacre, the effort to create a memorial devolved into a crisis and ultimate failure amidst a complex interplay of divergent claims. This study explored the evolving memorialization process for the creation of a Pulse Memorial, utilizing Fisher's narrative paradigm to analyze articles from the Orlando Sentinel published between January 1st, 2023, and January 31st, 2024. By employing Fisher's framework, which emphasizes narrative fidelity and narrative probability, this study investigated the dynamic evolution of storytelling related to the Pulse Memorial Crisis. Through thematic analysis, the study explored how stakeholders constructed and challenged the memory …

Beyond The Classroom: An Internship Model That Builds Age-Friendliness & Career Readiness, Kristin Souza, Skye N. Leedahl, Emma Pascuzzi, Alexandra Morelli

Human Development and Family Science Faculty Publications

Since 2015, the University of Rhode Island (URI) Engaging Generations Cyber-Seniors Program has provided over 500 students from 19 different majors with the opportunity to mentor older adults through internships and service learning courses. Due to the pandemic, interest in the program significantly increased from the community and from students in need of opportunities to work with individuals. As a result, a robust internship program was developed that focused on building age and digital inclusivity across campus and throughout the state. The program integrates a three-pronged approach where students complete field hours, enhance the Career Readiness Competencies employers seek in …

Mobile Payment, Financial Behavior And Financial Anxiety: A Multi-Group Structural Equation Modeling Study, Ting An, Jing Jian Xiao, Nilton Porto, Luiz Cruz

Human Development and Family Science Faculty Publications

Purpose: This study aims to examine the association between mobile payment usage and financial anxiety, and explores the mediating role of financial behavior. Moreover, this research also compares the moderating effects of financial education and financial knowledge.

Design/methodology/approach: A sample of 18,584 consumers from the 2021 National Financial Capability Study in the U.S. was analyzed. Structural equation modeling (SEM) was employed to explore indirect associations between mobile payment usage and financial anxiety. Two undesirable financial behaviors, overspending and over-indebtedness were used as mediators between mobile payment and financial anxiety. Moreover, multi-group analyses was conducted for two financial knowledge …

Overwhelmed And Unsupported: The Experiences Of Long-Term Care Certified Nursing Assistants With Traumatic Events, Nicole L. Carlson

Electronic Theses and Dissertations

No abstract provided.

De-Colonizing And Enlivening Lifespan Development In Counselor Education With Experiential Exercises Across The Curriculum, Emily Horton, Diane Smedley, Karen M. Roller, Kelly Coker

Counseling Faculty Publications and Presentations

ACA and IAMFC codes of ethics center culturally-affirming lifespan development skills as professional identity responsibilities specific to counselors. Despite the critical importance of lifespan, the training of CITs in this area is inadequate and grounded in research based on homogeneous samples and discriminatory practices. Counselor education is deeply in need of a lifespan curriculum that reflects diverse populations. The updated lifespan curriculum must be inclusive and consider the impact of context and culture on lifespan development. In this conceptual article, we call on counseling faculty to infuse updated developmental science with clinical skills development across their plans of study.

Lessons From Critical And Transnational Disability Perspectives For Social Work, Katie Savin, Eunkyung Chung, Nev Jones, Paul Sterzing, Vandana Chaudhry

The Journal of Sociology & Social Welfare

This paper calls on social work to incorporate anti-oppressive paradigms in research, practice, education, and policy by developing a critical understanding of disability. Critical disability studies is an interdisciplinary field that challenges hegemonic framings that individualize and pathologize disability and recognizes the ways in which ableism intersects with other systems of oppression. Transnational disability studies provides explicit attention to the power dynamics between the Global North and the Global South. Adopting a perspective grounded in these two frameworks offers direction for social workers to apply the principles of disability justice in their choices for clinical interventions, policy goals, classroom strategies, …

Using Focus Groups To Explore Older Black Men's Perception Of Dietary Interventions., Ashley R Shaw, Eric D Vidoni, Mickeal N Key, Brandon A Yates, Roland Thorpe

Faculty, Staff and Student Publications

Older Black men are underrepresented in research despite being disproportionately affected by Alzheimer’s disease (AD) and cardiovascular (CV) risk factors related to AD compared with non-Hispanic Whites. Although dietary interventions have shown promise to reduce modifiable CV risk factors related to AD, Black Americans have lower adherence likely due to lack of cultural considerations. Using a noninterventional convergent parallel mixed-methods approach, this study examined the cultural contexts that inform perceptions of dietary interventions among older Midwestern Black men. All participants completed an online demographic and dietary habit survey prior to focus group discussions. Two focus group discussion sessions were conducted …

An Exploration Of Anxiety And Depressive Symptoms Among Sexual And Gender Minority Young Adults Visiting A Drop-In Center For Youth Experiencing Homelessness, Lourence Misedah-Robinson, Laura Witte, Elizabeth Henneke, Madonna Land, Vanessa Schick

Faculty, Staff and Student Publications

Background: Research suggests that marginalized young adults, particularly sexual and gender minorities (SGM), face distinctive healthcare transition challenges. SGM often navigate a complex intersection of identities, experiences, and stressors that can contribute to mental health disparities. However, they often lack access to appropriate support and resources tailored to their needs, which can result in increased psychological distress. Drop-in centers are effective mental health interventions for marginalized communities. Therefore, we conducted a study to explore the healthcare access experiences and mental health outcomes of young adult SGM compared to their non-SGM counterparts.

Methods: We surveyed 151 young adults aged 18-25 who …

Nkoda, Ginger Williams

Library Faculty Publications

nkoda is a robust digital sheet music library and sophisticated user interface for interacting with scores. The resource will be beneficial to students to professional artists, creating efficiencies in ensembles, studios, and personal practice. The vast content library sets nkoda apart from other digital score apps, as does the ability to engage an institutional license.

Association Of Cancer Diagnosis With Disability Status Among Older Survivors Of Colorectal Cancer: A Population-Based Retrospective Cohort Study, Shiming Zhang, Lin-Na Chou, Michael D Swartz, Hemalkumar B Mehta, James S Goodwin, Yong-Fang Kuo, Sharon Hermes Giordano, Carole A Tucker, Karen M Basen-Engquist, Elizabeth J Lyons, Brian Downer, Susan K Peterson, Tru Cao, Maria C Swartz

Faculty, Staff and Student Publications

BACKGROUND: Older cancer survivors likely experience physical function limitations due to cancer and its treatments, leading to disability and early mortality. Existing studies have focused on factors associated with surgical complications and mortality risk rather than factors associated with the development of poor disability status (DS), a proxy measure of poor performance status, in cancer survivors. We aimed to identify factors associated with the development of poor DS among older survivors of colorectal cancer (CRC) and compare poor DS rates to an age-sex-matched, non-cancer cohort.

METHODS: This retrospective cohort study utilized administrative data from the Texas Cancer Registry Medicare-linked database. …

Developing A National Implementation Strategy To Accelerate Uptake Of Evidence-Based Family Caregiver Support In Us Cancer Centers, J Nicholas Odom, Heather M Young, Katherine Sterba, Timothy S Sannes, Susan Reinhard, Chandylen L Nightingale, Diane Meier, Tamryn F Gray, Betty Ferrell, Maria E Fernandez, Heidi Donovan, Kayleigh Curry, Erin R Currie, Tara Bryant, Marie A Bakitas, Allison J Applebaum

Faculty, Staff and Student Publications

OBJECTIVE: Characterize key factors and training needs of U.S. cancer centers in implementing family caregiver support services.

METHODS: Sequential explanatory mixed methods design consisting of: (1) a national survey of clinicians and administrators from Commission-on-Cancer-accredited cancer centers (N = 238) on factors and training needed for establishing new caregiver programs and (2) qualitative interviews with a subsample of survey respondents (N = 30) to elicit feedback on survey findings and the outline of an implementation strategy to facilitate implementation of evidence-based family caregiver support (the Caregiver Support Accelerator). Survey data was tabulated using descriptive statistics and transcribed interviews were analyzed …

Risk Of Depression In Persons With Alzheimer's Disease: A National Cohort Study, Casey Crump, Weiva Sieh, Barbara G Vickrey, Alexis C Edwards, Jan Sundquist, Kristina Sundquist

Faculty, Staff and Student Publications

INTRODUCTION: Depression is a risk factor and possible prodromal symptom of Alzheimer's disease (AD), but little is known about subsequent risk of developing depression in persons with AD.

METHODS: National matched cohort study was conducted of all 129,410 persons diagnosed with AD and 390,088 with all-cause dementia during 1998-2017 in Sweden, and 3,900,880 age- and sex-matched controls without dementia, who had no prior depression. Cox regression was used to compute hazard ratios (HRs) for major depression through 2018.

RESULTS: Cumulative incidence of major depression was 13% in persons with AD and 3% in controls. Adjusting for sociodemographic factors and comorbidities, …

A Qr Code For The Brain: A Dynamical Systems Framework For Computing Neurophysiological Biomarkers, William Bosl, Michelle Bosquet Enlow, Charles Nelson

Nursing and Health Professions Faculty Research and Publications

No abstract provided.

Characteristics And Quality Of Life Of People Living With Comorbid Disorders In Substance Use Recovery Residences, Elizabeth O Obekpa, Sheryl A Mccurdy, Kathryn R Gallardo, Serena A Rodriguez, Cecilia Ganduglia Cazaban, H Shelton Brown, James J Yang, J Michael Wilkerson

Faculty, Staff and Student Publications

BACKGROUND: Opioid use disorder (OUD) is associated with significant morbidity and mortality; however, research on physical and mental health comorbidities and health-related quality of life (HRQoL) among people taking medication for OUD (MOUD) and living in recovery residences is sparse. We investigated the prevalence of comorbidities and examined which EQ-5D-5L HRQoL dimensions are most affected by these comorbidities.

METHODS: Data were collected from 358 residents living in 14 Texas-based recovery residences from April 2021 to June 2023. The EQ-5D-5L descriptive system comprises five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression). Each dimension has five levels of perceived problems, dichotomized into …

A Randomized Controlled Study Of Auricular Point Acupressure To Manage Chemotherapy-Induced Neuropathy: Study Protocol, Nada Lukkahatai, Michael V Nguyen, Jingyu Zhang, Yu-Min Cho, Chitchanok Benjasirisan, Heijingzi Monica Jia, Claudia M Campbell, Jennifer Kawi, Hulin Wu, Hongyu Wang, Rupsikha Bora, Johannes Thrul, Constance M Johnson, Thomas J Smith

Faculty, Staff and Student Publications

Objective: Chemotherapy-induced neuropathy (CIN) significantly impacts cancer patients, leading to functional disability, diminished quality of life, and increased healthcare costs amid the ongoing opioid crisis. Auricular point acupressure (APA), a non-invasive and non-pharmacological alternative, has shown potential for alleviating the pain, numbness, and tingling associated with CIN. This study aims to assess the efficacy of APA for CIN symptoms and physical function and to examine the mechanisms underlying APA's effects on CIN.

Methods: This is a three-arm randomized controlled clinical trial protocol. Patients aged 18 and older who are experiencing CIN are randomly assigned to one of the three groups: …

A Comparative Study Of Venezuelan Immigrants’ Pre- And Post-Migration Concerns For Their Children In The United States And Colombia, Aigerim Alpysbekova, Pablo Montero-Zamora, Mary H Soares, Carolina Scaramutti, Sumeyra Sahbaz, Maria Duque, Tara Bautista, Maria Fernanda Garcia, Christopher P Salas-Wright, Mildred M Maldonado-Molina, Melissa M Bates, Augusto Pérez-Gómez, Juliana Mejía Trujillo, Eric C Brown, Seth J Schwartz

Faculty, Staff and Student Publications

Research suggests that forced migration may lead to cultural stress and psychological distress. However, little is known about immigrant parents' pre- and post-migration concerns for their children's welfare. The present study examined the concerns of Venezuelan parents who migrated to the United States versus those who migrated to Colombia, and whether post-migration concerns were related to cultural stressors, mental health, and cultural identity. A sample of 609 Venezuelan immigrants completed surveys and responded to an open-ended prompt asking about pre- and post-migration concerns for children's welfare. Lack of safety was the most common pre-migration concern for Venezuelans in the U.S., …