Digital Commons Network^™

Examining Social Determinants Of Health And The Impact On Hiv Outcomes In Black People In The United States, Triscia G. Martin

Doctoral Dissertations and Projects

Black people are disproportionately affected by HIV as evidenced by poor clinical outcomes and mortality. Clinical outcomes may be potentiated by patient factors, compounded by social determinants of health. This cross-sectional study sought to examine the impact of social determinants of health on AIDS mortality in the United States. Deidentified HIV data from the CDC NCHHSTP Atlas Plus repository and CDC WONDER population data were utilized to examine the association of race, sex, transmission category and geography on AIDS mortality in 43 states during 2018 to 2022. AIDS mortality was further examined through the lens of HIV stigma and housing …

Exploring The Predictive Relationship Between Course Clarity And Utility Value On Engagement For Online Post-Secondary Students In Canada, Amanda Marie Smith

Doctoral Dissertations and Projects

The purpose of this quantitative, predictive, correlational study was to examine how well course clarity and utility value predict student engagement among online learners at a Canadian post-secondary institution. This study is important because it can provide educators and curriculum developers with insights into the factors that positively impact student engagement. Supporting student engagement ensures learners receive a beneficial education and that the institution delivers relevant, engaging programming to retain its students. The sample comprised 68 online post-secondary learners studying at a college in Canada. Data were collected using portions of the Online Learning Climate Scale, the Expectancies and Values …

Internal Coherence Factors Of Instructional Leadership Teams And Their Impact On Student Academic Growth: A Quantitative Predictive Correlational Study, Jennifer E. Clark

Doctoral Dissertations and Projects

The purpose of this quantitative, predictive correlational study is to examine the relationship that the Internal Coherence Framework factors of leadership, teacher collaboration, and collective teacher efficacy have on student academic growth measured through teacher VAM scores. This study has significance, in that, it demonstrates how Instructional Leadership Teams (ILTs) based on the Internal Coherence Framework, through intentional focus on strengthening pedagogy and collective teacher efficacy, impact student achievement at the secondary school level. Junior high and high school teachers who receive VAM scores from thirteen junior high schools and eight suburban high schools in southeast Louisiana responded to the …

A Predictive Correlational Study Of The Relationship Between Faculty Leadership Styles And Teacher Communication Orientation In Jamaica’S Higher Education System, Zandy Uriel Elliott

Doctoral Dissertations and Projects

This quantitative study examined the extent to which faculty leadership styles, gender, and years of experience predict teacher communication orientation, specifically assertiveness (TCO-A) and responsiveness (TCO-R), among higher educational institutions in Jamaica. Grounded in communication theory and leadership frameworks, the study explored how faculty leadership express themselves and respond to others. Data were collected from 216 faculty members using the Multifactor Leadership Questionnaire (MLQ) and the Sociocommunicative Orientation Scale (SCO). Descriptive analyses indicated that participants’ mean responsiveness scores were slightly higher than assertiveness scores across all years-of-experience categories, with many displaying traits consistent with an “Amiable” to “Expressive” communication profile …

The Unashamed Plan: Expository Methods For Reconciling Unchurched Young Adults At The Friendship Baptist Church Of West End, James Daniel Spencer Ii

Doctoral Dissertations and Projects

Young adults are absent from the pews of churches within the urban African American community. Churches within the community face dissolution because a generation no longer seeks to solve its problems by connecting with the household of faith due to shame-based alienation. There is a need to reconcile young adults into the citadel of invincible grace, God’s church, to fulfill the Great Commission and ensure a generation is not lost. Therefore, this action research project teaches church members through expository preaching and teaching The Unashamed Plan to educate them to reach youth for Christ. The Unashamed Plan is a theological …

A Pilot Study Of Life Model Informed Therapy And Its Efficacy For Reducing Anxiety And Increasing Joy In Adults, William R. Mouer

Doctoral Dissertations and Projects

This pilot study researched Life Model Informed Therapy (LMIT), a modality developed into a six-week treatment targeted to decrease anxiety and increase joy in adults that self-reported as having anxiety. Fourteen participants were recruited by Facebook ads in the Charlotte, North Carolina area. Outcome data were collected using the State Joy Scale (SJS) and Beck Anxiety Inventory (BAI). Participants received the same LMIT treatment for six consecutive, weekly, one-hour sessions. Participants self-reported on their joy and anxiety levels at three periods of time, including a pre-treatment, post-treatment and one month after-treatment test. Two one-way RM-ANOVA tests were conducted. Results of …

The Impact Of Education And Awareness In Influencing Lifestyle Behaviors That Prevent And Treat Sarcopenia In Older Adults: A Mixed-Methods Cross-Sectional Research Study, Alan Lynn Jones

Doctoral Dissertations and Projects

This mixed-methods, cross-sectional study assessed the current level of knowledge and awareness among people aged 50 and older about sarcopenia, as well as their willingness to adopt lifestyle changes that could prevent or reverse the condition as they age. The study aimed to determine whether a lack of awareness and knowledge is linked to current lifestyle behaviors that contribute to or protect against the development of the disease. The population included men and women 50 and older, living independently in the community with no prior diagnosis of sarcopenia. The study used a custom-designed questionnaire and semi-structured interviews. A total of …

An Assessment Of Cognitive Fatigue Among Emergency Medical Services (Ems) Professionals In The State Of Georgia, Charlotte L. Bush

Doctoral Dissertations and Projects

The purpose of this dissertation was to delve into the urgent and pervasive issue of cognitive fatigue in Emergency Medical Services (EMS) personnel, a critical yet often overlooked aspect of healthcare delivery. EMS personnel operate in high-stress, unpredictable environments, frequently working long hours and overnight shifts, which can lead to significant fatigue. This study aimed to identify the primary causes of cognitive fatigue in this population, examine its impact on decision-making abilities and patient care outcomes, and evaluate the effectiveness of current fatigue management strategies. The research employed a comprehensive mixed-methods approach, combining quantitative data from surveys and qualitative data …

The Lived Experience Of Child Sexual Abuse Material Investigators: A Phenomenological Study, Andrea Ruth Sorber

Doctoral Dissertations and Projects

This transcendental phenomenological study describes the resiliency-building skills implemented by investigators during pre-engagement, engagement, and post-engagement with Child Sexual Abuse Material (CSAM) cases. This study will include no non-adults, as participants are those in the law enforcement field assigned to investigating CSAM cases. The theory guiding this study is Husserl’s transcendental phenomenology, which focuses on intentionality while suspending judgment and moving toward awareness. Schlossberg’s Transition Theory (STT) provides the theoretical framework for the study, which aims to answer the following primary research question: How do investigators handling CSAM describe their strategies to sustain resilience during engagement with distressing digital content? …

Myths And Memories: The New South & Lost Cause In Georgia, Stephen Bliss Jones

Doctoral Dissertations and Projects

The defeat of the Confederacy led way to the development of two related but distinctly separate ideological movements, the New South and the Lost Cause. However, in the course of Civil War historiography, the two have been conflated with one another, with the Lost Cause winning out as the solely accredited ideological product of the vanquished Confederacy. The modern Neo-Reconstruction school of thought discredits the New South as a distinct sociopolitical movement, and frequently associates its cultural products to the Lost Cause. This dissertation examines the cultural and political evolution of each movement, with a focus upon their primary cultural …

Exploring The Experience Of East African Immigrants With Accents In Michigan Mental Health Counseling, Ermias Kebede Tessema

Doctoral Dissertations and Projects

This qualitative phenomenological study explored the lived experiences of East African immigrants with accented English in Michigan mental health counseling context. The purpose was to understand how accented speech shaped communication, emotional safety, and therapeutic connection between clients and counselors. Grounded in B.F. Skinner’s theory of language learning, along with the language transfer and critical period hypothesis frameworks, the study employed semi-structured interviews with ten East African immigrant adults who had received mental health counseling in Michigan. Data analysis produced five overarching themes: (1) Accent as a Communication Barrier, (2) Counselor’s Cultural Competence, (3) Emotional Experience of Counseling with an …

Ace Scores And Ipv Perpetration Among Domestic Violence Treatment Court Participants In New Mexico, Laura S. Daniels

Doctoral Dissertations and Projects

This quantitative archival study examined the relationship between adverse childhood experiences (ACEs) and intimate partner violence (IPV) among participants in a specialized Domestic Violence Treatment Court (DVTC) in New Mexico. Between January 2019 and December 2024, 69 individuals volunteered for the DVTC, with 49 graduating successfully, reflecting a graduation rate of approximately 78%. The study’s purpose was to determine whether a sample of offenders (N=22) reported higher levels of ACEs compared to the U.S. general population. ACEs were measured using a 10-item questionnaire, and data were compared to national benchmarks from the Centers for Disease Control and Prevention (CDC). A …

Preparing Educational Leaders: A Qualitative Phenomenological Study, Alexander William Barber Ii

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to understand the business training conducted in succession planning for executive leaders at community colleges. The central research question for this study is: What are the experiences of executive leaders at community colleges in business training conducted in succession planning? I conducted a hermeneutic phenomenological study at a nationally recognized community college that is implementing new higher education programs. The theoretical framework guiding this study was Smith’s institutional theory. Purposeful sampling was used to interview personnel working at the executive level in positions of vice presidents and presidents on-site. Individual interviews and …

Examining The Relationship Between Trust-Based Relational Intervention® (Tbri®), Placement Stability, And The Voluntary Placement Disruption Of Minor Children In Substitute Caregiving Environments, Kelsey Tiernan-Coleman Harrison

Doctoral Dissertations and Projects

Placement stability is associated with positive outcomes for minors in substitute caregiving environments. Numerous variables are related to placement stability, but there is a paucity of data highlighting specific interventions that improve placement stability. Trust-Based Relational Intervention (TBRI)® has been studied extensively in child welfare populations, with promising results, including improved caregiver-child attachment and decreased child internalizing and externalizing behavior, psychiatric symptomology, and caregiver burnout and stress. However, TBRI® has not been studied exclusively in relation to placement stability. This mixed-methods design study examined the relationship between TBRI®, including the degree and timing of exposure, placement stability, and voluntary placement …

The Discoveries Of Key Elements Behind A Central Texas Title 1 Public School District’S Academic And Relational Success Amid Learning Loss In State Trends: A Qualitative Single Case Study, Hannah Deborah-Johns Fountain

Doctoral Dissertations and Projects

The purpose of this qualitative single case study is to discover the key elements behind a central Texas Title 1 Public School District’s academic and relational success amid learning loss experienced in other similar Texas public school districts during the COVID pandemic. From the years prior to the pandemic to three years post, Sunflower Independent School District (SISD) has remained steadfast in demonstrating superb state ratings via STAAR and TELPAS assessments. It has also received continuous spotlight district recognition through Capturing Kids’ Hearts (CKH) – a social emotional learning (SEL)/character enriching program. Texas Public Education throughout the years has looked …

Music’S Transformative Power: A Phenomenological Exploration Of Christian Music’S Role In Enhancing Human Development, Crystal Ann Hubbell

Doctoral Dissertations and Projects

Music is one of the most fundamental expressions of art, communication, and worship, linking to the conscience and personalities across cultures. Music provides a pathway to human emotions where music manifests as a therapeutic component for psychosomatic change. Furthermore, Christian music has not been explored as a therapeutic component for individuals struggling with mental health or cognitive challenges. The purpose of this study was to investigate how Christian music may serve as a therapeutic component of wellbeing in everyday lives of individuals. Using a transcendental phenomenological approach, this study investigated the lived experiences of 10 individuals who have experienced Christian …

Investigating Technology Readiness In Blended Learning Environments For Secondary Education: A Case Study, Philipiah J. Antony

Doctoral Dissertations and Projects

The purpose of this case study was to discover how technological readiness affects the students’ mindset in blended learning environments for secondary school students at secondary schools in Trincomalee, Sri Lanka. The theories guiding this research are the Community of Inquiry (CoI) framework, as it states that blended learning environments connect the teaching and social communities, making a social fabric in which teaching and learning occur, and Bandura’s social cognitive theory, as it proposed students can construct knowledge by interacting with the learning environment lays the theoretical foundation for blended learning that focuses on building knowledge through a commitment to …

Law Enforcement Officer Perceptions In The Current Socio-Political And Cultural Environment: How Psychological Stress Impacts Overall Job Satisfaction, Mitzie L. Forrest

Doctoral Dissertations and Projects

The purpose of this qualitative study was to explore police officer perceptions of job stress and satisfaction within the occupational environment at a mid-sized police agency in the Southern United States in the five years immediately following the George Floyd incident. Using Grounded Theory (GT), six major socio-political and cultural factors were investigated to determine the effects on police officer wellbeing and overall job satisfaction. The factors explored were defund the police, Black Lives Matter, social unrest, media impact, cancel culture, and woke culture. The data collection process involved the triangulation of data obtained through an agency-wide anonymous survey to …

The Lived Experiences Of Mothers Of Children With Down Syndrome Using Teleot Services: A Phenomenological Study, Tumini Umukoro

Doctoral Dissertations and Projects

In response to the COVID-19 lockdown in the United States, therapy services for children with developmental delays transitioned to telehealth services. The purpose of this qualitative study was to explore the lived experiences of mothers of children diagnosed with Down syndrome (DS) who received occupational therapy services through telehealth (teleOT) using interpretative phenomenological analysis (IPA). Bronfenbrenner's ecological system theory was the framework used to address the research questions: RQ1: What are the lived experiences of mothers of children with DS regarding teleOT services? RQ2: How do mothers of children with DS perceive the benefits and challenges of telehealth OT services? …

Comparing Modern Band And Traditional Band Methods: A Mixed-Quantitative Study Of Note-Reading And Improvisation Competencies Among Secondary Music Students, Dennis John Manson Jr.

Doctoral Dissertations and Projects

Music directors should determine how pedagogical trends to support student-centered engagements utilizing modern methods and popular music in public schools compare to traditional practices in secondary bands. Current research suggests students should engage in culturally relevant repertoire and quality ensemble experiences. Existing studies, however, should measure the efficacy of alternative music programs concerning music literacy, self-expression, and how they compare to traditional band methods. Investigating both methods is necessary to discover common techniques and how differences in pedagogical standards may influence one another. Guided by experimental research, the following mixed quantitative study features a quasi-experimental and a correlational design to …

Teacher Support For Special Education Students Struggling With Basic Reading In The Inclusive Setting: A Qualitative Case Study, Dylan O. Cramer

Doctoral Dissertations and Projects

The purpose of this case study is to discover how teachers support special education elementary students identified with specific learning disabilities (SLD) in the inclusion setting who struggle with basic reading at Champion Heights Elementary School. At this stage in research, the academic impact of inclusion for special education students who struggle with basic reading will generally be defined as determining the academic benefits and weaknesses of elementary students being educated inside the general education classroom. The theory guiding this study is Albert Bandura’s social cognitive theory. The social cognitive theory relates to this topic because students learn through observed …

Wmu Board Of Trustee Board Meeting, Thursday December 4, 2025, Wmu Board Of Trustees

WMU Board of Trustees Meetings

• Acceptance of the Agenda
• Approval of the Minutes (October 30, 2025)
• Remarks by the Chair of the Board
• Remarks by the President
• Updates by the Faculty Senate President
• Updates by the Western Student Association President
• Updates by the Graduate Student Association President
• Presentation: The Voice of Bronco Success
• Public Comments Regarding Action Items

Action Items

Student Housing and Meal Rates 2026/27

Consent Items

Curriculum Proposals

Personnel Report

• General Public Comments

Scheduled Nurse-Led Visits: Responding To Specialty Care Access Limitations In Neuroscience Clinics, Charlene Grace Alforque Platon, Teresa Bell-Stephens, Cynthia Dorantes Cortez, Briana Williams, Chrystal L. Lewis

Biennial Convention (CONV)

BACKGROUND: As a result of high demand, outpatient clinics nationwide are pressured to effectively serve more patients.¹ Registered nurse (RN) interventions,² including RN-led visits (LV), have emerged as a strategy to increase quality patient care. RN-LVs encompass a wide range of services, including disease management,³ treatment follow-up,⁴ patient education,1 and care coordination.2 RN-LVs are not conducted by advanced practice nurses;⁵ however, RN-LVs demonstrate promising patient outcomes. The impact of these visits on patient access remains underreported within the ambulatory specialty care setting.

PURPOSE: The purpose of this study was to elucidate ambulatory RNs’ experiences with …

Asian College Students' Well-Being During A Period Of Rising Anti-Asian Sentiment, Kyuhan Choi, Ying Shi, Maria Zhu

Center for Policy Research

We use a large survey of students in U.S. colleges to study the distinct ways in which the COVID-19 pandemic and accompanying anti-Asian rhetoric shaped the experiences of Asian and Pacific Islanders (APIs). Using a difference-in-differences approach, we find that the pandemic led to Asian students experiencing more discrimination, feeling less safe during the day, and using fewer mental health services compared to White peers. The increase in discrimination and the perceived lower safety are concentrated among East and Southeast Asians, while South Asians were not affected. Despite these effects, we detect no relative deterioration in severe psychological distress or …

December 4, 2025, The Daily Mississippian

Daily Mississippian (all digitized issues)

No abstract provided.

Universal School Meal Policies And Perceived Stigma: Quantitative Evidence From Eight Us States, Dania Orta-Aleman, Monica D. Zuercher, Leah Chapman, Marlene B. Schwartz, Caitlin D. French, Anisha I. Patel, Lorrene D. Ritchie, Juliana Cohen, Wendi Gosliner

Health Sciences Faculty Publications

Background

Universal school meals (USMs) policies, which provide free meals to all students regardless of income, have the potential to improve child nutrition and reduce stigma. Quantitative evidence on the association between USM and stigma is limited.

Methods

Leveraging a natural policy variation in state‐level USM implementation, we surveyed 1066 middle and high school students from eight US states (four with USM, four without) during the 2022–2023 school year. Stigma was measured as self‐reported embarrassment about eating school lunch. We used generalized estimating equations to examine the associations between USM, embarrassment, and lunch participation.

Results

Overall about one in nine …

Hawk's Herald -- December 4, 2025, Roger Williams University

Hawk's Herald

No abstract provided.

When Ai Met Irs: Bot Activity And The Institutional Repository, Amanda Makula

Copley Library: Faculty Scholarship

High download counts are a good thing -- right? But what happens when those numbers become unusually -- even alarmingly -- high? Are there truly human users at the other end, or is this an indication of AI bot activity? When the Digital Initiatives team at the University of San Diego noticed a sudden and substantial uptick in download numbers, we began asking questions: What's really going on? Is this cause for concern? How do we address this? Will our users be impacted?

To explore and answer them, we consulted with the library’s Scholarly Communications Committee and corresponded with our …

A Methodology To Reconstruct The Extent And Dynamics Of Historic Wildfires (1850-1950) In The Santa Cruz Mountains Of California, David Vásquez Ospina

Master's Theses

This thesis reconstructs the extent and dynamics of historic wildfires in the Santa Cruz Mountains of California between 1850 and 1950 using qualitative archival evidence from historical newspapers, maps, and related documents. A systematically coded database of 225 reports, consolidated into 155 unique wildfire events, was developed to analyze temporal and spatial patterns, ignition sources, vegetation types, suppression strategies, and impacts on communities and infrastructure. Historical rainfall records from the Boulder Creek station were integrated using water-year totals, three-year rolling averages, and standardized precipitation indices to examine how multi-year dryness relates to fire occurrence and size. Linear regressions show only …

Examining The Influence Of Education On Job Satisfaction Among Georgia Police Officers: A Causal-Comparative Quantitative Analysis, Ebony J. Gammon

Doctoral Dissertations and Projects

The purpose of this quantitative causal-comparative study was to determine if a significant difference exists between job satisfaction scores among police officers with varying levels of education. This study is important because it addresses contemporary challenges in law enforcement, will provide valuable insight into informed decision making, has broad implications and applicability, and will contribute to scant policing knowledge that informs the understanding of education level on police actions. More specifically, how higher education or the absence thereof impacts job satisfaction. The sample was composed of 180 sworn Peace Officer Standards and Training (POST) certified, police officers in the state …