Digital Commons Network^™

Implementing The Steadi Fall Risk Screening Initiative Within A Primary Care Setting To Improve Patient Safety, Haleigh Marie Brown

Doctoral Projects

Falls among older adults are a significant public health issue and the leading cause of injury-related illness and death in people aged 65 and older. While evidence-based guidelines exist and awareness of fall risks has increased, many primary care settings do not use standardized fall risk screening protocols. This gap results in missed opportunities for early identification and prevention. To address this need, the Centers for Disease Control and Prevention (CDC, 2019) created the STEADI (Stopping Elderly Accidents, Deaths, and Injuries) Toolkit, which offers healthcare providers a structured approach to assess, manage, and reduce fall risk.

This doctoral project aims …

Point-Of-Care Gastric Ultrasound For Preoperative Assessment Of Gastric Contents: An Objective Structured Clinical Examination, Joshua Mann, Michael Sykes

Doctoral Projects

Pulmonary aspiration remains a leading cause of anesthesia-related mortality. The current nil per os (NPO) guidelines are proving unreliable in the presence of delayed gastric emptying due to comorbidities and the increasing use of glucagon-like peptide-1 (GLP-1) agonists. Gastric point-of-care ultrasound (POCUS) use provides a non-invasive, evidence-based, and cost-effective approach to assess gastric content and volume directly. However, limited formal training exists for advanced practice registered nurses (APRNs), and this lack of training contributes to the lack of its utilization. This doctoral project evaluated the effectiveness of an educational intervention that incorporated a didactic lecture as well as a hands-on …

Perma Well-Being Model And Profiler: Arabic Translation And Validation Among The Saudi Adult Population, Ebtesam Abdullah Alzeiby, Aljawharh Ibrahim Alsukah, Nourah Abdulrhman Algadheeb, Ali Faris Alamri, Monira Abdulrahman Almeqren, Uzma Zaidi

College of Nursing Faculty Publications

Background/Objective: Psychological scales hold significant importance, measuring cultural sensitivity, experiences, values, and emotional expressions while controlling individuals’ biases regarding certain cultures. Arabic is used in a widespread, predominantly Middle Eastern and North African region, but it has diverse expressive variations. Therefore, the value of translating and validating scales lies in their compatibility with cultural norms. This study focuses on measuring the psychometric properties and factorial structure of the widely used PERMA-Profiler to assess the general well-being of the Saudi adult population.
Methods: Using stratified sampling, (N = 2927) Saudi adults were recruited via various electronic and social media.
Results: The …

Gc Agenda 2025-12-01, Northern Illinois University

Graduate Council Archives

No abstract provided.

Gc Minutes 2025-12-01, Northern Illinois University

Graduate Council Archives

No abstract provided.

The Artful Aging Project, Maria Carmelita Fernandez, Sah'neya Fryer, Kathleen Morris, Maya Price

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

As the older adult population in Sacramento County continues to expand, addressing age-related declines in fine motor function, cognition, and social well-being has become increasingly critical. Such declines can compromise activities of daily living, reduce independence, and exacerbate risks associated with social isolation. Evidence suggests that art-based interventions may mitigate these effects by enhancing motor coordination, promoting social engagement, and stimulating cognitive processes. The Artful Aging Project was designed to evaluate the effectiveness of structured art activities in improving fine motor skills and social wellness among older adults served by the Stanford Settlement Neighborhood Center (SSNC). Grounded in community-based participatory …

Performance And Policy Review: Does Connecticut’S Open Choice Program Provide Equitable Opportunities To Underserved Students?, Jacob S. Carson, Gazi M. Duman

Pennsylvania Economic Review

The intent of Connecticut’s Open Choice Program is to offer underserved urban students the opportunity to achieve equitable educational outcomes by attending higher-quality public schools. As students transfer to schools that theoretically have more resources, increased educational achievement growth is expected. Additionally, with the implementation of the state exam, Smarter Balanced Assessment, student growth metrics have been introduced in state reporting. Examining student growth is a better measure for school quality than achievement levels. To understand the impact of Open Choice Program, a multiple regression analysis is applied to multiple imputed aggregate data to determine the relationship between school choice …

Community Health Promoters’ Experiences In Mitigation Of Cardiovascular Diseases In Lari Sub-County - Kiambu County, Kenya, Emily Njeri Muchina

MSc in Advanced Practice Nursing

Background: Cardiovascular diseases (CVDs) are a rising public health issue in low- and middle-income countries, including Kenya, where there is an escalation of their deaths and preventable risk factors. Community health promoters (CHPs) have a crucial role in the prevention of CVDs. Yet, low knowledge of CVD prevention and low detection of CVD risk factors characterise most underserved communities in Kenya. Little has been documented about CHPs' experiences in mitigating CVDs despite the presence of multilevel barriers and facilitators that can shape their experiences.

Aim: To gain an in-depth insight into the experiences of CHPs in mitigating CVD …

Grand Theft Identity: The Privacy Costs Of Digitalization, Kenny Phua, Chishen Wei, Gloria Yang Yu

Sim Kee Boon Institute for Financial Economics

We study whether greater digital engagement increases the risk of identity theft by exploiting bank branch closures as a shock that shifts economic activity online. Using a quasi-natural experiment, we find causal evidence that branch closures increase identity theft, particularly in more vulnerable communities. Exposed consumers spend more time on mobile apps and shift their expenditures from offline to online channels. Adversarial activities associated with identity theft, such as unwanted calls and phishing attempts, increase after branch closures. Overall, our evidence suggests that digitalization offers consumer benefits, but also imposes hidden privacy costs.

An Autoethnography: How Professional Organizations Serve As Professional Development For Secondary Journalism Teachers, Mark R. Hilburn

Educational Leadership Theses, Dissertations, and Student Creative Activity

The purpose of this autoethnography is to provide analysis and explain the importance of professional development experiences for secondary teachers, especially for those that are singletons in a school, district, or community.

Autoethnography is a qualitive research method in which the researcher is also the subject of the study. In autoethnography, the researcher uses autobiographical stories to analyze and interpret their lived experiences with the purpose of extending sociological understanding. It reflects the interconnectivity of self, others, and culture (Hamdan, 2012).

Effective professional development is typically long-term, collegial, supported by leadership, and context-specific (Richardson, 2003; Sparks, 2002), and essential for …

December 2025, Robert Kelly

Robert Kelly Manuscripts

No abstract provided.

The Token-Effort Effect: Trivial Redemption Effort Increases Price Promotions Effectiveness, Kuangjie Zhang, Thomas Allard, Nidhi Agrawal, Rajesh Bagchi

Research Collection Lee Kong Chian School Of Business

This research documents how introducing redemption tasks requiring a token (i.e., trivial) amount of effort—for instance, by asking the consumer to enter a promo code or solve a CAPTCHA to receive a discount—increases price promotion effectiveness compared with equivalent straight discounts (i.e., applied automatically). Eight studies (including two field experiments) and three additional Web Appendix studies provide robust evidence for the beneficial effect of token-effort requirements on redemption rates. This effect occurs because the easy-to-attain redemption task induces a high perceived return on effort. Thus, this effect only occurs when the redemption task requires token-type effort but not when it …

One Size Does Not Fit All: Contract Design In Fintech Lending, Jianfeng Hu, Changcheng Song, Gloria Yang Yu

Research Collection Lee Kong Chian School Of Business

Many fintech lenders rely on standardized contract terms to support scale and operational speed. This paper examines whether modest tailoring of loan contracts can improve credit market outcomes. We conduct a randomized field experiment with a large fintech lender that varies loan due dates relative to borrowers' salary paydays. Synchronizing repayment schedules with income cycles reduces delinquency by 29.1% in the experiment and 15.7% in the administrative data. Effects concentrate among liquidity-constrained borrowers: young, low-income, and low-creditlimit individuals. Tailored repayment timing generates substantial economic benefits: borrowers save on overdue penalties, lenders accelerate cash flows, and improved repayment increases future credit …

A Transaction Cost Perspective On Option Anomalies, James O'Donovan, Gloria Yang Yu

Research Collection Lee Kong Chian School Of Business

We examine the impact of transaction costs on the profitability of long-short portfolios of delta-hedged option returns. Of the 24 portfolio sort variables studied, 17 generate positive and significant gross returns, but none remain profitable after accounting for trading costs. We propose a cost-mitigation approach that restores profitability to 7 key portfolios. Furthermore, we demonstrate that the choice of delta-hedging frequency has a first-order impact on transaction costs. Our findings underscore the central role of implementation costs in shaping the investment opportunity set in equity–option markets, highlighting the need to account for transaction costs when evaluating option-based strategies.

What Must I Do? Servant-Leadership And Choice, Jiying Song

International Journal of Servant-Leadership

Drawing on archival research at Yale Divinity Library, this article examines four original manuscripts by Robert K. Greenleaf that explore themes of identity, responsibility, and personal growth within servant-leadership. Greenleaf emphasizes the primacy of individual character over systems, the paradoxical nature of leadership, and the enduring significance of choice. His reflections on entheos—an inner sense of oneness and rightness—frame leadership as a moral and spiritual journey. By situating these insights within contemporary servant-leadership theory, the article highlights their relevance for business education and leadership practice, inviting readers to engage with Greenleaf’s central question: “What must I do?”

A Collection Of Greenleaf's Works, Robert K. Greenleaf, Jiying Song

International Journal of Servant-Leadership

A collection of works written by Robert K. Greenleaf and compiled and edited by Dr. Jiying Song.

Motivational Interviewing And Servant-Leadership: An Interview With Dr. William R. Miller, William Richard Miller, Jemima Neddy Organ

International Journal of Servant-Leadership

Dr. Miller is a leader in addiction research and treatment and co-founder of Motivational Interviewing (MI), an evidence-based method for helping people change. In this interview, he discusses how he developed MI, highlighting his collaborative approach to servant-leadership. He advocates organizational values that create a collegial, collaborative environment and help meet human needs for autonomy, relatedness, and competence. He discusses power dynamics in leadership and the importance of a person-centered approach to leadership.

A Reconceptualization Of Servant-Leadership And Measurement, Lori Doyle, Larry H. Ludlow

International Journal of Servant-Leadership

Servant-Leadership (SL) has been gaining traction as an evidence-based leadership theory and there are a range of existing measurement tools focused on self-report attitudes, beliefs, opinions, and behaviors. Concordia University Irvine has embedded a SL framework throughout all programs of study offered by the School of Education in order to encourage current and future education professionals in their understanding of servant-leadership as an effective way to lead. It was determined that a published instrument did not exist for measuring knowledge growth as a pre- and post-test focused on increased understanding. Work to define SL in terms of four specific virtues …

Investigating The Feasibility Of Practicing Servant-Leadership In Hong Kong School Environment: An Exploratory Study, Keyi Zhang, Wing Shan Chan, Benedict S. K. Shum, Daniel H. K. Chow

International Journal of Servant-Leadership

Servant-leadership is an emerging area of study in leadership research that emphasises a people-oriented leader-follower relationship and a humanistic approach to leadership behaviour. Due to the limited research on servant-leadership, this study adopts an exploratory approach to examine the applicability of Cheung’s servant-leadership model in Hong Kong schools. Our research investigates both the practical implementation of this model and the challenges encountered in translating theory into practice. We conducted semi-structured interviews with twelve experienced school leaders who had participated in a long-running servant-leadership training programme. The interview transcripts were analysed to assess the twelve servant-leadership qualities outlined in the model. …

Can Better Transportation Infrastructure Help Bridge The Gender Mobility Gap?: Analysis Of The Dhaka Metro Rail, Prottoy A. Akbar, Tomoki Fujii, Arpita Khanna, Abu S. Shonchoy

Research Collection School Of Economics

Inadequate transportation infrastructure is a pressing challenge in rapidly expanding urban centers globally. However, the differential impacts of infrastructure improvements for women versus men remain inadequately understood and underexplored. This study addresses this knowledge gap by documenting gender-specific travel patterns and perceptions of safety in Dhaka, Bangladesh. Specifically, we analyze how the introduction of Dhaka’s first mass rapid transit (MRT) line has altered modes of transportation, the frequency of travel, and safetyrelated concerns among women. Our empirical findings highlight that the new MRT line has notably influenced women’s travel behaviors, particularly by alleviating safety concerns that previously discouraged regular travel.

Addressing Implementation Challenges In The Delivery Of An Epilepsy Self-Management Program In Community Settings, Martha Sajatovic, Jessica Black, Clara Adeniyi, Sakshi Priya, Nicole Fiorelli, Lesley Armah

Faculty Scholarship

Aims: This report describes implementation of the SMART epilepsy self-management (ESM) program in a community setting. Methods: SMART was implemented by 3 epilepsy-focused social services agencies. Pre/Post outcomes included past 30-day seizure frequency, the 9-item Patient Health Questionnaire (PHQ-9), the 10-item Quality of Life in Epilepsy (QOLIE-10) and the 7-item Generalized Anxiety Disorder (GAD-7) scale. Results: There have been 8 nurses (mean age 63.6, SD 9.1) and 14 peer educators trained (mean age 44.3, SD 15.8, having epilepsy a mean of 18.2, SD 11.1 years). Mean number of SMART sessions attended (out of a maximum of 8) was 5.7, SD …

Clinical Decision Support For Pharmacologic Management Of Treatment-Resistant Depression With Augmented Large Language Models, Martha Sajatovic

Faculty Scholarship

Background: We evaluated whether a large language model could assist in selecting psychopharmacological treatments for adults with treatment-resistant depression. Methods: We generated 20 clinical vignettes reflecting treatment-resistant depression among adults based on distributions drawn from electronic health records. Each vignette was evaluated by 2 expert psychopharmacologists to determine and rank the 5 best next-step pharmacologic interventions, as well as contraindicated or poor next-step treatments. Vignettes were then presented in random order, permuting gender and race, to a large language model (Qwen 2.5:7B), augmented with a synopsis of published treatment guidelines. Model output was compared to expert rankings, as well as …

Semaglutide For Metabolic Dysfunction–Associated Steatohepatitis (Mash): Estimating Eligibility From The 2021–2023 National Health And Nutrition Examination Survey (Nhanes), Jennifer B. Levin, Martha Sajatovic, Seth N. Sclair

Faculty Scholarship

There has been considerable interest in the potential of GLP-1 agonists for treating chronic liver disease.1 Following the positive results of the Phase 3 ESSENCE trial,2 on August 15, 2025, the FDA-approved Wegovy (semaglutide) for the treatment of metabolic dysfunction–associated steatohepatitis (MASH).3 Recently, the eligibility for semaglutide across all current indications in the United States, including diabetes management, weight management, and secondary prevention of cardiovascular disease (CVD), was estimated to be nearly 137 million individuals based on the National Health and Nutrition Examination Survey (NHANES, 2015–2020).4 Although weight management subsumed all eligibility for secondary prevention of CVD, as well as …

Popliteal Tendinopathies In The Athlete: A Narrative Review Of Popliteus, Hamstring, And Gastrocnemius Tendon Pathologies At The Popliteal Fossa, Ryan L. Russell, Nathan Katz, Allison N. Schroeder

Faculty Scholarship

Purpose of Review: Tendinopathies affecting the popliteus, distal hamstring, and proximal gastrocnemius tendons at the popliteal fossa can result in persistent pain, reduced function, and time-loss from sport. The goal of this paper is to review the literature on the epidemiology, diagnosis, and management of popliteal tendinopathies. Recent Findings: Understanding popliteal fossa tendon anatomy and muscle actions is essential for accurate diagnosis and effective management. Treatment options range from conservative, non-surgical approaches to surgical interventions, with phased progression through stretching, strengthening, and biomechanical optimization of the affected muscle/tendon unit being key to rehabilitation. Summary: There is a paucity of literature …

Prevalence Of Sleep Disturbances And Factors Associated Among School Going Children In Uganda, A Cross-Sectional Study, Martha Sajatovic

Faculty Scholarship

Background: Sleep disturbances greatly impact children's academic performance and social well-being. This study set out to determine the prevalence of sleep disturbances and factors associated among school going children in Kawempe division, Kampala, Uganda. Methods: In a community cross-sectional study, 548 study participants using random cluster sampling were enrolled. The children start lessons at 8am and end the days classes at 5pm. Random cluster sampling method was used to select participants from the 19 parishes in Kawempe district. Data was collected using a semi-structured questionnaire and Sleep Disturbance Scale for Children (SDSC). Descriptive statistics and multivariate binary logistic regression were …

In The Pursuit Of Parent Caregiver Well-Being: A Phenomenological Study, Glenda E. Hux, Natalie King, Sarah A. Schoen

Communication Disorders and Occupational Therapy Faculty Publications and Presentations

Unmet needs in parent of children with chronic and complex conditions often result in adverse outcomes to their mental health and well-being. This descriptive phenomenological study explores their lived experiences and daily participation patterns. Thirteen participants in a global cohort shared their experiences via a secure digital platform. Five themes emerged illustrating the parents' pursuit of well-being and the barriers encountered: Embodying the Caregiver Life, Navigating Intricate Realities, Emotional and Existential Landscape, Navigating Healthcare Systems, and Connected Yet Alone. This study underlies parents' occupational participation challenges and the crucial need to address them using parent-centered approaches to promote family well-being.

How Patients With Amyotrophic Lateral Sclerosis Perceive Respiratory Interventions: A Mixed-Methods Study To Inform Implementation Efforts, Jason Ackrivo, Danny Bracy, Lauren B. Elman, John Hansen-Flaschen, Zachary Simmons, Piera Pasinelli, Terry Heiman-Patterson, Steven M. Kawut, Meghan B. Lane-Fall

Department of Neuroscience Faculty Papers

BACKGROUND AND OBJECTIVES: Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease that commonly leads to respiratory failure. Early respiratory interventions that may improve symptoms and outcomes are underused when prescribed. We sought to characterize patient perspectives and preferences for respiratory care to enable identification of implementation strategies to improve the uptake of ALS respiratory interventions.

METHODS: A prospective multicenter mixed-methods observational study was conducted using semistructured interviews of participants recently diagnosed with ALS at 4 academic centers in the United States. Eligible patients were those with an ALS diagnosis in the previous 12 months, forced vital capacity < 80% predicted normal, or presence of dyspnea or orthopnea.

RESULTS: Twenty-four patients …

Joy In Work: Leading Change, Mary A. Dolansky

Faculty Scholarship

Joy in Work emerges when nurses are empowered to lead meaningful change. The Institute for Healthcare Improvement's (IHI) Joy in Work Framework guides organizations to empower nurses to make small, team-led changes to restore engagement, reduce burnout, and improve quality. We used the IHI framework and focused on the cultural imperative and measurable outcomes through practical tools and leadership strategies. A statistically significant overall improvement in first-year provider turnover and Quality Metric Scores before and after the Joy in Work program implementation. Empowering nurses as everyday leaders of change fosters a resilient, thriving workforce and safer patient care.

The Nature Of Scientific Justification, Haixin Dang

Faculty Scholarship

Mikkel Gerken’s book Scientific Testimony is a welcome step in reconnecting contemporary analytic epistemology with the philosophy of science. The central topic of the book—as it says in the title—is testimony, which has been a major area of research for epistemologists for the last couple of decades. Testimony refers to the process by which we can acquire knowledge or justified belief from what others have told us. Roughly speaking, epistemologists agree that testimony is an important source of knowledge but disagree over the exact conditions under which testimony can lead to knowledge. But for philosophers of science, learning from one …

Enhanced Sensory Perception And Myoelectric Control With High Channel Count Implanted Sensorimotor Systems, Sedona R. Cady, Joris Lambrecht, Dustin J. Tyler

Faculty Scholarship

Objective. Implanted electrodes for nerve stimulation and myoelectric recording facilitate bidirectional sensory feedback and control for neuromuscular conditions such as limb loss. While increasing implanted electrode channel count offers potential benefits, it also presents engineering and implementation challenges. This case study examines how increasing implanted electrode channel count affects sensory perception and myoelectric controller performance, thereby supporting the value of these advancements. Approach. One participant with upper extremity transradial limb loss received a percutaneous implanted system with two 8-channel extraneural cuff electrodes on the median and ulnar nerves, totaling 16 stimulating channels. The individual later received a wirelessly connected implanted …