Digital Commons Network^™

A Phenomenological Study: The Self-Efficacious Experiences Of Mid-Level Black Female Administrators At Public Colleges And Universities In Virginia, Alexis Bacote Archer Alarcón

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to describe the self-efficacious experiences for mid-level Black female administrators at public colleges and universities in Virginia. Self-efficacious experiences were generally defined as a person’s belief in their ability to perform well in their role as a leader. The theory guiding this study was Bandura’s theory of self-efficacy. Bandura’s theory of self-efficacy served as the theoretical framework for answering the study's central question: What are the self-efficacious experiences of mid-level Black female administrators at public colleges and universities in Virginia? A transcendental phenomenological design using three core processes, epoche ́, transcendental-phenomenological reduction, …

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 …

What My Church Mother Taught Me: A Phenomenological Exploration Of The Maternal Messages Given To Black Christian Women On How To Cope With Trauma, Melanie Joyce Coates

Doctoral Dissertations and Projects

The purpose of this qualitative phenomenological study was to explore the lived experiences of Black women in Churches of Christ as they perceive and interpret maternal messages about coping with and managing the effects of traumatic experiences. For this study, maternal messages was defined as advice, support, mentorship, or guidance from older Black Christian women to younger Black Christian women. It was important to understand the ways in which older Black women teach younger Black women in navigating mental health challenges within the context of a complex trauma history among African Americans. The first theory that guided this study was …

Being Intentionally Intergenerational At Empowerment Unlimited Church, Barbara Lynne Muse

Doctoral Dissertations and Projects

Intergenerational interaction is foundational to the ongoing vitality and long-term sustainability of the church community. Theological perspectives underscore the importance of families and individuals from diverse age groups engaging in mutual sharing, learning, and caring. Such intentional interactions foster intergenerational relationships that not only strengthen the sense of community but also address the spiritual needs of all members, regardless of age. This action research project seeks to help the EUC church become more intergenerational, creating opportunities for members to experience meaningful spiritual growth while forming lasting bonds across generations. Instead of centering church life around a single generation, churches must …

Healthcare Disparities Related To Income In South Carolina, Rebekka Byrd

Doctoral Dissertations and Projects

Low-income individuals and families in South Carolina face significant barriers to accessing healthcare, despite the presence of public health programs like Medicaid. Many fall into the healthcare coverage gap, earning too much to qualify for Medicaid but too little to afford private insurance. This study explored the consequences of the healthcare coverage gap by examining the relationships between income, healthcare access, and the ability to afford healthcare services among 500 adults aged 19–64 who participated in the National Health Interview Survey between 2018 and 2023. Utilizing a retrospective quantitative analysis of secondary data from the National Health Interview Survey (NHIS) …

Exploring The Differences In Personal Transformations Of Travel Types: A Comparative Study Of Self-Efficacy, Grit, And Memorable Experiences Amongst Solo And Group Travelers, Ashley Christine Holland

Doctoral Dissertations and Projects

The purpose of this quantitative research study was to use survey data to explore personal transformations that occur through travel experiences, with a primary focus on comparing any differences of self-efficacy, grit, and memorable travel experiences between solo travelers and those who traveled with a group or companion. A correlational and quasi-experimental design was used consisting of online survey data using measurements of general self-efficacy, grit, and memorable traveling experiences from 128 participants (61 solo and 67 group travelers). Descriptive statistics, Pearson correlations, and multivariate analyses of variance were used to analyze the relationships and differences between the study variables. …

Investigation In The Association Of Opioid Administration And Access To A Primary Care Provider In Patients Who Frequently Use The Emergency Department In A Rural And Urban Hospital In Arkansas, Cheyenne Star Lowrey-Lagrone

Doctoral Dissertations and Projects

The overuse of emergency department (ED) services presents challenges for hospitals and communities as valuable resources are funneled repeatedly into the same patients. Frequent ED users account for a significant portion of used resources, and efforts have been made to address this public health concern. This paper sought to identify associations between opioid administration and access to a PCP in one rural and one urban hospital in Arkansas. Through an investigation of 200 medical records of ED users identified as frequent users of one rural (n=100) and one urban (n=100) hospital between 2018 and 2023, the researcher identified associations between …

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 …

Perspectives Of School Based Mental Health Workers Supporting Intellectual Disabilities & Mental Health Disorders, Anna R. Cleeland

Doctoral Dissertations and Projects

This study aimed to investigate the current training of school based mental health (SBMH) professionals working with individuals with dual diagnosed individuals with Intellectual/Developmental disabilities and mental health disorders. A triangulated data approach of survey, focus group and journal reflection was completed providing opportunities for the SBMH professionals to describe their professional training to work with the population and expound on their experiences providing services in the K12 school setting. Results from all three data points indicated a large deficit in training options available specifically for professionals working with those who have an IDD/MH diagnosis. Results also outlined three themes/10 …

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 …

Past Gang Membership, Posttraumatic Experiences, And Perpetration-Induced Traumatic Stress, Robert K. Johns

Doctoral Dissertations and Projects

Perpetration-Induced Traumatic Stress, or PITS, is an area of study that needs more scholarly attention. The lack of research about this mental health leads to an ineffectiveness of traditional interventions, as they fail to address the needs of people with former criminal affiliations, causing them to experience negative psychological, physical, and social health outcomes. As such this study seeks to explore, via a hermeneutic phenomenological research design- a qualitative approach that will allow this researcher to understand the lived experiences and explore PITS in the lives of past gang members and the manifestation of PITS as a prevalent and underdiagnosed …

Determining The Efficacy Of A Digital Small-Group Formatted Spiritual Care Program In Increasing Ministry Volunteer Resiliency And Retention At Groundwire, Andrew J. Ondo

Doctoral Dissertations and Projects

This project examined the efficacy of biblically informed, trauma-aware, peer-to-peer spiritual care systems within the solely digital ministry context of Groundwire. The study addressed the growing need for effective pastoral care in digitally mediated environments, where formation and fragmentation occur simultaneously and traditional leadership structures are often absent. The purpose was to design, implement, and evaluate a protocol that could cultivate the core concepts of resilience, intentionality, and wisdom among participants, reinforcing both practical resilience and retention. An action-oriented, primarily qualitative methodology was utilized. The final sample population consisted of eleven Groundwire participants engaged in peer-to-peer care on Discord, with …

A Phenomenological Study Exploring The Common Themes Among Individuals Who Have Broken Generational Cycles Of Conflict Avoidance, Codependency, And People Pleasing, Joseph Daniel Mcginnis

Doctoral Dissertations and Projects

Many healthy and unhealthy adult behaviors are transmitted from parent to child as generational behavior cycles. Conflict avoidance, codependency, and people-pleasing are all unhealthy relationship dynamics that are generationally passed down in such a way. Breaking these generational cycles of unhealthy relationship dynamics is often difficult. The goal of this phenomenological qualitative study was to explore the common themes among individuals who have broken the generational cycles of conflict avoidance, co-dependency, and people-pleasing. The study consisted of 17 participants who were identified as having broken the generational cycles of conflict avoidance, codependency, or people-pleasing. Each participant was either previously involved …

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 …

Cognitive Behavioral Therapy: The Relationship Between Diet, Anxiety, And Depression And The Moderating Effect Of Cbt, Deborah J. Wright

Doctoral Dissertations and Projects

This study examined how cognitive behavioral therapy (CBT) techniques including cognitive restructuring and positive affirmations affect the relationship between dietary patterns and depression and anxiety symptoms. Research has established that CBT and diet affect depression and anxiety independently, but less research examines their collective impact. The study included 154 adult participants who filled out the Patient Health Questionnaire-9 and the Generalized Anxiety Disorder-7 alongside a Dietary Habits Checklist and a CBT Engagement Checklist during the previous two weeks. The results from multiple linear regressions showed no statistically significant moderation effects of CBT engagement on the relationship between diet and depression …

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 …

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 …

Spartan Daily, December 4, 2025, San Jose State University, School Of Journalism And Mass Communications

Spartan Daily, 2025

Volume 165, Issue 42

Acceptability Of Active And Sham Home-Based Transcranial Direct Current Stimulation In Major Depression: Mixed Methods Qualitative Analysis In A Randomised Controlled Trial, Peter J Lagerberg, Rachel D Woodham, Sudhakar Selvaraj, Nahed Lajmi, Harriet Hobday, Gabrielle Sheehan, Ali-Reza Ghazi-Noori, Maheen Rizvi, Sarah S Kwon, Paulette Orhii, Rodrigo Machado-Vieira, Jair C Soares, Allan H Young, António R Fidalgo, Hakimeh Rezaei, Cynthia H Y Fu

Faculty, Staff and Student Publications

Purpose: Transcranial direct current stimulation (tDCS) is a novel non-invasive brain stimulation therapy that is a potential treatment for major depressive disorder (MDD). Acceptability impacts patient preference, treatment adherence and outcomes, however, it has typically been assessed through measures of attrition, self-reported satisfaction levels, or adverse events. We sought to explore participant acceptability using structured questionnaires and individual interviews.

Methods: Acceptability was assessed in a fully remote, multisite, double-blind, placebo-controlled, randomized superiority trial of a 10-week course of home-based tDCS for MDD. Questionnaires were conducted at baseline and at the 10-week end of treatment. Participants were 174 adults (120 women) …

Hsp90 Buffers Deleterious Genetic Variations In Brca1, Brant Gracia, Xing-Han Zhang, Patricia Montes, Tin Chanh Pham, Min Huang, Junjie Chen, Georgios Ioannis Karras

Faculty, Staff and Student Publications

Protein-folding chaperone heat shock protein 90 (HSP90) buffers genetic variation in diverse organisms, but the clinical significance of HSP90 buffering in human disease remains unclear. Here, we show that HSP90 buffers mutations in the BRCT domain of BRCA1. HSP90-buffered BRCA1 mutations result in protein variants that retain interactions with partner proteins and strongly rely on HSP90 for protein stability and function in cell survival. Moreover, HSP90-buffered BRCA1 variants confer poly (ADP-ribose) polymerase (PARP) inhibitor resistance in cancer cells. Low-level HSP90 inhibition overcomes this resistance, revealing a cryptic and mutant-specific HSP90-contingent synthetic lethality. Furthermore, by stabilizing metastable variants across the entirety …

Shaping The Soul: Spiritual Formation Practices In The Development Of Leaders, Ministers And Ministry Workers At First Mt. Olive Freewill Baptist Church, Kion D. Bolden

Doctoral Dissertations and Projects

This Doctor of Ministry thesis project examined how structured spiritual formation practices can cultivate attentiveness to God and strengthen ministry readiness among leaders within a congregational context. The project addressed a critical need in the ministry field: many leaders serve faithfully but lack sustained rhythms of reflection, Scripture meditation, and contemplative rest that foster long-term spiritual vitality. The purpose of the study was to design, implement, and evaluate an eight-week Spiritual Formation Program integrating journaling, Scripture meditation, fasting, service, and contemplative prayer within a supportive cohort model. The goal was to determine whether consistent engagement in these practices measurably deepened …

Changing How Foster Care Begins: A Qualitative Study To Assess The Success Of One Specific Nonprofit, Madeline Ewoldt

Doctoral Dissertations and Projects

Most foster parents feel they do not receive adequate emotional support, funding, and preparation for their foster children in their care, which can lead to turnover, placement disruptions, and additional unnecessary caregiver changes for foster children. Attachment Theory explains children need consistent, warm, and loving caregiver relationships for healthy emotional, cognitive, and social development (Bowlby, 2018). For children in foster care, these relationships are already disrupted, therefore intervention for foster parent resiliency must be analyzed. The Bible calls Christians to care for the orphans, which leaves a large responsibility on Christians to care for those in foster care. There is …

From Protest To Harmony: The Global Language Of Change, Valerie Brooke Missick

Doctoral Dissertations and Projects

This qualitative historical study investigates how music functions as a unifying force within global social and political movements, transcending cultural, linguistic, and national boundaries to foster collective identity and sustain long-term activism. Drawing on Social Identity Theory, Cultural Diffusion Theory, and Framing Theory, the research analyzes archival documents, historical records, media sources, and case studies from movements such as the U.S. Civil Rights Movement, the Anti-Vietnam War Movement, anti-apartheid struggles, Black Lives Matter, the Arab Spring, and contemporary climate justice activism. Findings reveal that music operates as both an emotional catalyst and a strategic communication tool, shaping narratives, strengthening solidarity, …

The Emotional And Personality Intelligence Cohort (Epic) For Steadiness Personality Trait Pastors, Christopher W. Ortego

Doctoral Dissertations and Projects

Church revitalization is a complex process. The stress it brings can challenge even the most experienced pastor’s spiritual and emotional resilience. Revitalization experts note that revitalization anxiety is especially true for pastors with certain personality traits. One such trait is the DISC personality category of steadiness. Leadership specialists argue that relief from this stress is found through gaining emotional intelligence. The purpose of this DMIN action research project was to teach emotional intelligence to eight to ten pastors with the steadiness personality. The training was delivered in a six-session, two-day retreat format. It introduced the participants to the concept of …

Exploring The Relationship Between Loneliness And Real-Time Measurements Of Gsr And Hrv During Concept Mapping, And Cortisol And Oxytocin Levels, Jangwon Seo

Masters Theses

This study attempts to explore loneliness among college students from a bio-physio-psycho-social perspective, and it utilizes real-time physiological measurements (GSR and HRV) and biomarkers (cortisol and oxytocin) in conjunction with psychosocial assessments. The study employs both qualitative and quantitative methods, which involve concept mapping exercises, with the aim of comprehending the full nature of how loneliness interacts with physiological and psychological processes. At Time 1 (T1) we found significant positive correlations between loneliness and elevated GSR levels, which is indicative of increased sympathetic arousal (r = .35, p < .01). Additionally, there were significant negative correlations between loneliness and mean RR intervals in HRV that indicated autonomic dysregulation featured by increased sympathetic activities as well as reduced parasympathetic functions (r = -.28, p < .05). However, at Time 2 (T2), these correlations were not significant indicating possible temporal fluctuations due to adaptive responses or extraneous variables such social support systems or coping mechanisms. The qualitative data from concept mapping enriched the analysis by providing deeper insights into the cognitive and emotional processes underlying loneliness. Despite limitations like demographic skewness, funding constraints, logistical challenges, etc., this, therefore, highlights the need for multidimensional investigations of psychological phenomena. This has implications for future research as well as clinical practice, which could include using these integrative measures to develop holistic interventions for mental health disorders.

Kenyon Collegian - December 4, 2025

The Kenyon Collegian

No abstract provided.

Implementation Of Enhanced Recovery After Surgery Protocols To Improved Maternal Pain Management, Stefanie Sherman

Doctoral Dissertations and Projects

Cesarean sections remain the most common surgical procedures in the United States, but they come with significant risks, including increased pain, infection, longer recovery, and higher health care costs. Enhanced Recovery After Surgery (ERAS) guidelines outline an evidence- based, multidisciplinary approach that optimizes surgical recovery and improves outcomes. The primary goal of this project was to evaluate the impact of the implementation of ERAS guidelines in a community hospital with women undergoing scheduled cesarean sections on postoperative pain management as measured by aggregate pain scores. The Iowa Model of Evidence-Based Practice was used to guide this quasi-experimental pre-post project, which …

A Phenomenological Study Of Perceptions Of The Work Readiness Of Women Working In Skilled Trade Job Roles, Danielle N. Arias

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the attitudes and perceptions of female graduates of post-secondary education programs who are employed in skilled trade job roles in the United States. The study focuses on the problem of underrepresentation of women in industrial trade jobs. The theory guiding this research was Acker’s theory of inequality regimes, as it implies a disadvantage for women and other marginalized groups within organizations. The Central Research Question for the study was: What are the attitudes or perceptions of female graduates of post-secondary education programs who are employed in skilled trade job roles? The …

Worship Harmony: Addressing Fragmented Practices Through Sacramental, Evangelical, And Charismatic Engagement At Beach Church, James Brockway

Doctoral Dissertations and Projects

This Doctor of Ministry thesis project addresses worship fragmentation at Beach Church in Virginia Beach, Virginia, where sacramental, evangelical, and charismatic elements have historically functioned independently, leading to theological imbalance and diminished congregational unity. The purpose of the project was to develop and implement a framework for unified worship that reflects the Trinitarian nature of God by integrating Word, Sacrament, and Spirit in a cohesive, theologically grounded, and experientially rich liturgy. The study employed an action research methodology involving surveys, interviews, focus groups, and worship observations to assess congregational perceptions before and after the intervention. The resulting framework demonstrated measurable …

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 …