Digital Commons Network^™

Optimizing Healthy Aging: A Preventative Approach To Support Community-Dwelling Older Adults, Jada Welke

Occupational Therapy Capstones

Introduction: Healthy aging is a complex and multidimensional process influenced by physical, cognitive, psychosocial, environmental, and lifestyle factors across the lifespan. Increasing evidence from researchers suggests that many health care systems continue to rely on reactive models that address decline only after functional limitations emerge. Preventive interventions initiated in midlife have the potential to significantly influence long-term health outcomes, independence, well-being, and quality of life. As a result, there is growing recognition that multidimensional, proactive screening and intervention should begin earlier, before age-related conditions become clinically significant.

Purpose: The purpose of this scholarly project was to address this need through …

Introduction Of Occupational Therapy Into A Suburban Supportive Housing Organization, Madeline Kuntz

Occupational Therapy Capstones

Abstract: Unhoused individuals experience compounded barriers beyond housing access and are often underserved within occupational therapy practice. This doctoral capstone project partnered with a nonprofit residential program to develop a research-informed onboarding manual grounded in the holistic occupational therapy framework, Model of Human Occupation (MOHO, O’Brien, 2017). The manual was designed to clarify expectations of the supportive housing program, address diverse resident needs, and promote independence as the organization expands. Development was informed by a comprehensive literature review and informal needs assessment of the organization, identifying anticipatory barriers and supports commonly experienced prior to program entry. Key areas of need …

Expanding Access To Hand Therapy In Rural Wyoming Through Telehealth, Cheyenne Rose Thompson

Occupational Therapy Capstones

Individuals living in rural Wyoming experience significant barriers to accessing specialized hand therapy services, including geographic isolation, limited availability of certified hand therapists, and inconsistent healthcare infrastructure, resulting in delayed rehabilitation and reduced functional outcomes (Hirth et al., 2022; Rural Health Information Hub, 2025). Although telehealth has emerged as a potential solution to improve access, challenges related to clinician training, safety, and adaptation of interventions to virtual environments persist (Feldhacker et al., 2022; Morris, 2024). The purpose of this scholarly project was to develop an evidence-based telehealth hand therapy program to improve access to upper extremity rehabilitation services in rural …

The Lens Of Farmers: Understanding Culture To Improve Occupational Therapy Care, Allison Marie Stephani

Occupational Therapy Capstones

Introduction: Accessible healthcare is essential for farmers due to their limited available time and hazardous job duties (Hildebrand et al., 2019; Hopkins et al., 2023; Salmon et al., 2025; U.S. Department of Agriculture, 2023). Due to the high incidence of injuries that occur within the profession, it is crucial that farmers seek appropriate healthcare services to address these concerns. However, a significant barrier for seeking healthcare assistance is the limited cultural competence among healthcare professionals in understanding the unique needs within farming communities (Gordon et al., 2024; Hildebrand et al., 2019; Hopkins et al., 2023; Purc-Stephenson et al., 2024). The …

A Firm’S Operational Risk: Data Set And Empirical Evidence, Vivek Astvansh, Joseph J. Simpson

International Business and Entrepreneurship Faculty Publications

Problem definition: A firm’s stakeholders would benefit from a quantitative measure of the managerial disclosure of its operational risk and the implications of this disclosure. However, a quantitative and scalable measure of a firm’s disclosed operational risk is unavailable. Thus, the firm’s stakeholders remain unaware of its disclosed operational risk and the risk’s implications. Methodology/results: U.S. law requires a public firm to textually disclose its operational and nonoperational risks in Item 1A of its annual report (i.e., Form 10-K). We train 64 transformer models on U.S. public firms’ Item 1A text to score 131,920 firm-years (16,959 firms, 2005 to 2024) …

Making Words Count: Computational Linguistics In Management Research, Joseph J. Simpson, Richard A. Hunt, David M. Townsend, Judy Rady, Elham Asgari, Mohammad Rady, Daniel J. Beal

International Business and Entrepreneurship Faculty Publications

In recent years, a rapidly growing number of management scholars are using computational linguistics (CL) to analyze vast corpora of naturally occurring organizational language. Yet the rapid adoption of CL methods has outpaced the development of shared standards for linking theoretical constructs, linguistic data, and computational measurement. We synthesize 353 articles published in leading management journals for 2013–2025, identifying four recurring challenges shaping the credibility of CL-based research: misalignment between constructs and textual corpora, unnecessary model complexity, the opacity of large language model workflows, and insufficient transparency in reporting. Building on these patterns, we develop four integrative design principles—construct-language fit, …

Perceived Barriers And Recommendations To Improve Well-Child Visits Among Medicaid Enrollees: An Explanatory Sequential, Mixed-Methods Study, Shawnda Schroeder, Keona Manuelito

Indigenous Health Faculty Publications

Despite the critical role of well-child visits (WCVs) in preventive care, many Medicaid-enrolled children miss these appointments, leading to gaps in early intervention and immunization. Existing research has largely focused on either quantitative analyses of visit rates and predictors or qualitative insights into patient and provider experiences. This study employs a mixed-methods, community-based approach to examine barriers to WCV attendance among Medicaid-enrolled families in North Dakota who missed all WCVs in 2021. Through administrative data analysis (n=64,364), surveys (n=1,294), and focus groups (n=40), findings reveal structural, economic, and cultural obstacles, including cost concerns, lack of Medicaid transparency, and logistical challenges. …

Surface Marker Identification To Capture Live Circulating Tumor Cells In Metastatic Triple-Negative Breast Cancer, Bree M Lege, Khushali J Patel, Brendan Panici, Ping Gong, Michael T Lewis, Matthew J Ellis, Chonghui Cheng

Faculty, Staff and Students Publications

Metastatic triple-negative breast cancer (TNBC) is highly aggressive and lacks targeted therapies. Circulating tumor cells (CTC) are invaluable for monitoring metastatic tumor progression and treatment response but are difficult to capture because of their rarity and heterogeneity. Surface-based staining for live CTCs is essential to preserve RNA quality in single cells, but current markers tend to perform poorly on more mesenchymal tumor cells such as TNBCs. To enhance live TNBC CTC detection, we developed a workflow for live CTC capture and single-cell RNA sequencing (scRNA-seq). Using a mouse model of metastatic TNBC, we identified four new CTC surface markers, AHNAK2, …

When The Wind Is Right, Luke Matthew Kuennen

Graduate Student Theses, Dissertations, & Professional Papers

Rural Ukrainian Life Under, After, and Near Russian Occupation

Ukraine is endowed with several significant economic assets and plays a crucial role in global trade, particularly due to its rich agricultural resources and strategic location in Eastern Europe. Ukraine's agricultural strength largely stems from its geography and the quality of its soil. The country has about 41 million hectares of arable land, which is approximately 70% of its total land area. The soil is primarily chernozem, or black soil, which is highly fertile and rich in organic matter. This makes Ukraine's land among the most productive in the world.

When …

Superintendent Accountability In High Achieving School Districts: A Qualitative Multiple Case Study In The State Of Washington, Kristin Lind Jacobs

Graduate Student Theses, Dissertations, & Professional Papers

The primary goal of a school district is to promote and support student academic achievement. Superintendents of public school districts across the United States should therefore be held accountable for student performance within their districts. Establishing a successful public school district requires interconnected relationships among the superintendent, the school board, accountability structures, and evaluation processes.

The purpose of this qualitative multiple case study was to understand how superintendent accountability, in regard to student achievement, was conducted and accomplished by school boards who believe they hold the superintendent accountable for student learning. This study focused on school boards governing high-achieving school …

Legal Semiotics, Political Ontology, & Merging Chronotopes Of Identity Through The Federation Of Aboriginal Nations Of The Americas, Kevin T. Inglesby

Graduate Student Theses, Dissertations, & Professional Papers

This dissertation studies the concept of self-determination related to a confederation known as the Federation of Aboriginal Nations of the Americas. It addresses three main questions: How does FANA represent an institution of legal cooperation? In what ways does cultural capital become reproduced? And what are key principles for the Federations’ code of unity? Self-determination is a core principle of international law and may be identified through treaties and social conventions like Wunnandry. The study explores an interdisciplinary approach to American Indian selfdetermination through a focus on applied anthropology, cultural heritage, and Peircean legal semiotics to problematize some historical approaches …

Winding Roads: A Qualitative Phenomenological Study Of Female Educational Leadership, Nicole Casper

Graduate Student Theses, Dissertations, & Professional Papers

The experiences of female superintendents were examined in this study to provide insight into the commonalities in their leadership journeys within public school organizations. A phenomenological, qualitative approach, aligned with Moustakas’s (1994) framework, was used to explore participants’ shared experiences. Comprehensive interviews were conducted with 17 female superintendents serving during the 2022–2023, 2023–2024, and/or 2024–2025 academic years in the states of Idaho, Montana, Oregon, and Washington. Through phenomenological reduction, three overarching commonalities emerged: (a) barriers, (b) challenges, and (c) supporting factors. The findings illuminate how organizational, societal, and gendered influences interact to shape female leadership advancement toward assistant superintendent or …

Beyond Words: The Horse-Human Encounter In Equine-Assisted Psychotherapy For Residential Substance Use Treatment, Leah Finch Lungren

Graduate Student Theses, Dissertations, & Professional Papers

Equine-assisted psychotherapy (EAP) has emerged as a promising experiential therapeutic intervention, yet the lived experience of adults participating in EAP within residential substance use disorder (SUD) treatment settings remains underexplored. This hermeneutic phenomenological study examined the lived experience of 12 adults who participated in EAP groups during residential SUD treatment across three treatment facilities in the United States. The primary research question was: What is the lived experience of participating in EAP for adults in residential SUD treatment? Data was collected through semi-structured interviews and analyzed through iterative hermeneutic interpretation guided by van Manen’s (1990) existential framework.

Six themes emerged …

Archaeology Of Yellowstone's Cascade Corner: Findings And Diet Breadth Modeling, William Brent Powell

Graduate Student Theses, Dissertations, & Professional Papers

In the summer of 2025, archaeologists from the University of Montana conducted a pedestrian survey through the southwest corner of Yellowstone National Park to take inventory of cultural resources. Over nearly 50 miles of trail survey, the team identified and recorded 17 new archaeological sites, mostly consisting of sparse lithic scatters on the surface. The findings indicate recurrent use of the Bechler area since the Paleoindian period. This thesis aims to provide a comprehensive and detailed report on those findings, followed by an interpretation of the data through the lens of optimal foraging theory and diet breadth modeling. The first …

What Really Matters In Behavioral Cough Suppression Therapy? A Retrospective Look At Targeted Treatment Components, Mary B. Walsh, Laurie Slovarp, Kassidi Heinle, John Quindry, Jane Salois

Graduate Student Theses, Dissertations, & Professional Papers

Background: 
Refractory chronic cough (RCC) is a prevalent condition that substantially impairs quality of life and is associated with significant physical, psychological, and social burden. Behavioral cough suppression therapy (BCST), delivered by speech-language pathologists, is an evidence-based nonpharmacologic intervention shown to improve cough-related quality of life. However, variability exists in how BCST is implemented, and the relative contribution of specific treatment components remains unclear.

Objective: 
To evaluate the effectiveness of a BCST program implemented in a community otolaryngology clinic that emphasizes consistent suppression at the urge-to-cough and neuroplasticity-informed behavioral principles.

Methods: 
This observational retrospective case series examined clinical records of …

Initial Qualitative Inquiry Into Social Proverb Use And Acceptability, Emma K. Hinds

Graduate Student Theses, Dissertations, & Professional Papers

Currently,  1 in 36 individuals are diagnosed with autism spectrum disorder (ASD), which is characterized by social communication differences and restricted and/or repetitive behaviors. Many children with ASD also present with sensory, behavioral, and emotional differences, underscoring the need for specialized, evidence-based interventions. Social proverb is a novel intervention approach developed by Dr. Schoffer Closson that provides in-the-moment guidance by explicitly stating expected social behaviors and the rationale behind them (e.g., “We cover our coughs, so we don’t spread germs”). To date, no research has examined the use of social proverbs as an intervention strategy. The purpose of this qualitative …

An Exploratory Analysis Of The Role Of Sex In Load Carriage, Rachel E. Perez, Dustin R. Slivka, Brent C. Ruby

Graduate Student Theses, Dissertations, & Professional Papers

Axially loaded weight may impose a metabolic demand equivalent to that of fat mass (FM) during load carriage. Males (M) typically have a lower body fat percentage than females (F), resulting in metabolic demand differences during load carriage that may be mitigated by accounting for FM in pack loads. PURPOSE: To determine whether normalizing pack load to FM equalizes metabolic cost across sexes during load carriage. METHODS: Twenty-eight participants (14M, 23 ± 5 y, 1.81 ± 0.07 m, 78.7 ± 10.0 kg, 12.7 ± 5.4% body fat, VO₂peak 4.18 ± 0.54 L·min^-1; 14F, 22 ± 4 …

Adults With Dyslexia: Experiences Accessing And Using Reading Strategies And Assistive Technology, Brenda Rosalie King

Graduate Student Theses, Dissertations, & Professional Papers

Dyslexia is a specific learning disorder of neurobiological origin characterized by persistent difficulties with accurate and/or fluent reading, word recognition, spelling, and decoding. Although dyslexia is widely recognized as a lifelong learning difference, the majority of research has historically focused on children and adolescents, with less attention given to adult experiences. The purpose of this study was to explore how adults with dyslexia access and use reading strategies and assistive technologies to support reading comprehension and independence across contexts. The study also examined barriers and supports influencing access to these tools, as well as the emotional experiences associated with their …

Expectations In The Preservation Of Dna And Bacterial Organisms In Differential Montana Burials, Kaylee M. Hinds

Graduate Student Theses, Dissertations, & Professional Papers

This study investigates patterns of decomposition and biomolecular preservation in domestic pig (Sus scrofa domesticus) proxies under varying burial conditions in a cold, seasonal climate. Conducted at the Lubrecht Experimental Forest in western Montana, the project aims to evaluate DNA degradation, microbial activity, and environmental influences across shallow, deep, surface, and secondary burial contexts. Three pigs were placed in distinct burial treatments (surface exposure, partial burial, and full burial), with a fourth site later added following bear disturbance and carcass relocation. Environmental monitoring included temperature, and soil sampling before and throughout the decomposition process. Systematic sampling of bone, soft tissue, …

Advancing Understanding Of Lived Experience Of Unhoused People To Reduce Social Stigma And Promote Community Health: A Theoretically-Guided Photovoice Study, B-Rad Stephen Applegate

Graduate Student Theses, Dissertations, & Professional Papers

Homelessness is a persistent public health challenge shaped by structural inequities, stigma, and exclusion from social and health systems. Community-Based Participatory Research (CBPR) has increasingly been used to center the knowledge of people who are unhoused, yet limited attention has been given to the theoretical frameworks guiding this work across disciplines. The purpose of this dissertation was to examine theories and methods used in CBPR with unhoused populations and to explore the extension of Margaret Newman’s Theory of Health as Expanding Consciousness from a nursing-focused theory to a public health framework for understanding lived experience.

Using a scoping review methodology …

Ghostly Grieving In Theatre’S Now Also The Dramaturgy Of Perception And The Body In Contemporary American Ghost Plays, Jacob Mann Christiansen

Graduate Student Theses, Dissertations, & Professional Papers

“Ghostly Grieving in Theatre’s Now Also” explores how contemporary American plays and playwrights stage the dead as a way of understanding theatre’s unique language for dealing with the shared, complex human experience of grief. Focusing on theatrical ghosts and other “impossible” presences, I articulate how these figures function as dramaturgical devices. I also argue that theatre’s ghosts “set the stage” (as it were) for communicable meaning-making by inviting audiences into the tasks of creation and mourning.

My work draws on performance theory (especially phenomenological accounts of theatrical storytelling), on dramaturgical analysis, and on grief studies. In this dissertation project, I …

Lake As Body: Ecofeminism And Animacy At The Great Salt Lake, Shae Barber

Graduate Student Theses, Dissertations, & Professional Papers

Water shapes cultural, social, and ecological systems. Yet, dominant economic, political, and academic frameworks often treat water as a backdrop or passive resource, ignoring it as an active participant in meaning-making and relationship-building. Viewing water as “nonliving” obscures how it participates in and co-creates relationships, limiting understanding about impacts of and responses to climate change and environmental degradation.

This thesis takes a mixed-methods and participatory approach including semi-structured interview, photovoice, and participatory mapping to examine relational practices between environmental advocates and the Great Salt Lake, a desiccating saline lake in Utah, U.S. As the lake continues to decline, dominant Western …

From Mandate To Implementation: A Qualitative Content Analysis Of Early Childhood Coursework In Educational Leadership Preparation Programs, Anna Louise Puryear

Graduate Student Theses, Dissertations, & Professional Papers

Research on principal leadership in the P-3 continuum is limited, even though leadership is second only to teaching in its impact on student outcomes. Most leadership preparation programs emphasize K–12 content, with little focus on early childhood education. Illinois is the only state to codify legislation requiring early childhood content in educational leadership programs, offering a unique case to examine how such mandates are implemented. This study employed qualitative content analysis to investigate how institutions of higher education represent mandated early childhood content in graduate-level coursework. Data sources included program-level documents from 22 Illinois leadership preparation programs and course-level materials …

Evolution Of A Nitrogen-Fixing Endosymbiont And Integration With Its Diatom Host, Heidi Elizabeth Abresch

Graduate Student Theses, Dissertations, & Professional Papers

Endosymbiosis, where one cell lives inside of a different cell, is ubiquitous in nature and has enormous impacts on the ecology and evolution of both the host and the endosymbiont [1, 2]. These relationships exist along a continuum ranging from facultative—where both partners are able to live independently—to completely obligate—where partners can only survive in the presence of the other. The most famous examples being the chloroplast and mitochondrion [3]. After hundreds of millions or even billions of years of coevolution, highly-integrated endosymbionts are coordinated with the host on the genetic, metabolic, and cellular levels, but we do not understand …

Á’Po’Taki Iiyika’Kimaa Work/Try Hard For Such A Time As This, Misamsai’Piaakíí Longtime Charging Woman Kimberly Lynn Paul

Graduate Student Theses, Dissertations, & Professional Papers

This body of work adds to a recent shift in the academic landscape, valuing interdisciplinary research and Indigenous worldview. Predominant is the reversal of extractive research norms within Indigenous populations and the biosystems they steward, instead claiming Piikani (Blackfeet) led community-needs-based research valuing Indigenous data sovereignty, research methodologies, ethics, equity, and Indigenous empowerment. This research proffers requisite historical information providing the ‘why’ context, followed by three of the author’s studies: in toxic dumping, food sovereignty, and Piikani well-being. Under an environmental justice framework, the first study presents a cursory investigation of decades-long illicit toxic waste disposal reports linked to observed …

Communicating Wildfire Risk In Real Time: An Idea Model Analysis Of Watch Duty Alerts, Audrey E. Miller-Greene

Graduate Student Theses, Dissertations, & Professional Papers

Traditional wildfire public information systems often rely on fragmented data provided through multiple government agencies and platforms. Historically, community members have been required to identify and piece together information necessary for preparation, evacuation, and decision-making during wildfire events. Watch Duty, a 501(c)(3), works to address this gap by compiling fragmented wildfire information for the public. The platform has undergone rapid growth and increased public reliance, providing a rationale for this research project. As Watch Duty expands its capabilities, its messages should be evaluated against established risk and crisis communication best practices. This study evaluates alerts released by Watch Duty during …

Developing Identity After Goodbye: Social Identity Theory And How Adolescent Survivors Navigate Suicide Loss, Elizabeth Susan Lawton

Graduate Student Theses, Dissertations, & Professional Papers

Adolescents who lose a loved one to suicide, known as suicide-loss survivors, face a disruption to identity development, a life stage defined by identity formation (Adler et al., 2018) and group belonging (Pittman & Richmond, 2008). Suicide bereavement is complicated not only by grief but also by stigma, which can fracture social ties and undermine self-concept. Social identity theory (SIT) provides a framework for examining how young adults, now ages 18 to 30, reconstruct their social identities after experiencing suicide loss in adolescence. Research in other stigmatized contexts shows that adopting positive in-group identities can buffer against stigma and protect …

The Forensic Implications Of Hydrochloric Acid (Hcl) Exposure On Dna Preservation In Human Teeth, Shaelyn Lee Zimmerman

Graduate Student Theses, Dissertations, & Professional Papers

Identity is a human right, and forensic anthropological methods are often aimed at returning identity to decedents. Three main pathways are used for the identification of human remains: fingerprints, dental records, and DNA analysis. Identification efforts may be hindered when perpetrators attempt to obscure the victim’s identity. In cases where corrosive substances, such as hydrochloric acid (HCl) are used, dental comparison and fingerprinting often fail and genetic analysis becomes the best chance of achieving personal identification.

Previous studies have shown teeth are an excellent source of DNA. Large, multi-rooted teeth, such as molars, are often preferred because they contain the …

In Vivo Volumetric Visualization And Quantification Of Cumulus Expansion In Mice With Intravital Optical Coherence Tomography, Kohei Umezu, Frank J Brooks, Irina Larina

Faculty, Staff and Students Publications

Ovulation is preceded by a critical physiological process known as cumulus expansion, during which the cumulus cell layer surrounding the oocyte undergoes structural remodeling. Despite the recognized importance of this process for reproductive success, live quantitative imaging of cumulus expansion has not been previously achieved due to limitations of current imaging technologies for deeply located ovaries. In this study, we employed intravital optical coherence tomography for three-dimensional visualization of mouse follicles containing cumulus-oocyte complexes (COC) within the physiological context of the ovary, both ex vivo and in vivo. This method enabled time-lapse measurement of cumulus layer thickness and COC …

Between Care And Protection: Constraints On Political Authority In Kamala Harris's 2024 Presidential Campaign, Marissa Barbara Pax

Graduate Student Theses, Dissertations, & Professional Papers

Competing expectations about strength, care, and protection shape how presidential leadership and authority are constructed in contemporary U.S. politics, particularly for members of marginalized communities. This thesis examines Kamala Harris’s 2024 presidential campaign as a case study to explore how candidates negotiate competing understandings of political authority through appeals to Lakoff’s (2002, 2008) Strict Father Morality and the Nurturant Parent Morality. An analysis of her campaign reveals that Harris repeatedly appeals to both moral frameworks, constructing authority through empathy, mutual responsibility, and care while also emphasizing threat identification, protection, discipline, and moral strength. Although Harris successfully mobilizes the rhetorical resources …