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2026

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Examining Connections Between Therapist Self-Disclosure, The Therapeutic Relationship, And Cultural Mistrust In A Sample Of Black And White Emerging Adults, Sarah Mitty Mcnamee Jan 2026

Examining Connections Between Therapist Self-Disclosure, The Therapeutic Relationship, And Cultural Mistrust In A Sample Of Black And White Emerging Adults, Sarah Mitty Mcnamee

Selected Full-Text Dissertations 2020-

This analogue study examined how two different types of therapist self-disclosure (TSD) influenced the assessment of the working alliance and real relationship by observer participants, and how these variables were impacted by a participant’s race and experience of cultural mistrust. A sample of N = 339 Black and White adults watched one of two mock therapy videos, depicting either a non-immediate TSD or an Alliance- Focused Training (AFT)-consistent immediate TSD in response to the patient’s rupture markers. Based on the video, each with the same White therapist and bi-racial patient, participants rated the observed working alliance and real relationship. Participants …

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How Attitudes About Sexual Orientation Affect Relationship Satisfaction Among Lesbian And Bisexual Women, Shiyun Chen Jan 2026

How Attitudes About Sexual Orientation Affect Relationship Satisfaction Among Lesbian And Bisexual Women, Shiyun Chen

Selected Full-Text Dissertations 2020-

This analogue study examined how two different types of therapist self-disclosure (TSD) influenced the assessment of the working alliance and real relationship by observer participants, and how these variables were impacted by a participant’s race and experience of cultural mistrust. A sample of N = 339 Black and White adults watched one of two mock therapy videos, depicting either a non-immediate TSD or an Alliance- Focused Training (AFT)-consistent immediate TSD in response to the patient’s rupture markers. Based on the video, each with the same White therapist and bi-racial patient, participants rated the observed working alliance and real relationship. Participants …

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Climate, Energy, Economy: Interconnected Perspectives From Politics, Business, And The Public, Isabella Harper Heinzen Jan 2026

Climate, Energy, Economy: Interconnected Perspectives From Politics, Business, And The Public, Isabella Harper Heinzen

Theses and Dissertations

When considering the economic and social costs and benefits of a global, intergenerational, and environmental issue, rigid analysis often falls short. The topics discussed in this thesis aim to address the complex moral, economic, and political concerns regarding climate change to provide a holistic view of the issue and the role humans play. The first section on the scientific consensus addresses concerns regarding the existence and severity of climate change, finding where the responsibility lies for humans. The second section analyzes the energy context in modern society to understand the call for a transition from oil and gas to renewable …

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African American Women’S Engagement In The Black Liberation Struggle At Home And Abroad 1910-1977, Ryhaan Ameena Shakoor Jan 2026

African American Women’S Engagement In The Black Liberation Struggle At Home And Abroad 1910-1977, Ryhaan Ameena Shakoor

Theses and Dissertations

This dissertation studies the major social and political events of the twentieth century as seen through the eyes of seven African American women, Mary Church Terrell, Amy Jacques Garvey, Claudia Jones, Salaria Kea, Eslanda Robeson, Maida Springer and Shirley Graham Du Bois. It brings to light the significance of their efforts in the fight against racism, fascism, colonialism, apartheid and neo-colonialism in the United States and abroad. As the history of the Black liberation struggle was mostly dominated by male historians and writers, this work demonstrates that amongst others, these seven African American women made gender an important component to …

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Applying Groupthink To Digital Spaces: The Rise Of Online Conspiracy Theory Networks, Lily Karen Schow Jan 2026

Applying Groupthink To Digital Spaces: The Rise Of Online Conspiracy Theory Networks, Lily Karen Schow

Theses and Dissertations

This thesis examines the transformation of political paranoia and collective decision-making in the United States from the twentieth century to the digital age. Building on Richard Hofstadter’s concept of the “paranoid style” and Irving Janis’s theory of groupthink, it argues that the dynamics of conspiratorial thinking and collective misjudgment have not disappeared but have been reconfigured by digital communication systems. While Hofstadter identified paranoia as a recurring rhetorical mode and Janis analyzed groupthink as a pathology of small, cohesive decision-making groups, this study contends that both frameworks require adaptation to account for contemporary digital environments. The analysis traces how historical …

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Sm Providers’ Perspectives On Treating Selective Mutism In Children With Autism, Brooke M. Koeppel Jan 2026

Sm Providers’ Perspectives On Treating Selective Mutism In Children With Autism, Brooke M. Koeppel

Theses and Dissertations

Research indicates that selective mutism (SM) and autism frequently co-occur, yet there remains limited empirical research examining treatment practices for youth presenting with both conditions. The presence of co-occurring SM and autism has important implications for intervention planning and implementation, particularly in light of differences in communication, rigidity, and social engagement commonly observed in autistic youth. Accordingly, the present study examined how frequently SM providers treat youth with co-occurring SM and autism, the treatment strategies they endorse using, and whether providers modify or adapt interventions to better meet the needs of this population. SM providers reported on their clinical exposure …

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Understanding Self And Others: Exploring The Relationship Between Maladaptive Personality Traits And Theory Of Mind, Christian Dellavella Jan 2026

Understanding Self And Others: Exploring The Relationship Between Maladaptive Personality Traits And Theory Of Mind, Christian Dellavella

Theses and Dissertations

The relationship between theory of mind (ToM) and maladaptive personality traits is a poorly understood but critical intersection between cognitive and clinical psychology. While some research has suggested certain personality characteristics may elevate ToM ability, others may contribute to deficits that lead to negative health outcomes and poor social functioning. Understanding how variability in the population’s ideological disposition affects our capacity to comprehend others’ perspectives and emotions is key to grasping the intricacies of social interactions. As the fields of clinical psychology and psychiatry begin to reclassify their diagnostic systems, it is critical to evaluate how novel conceptualizations of personality …

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Media Exposure To Collective Trauma And Resilience Among College Students: The Role Of Coping Strategies, Tourika Alam Jan 2026

Media Exposure To Collective Trauma And Resilience Among College Students: The Role Of Coping Strategies, Tourika Alam

Theses and Dissertations

Exposure to collective traumatic events through media has become increasingly common, particularly among college students who frequently engage with digital and social media platforms. Prior research has shown that repeated exposure to traumatic media content can contribute to psychological distress, but less is known about how such exposure relates to resilience and coping processes. The present study examined the relationship between media exposure to collective trauma and resilience among college students, as well as whether coping strategies mediated this relationship. Participants included 63 undergraduate and graduate students recruited through a university participant pool and social media platforms. Participants completed an …

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Leading For Wholeness: Black Girlhood, Morrison And Hurston, And The Epistemology Of Flourishing In Independent Schools, Kamaya Prince Thompson Jan 2026

Leading For Wholeness: Black Girlhood, Morrison And Hurston, And The Epistemology Of Flourishing In Independent Schools, Kamaya Prince Thompson

Theses and Dissertations

This study investigates how Black girls in US independent schools experience Zora Neale Hurston’s, Their Eyes Were Watching God, and Toni Morrison’s Song of Solomon, alongside the larger, traditional literary canon taught within high school English classrooms as texts that can shape their sense of self. In this project, wholeness is defined through a tripartite framework consisting of three interconnected parts: Self (a deepened sense of identity and ways of knowing), Community (experiences of belonging, safety, mentoring, and joy), and Purpose (the development of values, meaning, and a sense of connection both to the community and self). These aspects are …

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A Survey On School Psychologists’ Knowledge, Practices, And Attitudes For Implementing Multi-Tiered Systems Of Supports For Social-Emotional Learning, Kaitlyn Edwards Jan 2026

A Survey On School Psychologists’ Knowledge, Practices, And Attitudes For Implementing Multi-Tiered Systems Of Supports For Social-Emotional Learning, Kaitlyn Edwards

Theses and Dissertations

Social-emotional and behavioral difficulties are among the most common impairments for childhood and adolescence. These challenges negatively affect school outcomes for students, often leading to absenteeism, higher dropout rates, grade retention, and lower grades. The importance of providing school-based social-emotional interventions cannot be overstated. Using a multi-tiered system of supports (MTSS) framework is a way to proactively identify students in need, monitor their progress, and continuously improve their individualized interventions to support their growth. The current study used an electronic survey to understand school psychologists’ knowledge, practices, and attitudes towards implementing a MTSS framework for social-emotional learning (SEL). Further, school …

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Examining Positive Psychology Components In Cbt For Adolescent Depression: A Manual-Level Content Analysis, Isabel Bingham Mixter Jan 2026

Examining Positive Psychology Components In Cbt For Adolescent Depression: A Manual-Level Content Analysis, Isabel Bingham Mixter

Theses and Dissertations

Adolescent depression is prevalent, recurrent, and associated with substantial functional impairment, yet variability in treatment response suggests that existing interventions may differ in how therapeutic processes are emphasized. The present study examined the extent to which positive psychology–consistent components, operationalized using the PERMA framework (positive emotion, engagement, relationships, meaning, and accomplishment), are embedded within empirically supported cognitive-behavioral therapy (CBT) manuals for adolescent depression and whether variation in this content corresponds to differences in treatment outcomes. Rather than analyzing individual participants, the unit of analysis was the treatment manual. Seven manualized CBT protocols for adolescents aged approximately 12–17 years were identified …

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An Rebt Intervention To Reduce Stress And Enhance Putting Performance Among Student-Athlete Golfers, Jasmine Bryant Jan 2026

An Rebt Intervention To Reduce Stress And Enhance Putting Performance Among Student-Athlete Golfers, Jasmine Bryant

Theses and Dissertations

This study examined the effects of a Rational Emotive Behavior Therapy (REBT) self-talk intervention on golf putting performance, irrational beliefs, and stress in competitive high school golfers. Three participants (ages 14–17) completed a baseline session followed by three weekly REBT intervention sessions at a golf course. Measures included the Irrational Performance Beliefs Inventory, Perceived Stress Scale, Sports Anxiety Scale, Self-Talk and Performance Facilitation Likert Scale, and a pressured putting task. Results were mixed: one participant demonstrated a large improvement in putts made (h = 0.82), while performance gains were minimal for others. Sports anxiety showed reliable change for two participants, …

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The Relationship Between Fixed Mindsets, Irrational Beliefs, And Athletic Performance In High School Track And Field Athletes, Gianna Bolusi Jan 2026

The Relationship Between Fixed Mindsets, Irrational Beliefs, And Athletic Performance In High School Track And Field Athletes, Gianna Bolusi

Theses and Dissertations

Sports performance research demonstrates that growth mindsets and flexible belief systems enhance athletes’ performance, while studies on fixed mindsets and irrational beliefs reveal detrimental effects. How irrational beliefs may influence the relationship between fixed mindset and athletic performance has not been explored in high school aged athletes. This research seeks to understand the role of irrational beliefs in the relationship between fixed mindsets and objective and subjective athletic performance. Measures of irrational beliefs, fixed mindsets, perspective of performance and styles of evaluating performance were analyzed among 211 competitive high school aged track and field athletes with a mean age of …

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Incorporating Cbt And Mindfulness Into Teacher Training To Improve The Relationship Between Teachers And Autistic Students, Sarah Lauren Swerdin Jan 2026

Incorporating Cbt And Mindfulness Into Teacher Training To Improve The Relationship Between Teachers And Autistic Students, Sarah Lauren Swerdin

Theses and Dissertations

Given the substantial amount of time that children spend in the classroom each day, student-teacher relationships (STRs) play a critical role in students’ social-emotional development and academic achievement (Breeman et al., 2015). Research indicates, however, that students on the autism spectrum tend to have STRs characterized by less closeness and greater conflict, often due to their social-communication differences and behavioral challenges (Losh et al., 2022). Teacher-level factors, including job stress and burnout, also shape teachers’ appraisals of students and their subsequent coping strategies (Obiweluozo et al., 2021), thereby influencing STRs. Although STRs have been widely examined among neurotypical students and …

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A Profile Approach To Childhood Adversity And Positive Experiences: The Mediating Role Of Psychological Flexibility In Resilience And Coping, Ariellis Moreta Jan 2026

A Profile Approach To Childhood Adversity And Positive Experiences: The Mediating Role Of Psychological Flexibility In Resilience And Coping, Ariellis Moreta

Theses and Dissertations

Adverse childhood experiences (ACEs) have been widely linked to poorer mental health outcomes, whereas positive childhood experiences (PCEs) have been shown to promote resilience and psychological well-being. However, less research has examined how combinations of adversity and positive experiences jointly relate to psychological functioning. The present study examined how profiles of adverse childhood experiences and positive childhood experiences relate to resilience and coping among college students and whether psychological flexibility mediates these relationships. Participants included 110 undergraduate and graduate students recruited from universities across the United States through research participation platforms and study recruitment materials. Participants were at least 18 …

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Academic Attention And Executive Difficulties In College Students: Reliability, Convergent Validity, And Exploratory Associations With Gpa, Piotr Draus Jan 2026

Academic Attention And Executive Difficulties In College Students: Reliability, Convergent Validity, And Exploratory Associations With Gpa, Piotr Draus

Theses and Dissertations

Attention-Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental condition characterized by difficulties in attention regulation, organization, and impulse control, which may be associated with academic challenges in higher education settings. The present study evaluates a custom, non-diagnostic academic attention/executive difficulties composite developed for college students and explores its associations with academic performance. Student participants (N=56) completed an online survey that included the custom composite, the Adult ADHD Self-report Scale (ASRS v1.1), and a self-reported numeric grade point average (GPA). The study primarily examined internal consistency and convergent validity of the custom composite using the ASRS v1.1 and secondarily explored associations between …

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The Impact Of Third-Grade Literacy Retention Policies On Low-Income Students: A Case Study Approach, Kaycee Cody Jan 2026

The Impact Of Third-Grade Literacy Retention Policies On Low-Income Students: A Case Study Approach, Kaycee Cody

Theses and Dissertations

This qualitative multi-site case study examines the implementation and perceived impact of Tennessee’s third-grade retention mandate under the Tennessee Learning Loss Remediation and Student Acceleration Act, with a focus on low-income students in two public school districts in East Tennessee. The legislation requires retention of third-grade students who do not demonstrate reading proficiency and mandates literacy interventions as promotion pathways. Although intended to strengthen early literacy outcomes, concerns remain regarding its equity implications. Guided by five research questions, this study explored perceived academic outcomes for low-income students, stakeholder perceptions of policy effectiveness, barriers to accessing required interventions, perceived implications for …

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High School Teachers’ Perceptions Of Care In The Classroom, Laura Thérèse Freeze Jan 2026

High School Teachers’ Perceptions Of Care In The Classroom, Laura Thérèse Freeze

Theses and Dissertations

This narrative inquiry study explored high school teachers’ perceptions of care in the classroom. The researcher gained insight into teachers’ perceptions of care by collecting data from semi-structured interviews, classroom observations, surveys, and participant discussions. The researcher used Noddings’s (1984) ethic of care as a heuristic for analysis to explore how teachers perceive and enact care for students. Participants engaged in collaborative discussion as members of a professional learning community (PLC) to explore their own experiences with care. The interview, observation, and PLC discussion data presented the following unique approaches to care: (1) care as being responsive to student needs, …

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Moderators Of Change In Parent Child Relationship Quality In Trauma-Focused Cognitive Behavioral Therapy, Emilie Paul Jan 2026

Moderators Of Change In Parent Child Relationship Quality In Trauma-Focused Cognitive Behavioral Therapy, Emilie Paul

Theses and Dissertations

The parent-child relationship may protect children against negative mental health outcomes after trauma. One aim of evidence-based interventions for trauma-related symptoms in children is often to improve the parent-child relationship, as seen in trauma-focused cognitive behavior therapy (TF-CBT). This study investigated changes in parent-child relationship quality during TF-CBT in child-parent dyads. Participants were families receiving TF-CBT through a community-based training clinic as part of an ongoing open trial of TF-CBT (N=287). Children reported on relationship quality at pre-, mid-, and post-treatment. Multilevel growth modeling examined changes in relationship quality across TF-CBT and moderating effects of caregiver symptoms, homework completion, and …

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Do Friendship Features Moderate Associations Between Body-Related (Co)-Rumination And Disordered Eating Behaviors?, Annabel Grace Susanin Jan 2026

Do Friendship Features Moderate Associations Between Body-Related (Co)-Rumination And Disordered Eating Behaviors?, Annabel Grace Susanin

Theses and Dissertations

For young adults, the transition to college includes increased responsibility and academic pressures, as well as new living environments with same-age peers. The demands of this transition can contribute to increased stress and uncertainty in students, resulting in engagement of behaviors that negatively impact physical and mental well-being. Among these behaviors include disordered eating. In this project, we sought to better understand individual and social risk factors for developing disordered eating behaviors. We measured a cognitive process that can occur within the self (rumination) or between the self and others (co-rumination), two concepts previously linked to other internalizing disorders, including …

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Middle Grades English Language Arts Teachers’Experiences Of Care: A Narrative Case Study, Kathleen Rose O’Farrell Jan 2026

Middle Grades English Language Arts Teachers’Experiences Of Care: A Narrative Case Study, Kathleen Rose O’Farrell

Theses and Dissertations

This narrative case study examined how four middle grades English Language Arts (ELA) teachers enacted care in a suburban Northeastern U.S. middle school. Drawing on interviews, classroom observations, instructional artifacts, and notes, the study developed narrative portraits to examine how care was experienced and enacted within daily instructional practices. Guided by Nel Noddings’s (2013) care theory and Geneva Gay’s (2018) culturally responsive care framework, the study explored how teachers sustained meaningful and equitable instruction amid post-pandemic academic, social-emotional, and technological shifts. Findings revealed care as the instructional foundation, making equitable and meaningful literacy learning possible with three interrelated dimensions: trust, …

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Nuestro Testimonio: The Experiences And Testimonios Of Early-Career World Language Educators In An Urban High School, Bonny Guadalupe Jan 2026

Nuestro Testimonio: The Experiences And Testimonios Of Early-Career World Language Educators In An Urban High School, Bonny Guadalupe

Theses and Dissertations

Research shows that teaching Spanish language and culture often reinforces biases, stereotypes, and suffers from limited economic and institutional support (Avendaño, 1979; Carter, 2014; Heredia & Altarriba, 2001; Potowski, 2002; Quan, 2021; Randolph Jr., 2017). These challenges restrict the social and academic mobility of Spanish-speaking students, especially in urban areas like New York City. This qualitative narrative inquiry addresses two questions: how do early-career high school World Language educators decolonize the AP Spanish Language and Culture curriculum, and how does engagement in Sealy-Ruiz’s Archeology of Self framework influence their teaching? The study examines the intersections of personal identity, professional growth, …

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Using Authentic Material To Motivate Adult Low Literacy Learners, Toni M. Morales Jan 2026

Using Authentic Material To Motivate Adult Low Literacy Learners, Toni M. Morales

Theses and Dissertations

The purpose of this study was to discover through exploratory research if using authentic material; comics, newspapers and graphic novels would motivate and improve the reading skills of low literacy adults. This was an important study that demonstrated the need to enhance reading programs for adults. The outcomes supported the study’s aim of developing new curricula for adult reading programs. The study utilized a qualitative approach, utilizing three methods; personal narratives interviews, and self-surveys which provided descriptions of the results of lack of literacy skills in low-level literacy adults. The study sought to discover if using authentic material both holds …

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Anger Coping And Its Relations To Ambulatory Blood Pressure Reactivity And Recovery: The Moderating Effects Of Ethnic Discrimination, Brandon Dial Jan 2026

Anger Coping And Its Relations To Ambulatory Blood Pressure Reactivity And Recovery: The Moderating Effects Of Ethnic Discrimination, Brandon Dial

Theses and Dissertations

Past research has found significant associations between anger coping (i.e., anger-in, anger-out, anger-control) and blood pressure. As these studies used retrospective surveys to measure anger coping and clinic measures of blood pressure, less is known about the relations of anger coping and blood pressure in daily life. This ecological momentary assessment (EMA) study tested whether momentary use of anger coping styles in the context of interpersonal interactions were associated with momentary blood pressure reactivity and nocturnal blood pressure recovery (i.e., blood pressure dipping). Lifetime perceived ethnic discrimination was tested as a moderator of the relations of anger coping and blood …

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The Relation Between Referral Source And Completion Of Trauma-Specific Assessment And Therapy In A Community-Based Training Clinic, Olivia Fiallo Jan 2026

The Relation Between Referral Source And Completion Of Trauma-Specific Assessment And Therapy In A Community-Based Training Clinic, Olivia Fiallo

Theses and Dissertations

In the United States, more than 60% of youth experience at least one trauma by age 16, and about one-third develop a trauma-related disorder. Evidence-based trauma-specific cognitive behavioral therapies (TS-CBTs) exist, yet fewer than 20% of trauma-exposed youth receive trauma-focused treatment, with dropout rates as high as 75% after treatment initiation. Referral sources are gatekeepers to TS-CBTs and may be a key system-level factor shaping barriers to starting and staying in treatment. This study examined whether referral source was associated with entry into and completion of a full TS-CBT service delivery pathway in a community-based trauma clinic. Participants were 346 …

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Reframing Discipline Through A Justice Lens: Educator Perceptions Of Restorative Practices In Special Education Schools, Jenny V. Cook Jan 2026

Reframing Discipline Through A Justice Lens: Educator Perceptions Of Restorative Practices In Special Education Schools, Jenny V. Cook

Theses and Dissertations

Restorative practices have increasingly been adopted in schools as an alternative to traditional disciplinary approaches, emphasizing relationship building, accountability, and community repair rather than punishment. Research suggests that restorative approaches can contribute to improved school climate, stronger relationships among students and staff, and reductions in exclusionary discipline practices. Despite the growing implementation of restorative practices in educational settings, much of the existing literature focuses on general education environments. Comparatively little research has examined how restorative practices are perceived and experienced within special education schools that serve students with complex behavioral, social, and emotional needs. Understanding educator perceptions in these specialized …

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Examining Community School Hubs In Creating Sustainable And Transformative Spaces For English Learners And Families: A Qualitative Study, Elizabeth Ortiz-Wright Jan 2026

Examining Community School Hubs In Creating Sustainable And Transformative Spaces For English Learners And Families: A Qualitative Study, Elizabeth Ortiz-Wright

Theses and Dissertations

Economically disadvantaged English learner students are at risk for poor academic outcomes. These challenges are exacerbated by inaccessibility to nutritious food, educational resources, healthcare, and stable housing. These cyclical and persistent issues require a community-based response. Community school hubs emerged as a response to the numerous academic and social challenges for English learner families who are living in vulnerable communities. This qualitative narrative study examined the perceptions of English learner parents and members of one community school hub regarding the available resources. Research questions examined the overall perceptions of one community school hub, including challenges and necessary changes to strengthen …

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The Impact Of Artificial Intelligence On Higher Education Enrollment, Shonna L. Jones-Washington Jan 2026

The Impact Of Artificial Intelligence On Higher Education Enrollment, Shonna L. Jones-Washington

Theses and Dissertations

The purpose of the study was to examine the influence of AI-driven chatbot technology on the progression through the undergraduate admissions funnel, including application, admission, and enrollment, and to explore how AI outreach intensity predicts these outcomes while addressing potential disparities across student subgroups. The study involved 24,141 data records, including both domestic and international undergraduate applicants to St. John’s University for the Fall 2025 semester. The study found that AI interaction was associated with higher admission rates (83.0% vs. 75.7%) but revealed no significant relationship between AI usage and final enrollment rates. Quantitative analyses, including chi-square tests, binary logistic …

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Exploring Perceived School Administrator Leadership Support And Teacher Burnout, Matthew H. Stifelman Jan 2026

Exploring Perceived School Administrator Leadership Support And Teacher Burnout, Matthew H. Stifelman

Theses and Dissertations

Burnout is an issue that affects those in numerous occupational settings and comes with tremendous risks for physical and psychological consequences (Edú-Balsania et al., 2022). Burnout is defined as one’s psychological response to chronic work stressors that can cause cognitive, emotional, or physical health damage (Maslach & Leiter, 2016). Decades of research have identified numerous risk factors for burnout across occupations. Risk factors include job and personal values, workload, lack Burnout is an issue that affects those in numerous occupational settings and comes with tremendous risks for physical and psychological consequences (Edú-Balsania et al., 2022). Burnout is defined as one’s …

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Beliefs And Recommendations Of Parents And Teachers For Internalizing Vs. Externalizing Disorders: A Thematic Analysis, Kyle Macdonald Jan 2026

Beliefs And Recommendations Of Parents And Teachers For Internalizing Vs. Externalizing Disorders: A Thematic Analysis, Kyle Macdonald

Theses and Dissertations

The prevalence of mental health disorders among school-aged children continues to rise, underscoring the importance of effective collaboration between families and schools. This qualitative study explored how parents (N=11) and teachers (N=11) perceive the causes, severity, and most appropriate interventions for internalizing (e.g., anxiety, depression) and externalizing (e.g., ADHD, conduct) disorders. Using vignette-based interviews and thematic analysis, six central themes emerged: (1) causal attributions (biological vs. environmental), (2) links between causes, symptom permanence, and intentionality, (3) intervention preferences, (4) importance of collaboration, (5) perceptions of severity, and (6) gendered interpretations of symptoms. 12 of the 22 participants (5 parents, 7 …

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