Caring For The Caregiver: Implementing An Occupational Therapy-Tailored Educational Program To Alleviate Caregiver Burden, Lura Elizabeth Simons

Graduate Theses, Dissertations, and Problem Reports (ETD)

Caregivers of traumatic brain injury (TBI) survivors experience caregiver burden, which is a prevalent issue. The most significant concern is for symptoms of burden affecting mental health and sleep quality. This doctoral capstone project addressed the knowledge gap regarding programs that alleviate these signs and symptoms through evidence-based interventions. The objective was to create an educational program with modules that demonstrated improvement in satisfaction and content understanding through in-person sessions and individualized interviews with staff members. This project aimed to reduce perceived burden by conducting in-person sessions to implement interventions through an occupational therapy (OT) lens and by using educational …

Feasibility Of Parent-Child Interaction Therapy-Toddler In Community Clinics In The United States And Japan, Sharon T. Phillips

Graduate Theses, Dissertations, and Problem Reports (ETD)

The toddler age (12-36 months) is characterized by a toddler’s increasing desire for autonomy, which can result in caregiver-child conflict and toddler externalizing problems (Kohlhoff & Morgan, 2014). Clinical levels of disruptive behavior in toddlerhood can be predictive of a host of negative outcomes, including problems with academic achievement and delinquency (Copeland et al., 2007; Milledge et al., 2019). High levels of toddler behavior problems also are associated with poor caregiver-child relationships and poor toddler emotion regulation skills (Beijers et al., 2013; Umemura et al., 2022). Thus, interventions targeting toddler behavior problems need to focus on strengthening the caregiver-child relationship …

Enhancing Occupational Engagement And Wellness In Middle-Aged And Retired Adults Through Movement And Mindfulness Program Development, Erin J. Harvey

Graduate Theses, Dissertations, and Problem Reports (ETD)

Occupational imbalance and a diminished sense of purpose are common challenges faced during middle age and the transition into retirement. These issues can contribute to increased burnout, decreased participation in meaningful activities, and an overall decline in health and well-being. Occupational therapy is well-equipped to address these concerns through comprehensive and holistic, occupation-based wellness programs that promote healthy routines and engagement in meaningful roles. This doctoral capstone project involved developing and implementing two community-based wellness programs tailored to different populations. The first program included self-paced wellness modules for middle-aged adults, aiming to encourage healthy lifestyle habits, enhance coping skills, and …

Embodiment Among Collegiate Women Athletes: The Perceived Impact On Sport Performance, Commitment, And Enjoyment, Hannah Lynne Silva-Breen

Graduate Theses, Dissertations, and Problem Reports (ETD)

Collegiate women athletes report high rates of body dissatisfaction and wanting more support for improving their body image within their athletic departments. Guided by the Developmental Theory of Embodiment (DTE; Piran, 2017), the purpose of this study was to examine collegiate women athletes’ perceptions of the relationship between their embodiment and aspects of their sport experience. Participants were 311 women currently competing in 24 different sports within NCAA and NAIA athletics. Participants completed the Experience of Embodiment Scale, Subjective Performance Questionnaire, Sport Commitment Questionnaire-2, and open-ended response questions about the perceived relationship between these variables. A convergent parallel mixed methods …

Data Augmentation And The Reliability Of Conformal Prediction For Uncertainty Quantification In Medical Imaging, Rizwan Ahamed

Graduate Theses, Dissertations, and Problem Reports (ETD)

The safe clinical deployment of deep learning models for high-stakes medical imaging tasks requires more than high average accuracy; it requires demonstrable, per-case reliability. Uncertainty quantification (UQ) provides the missing signal that tells a clinician when a model prediction can be trusted and when a case should be escalated for expert review. Among UQ approaches, conformal prediction (CP) is especially attractive because it produces prediction sets that are guaranteed, under the assumption of exchangeability, to contain the true label with a user chosen probability, and it does so without assumptions about the model or the data distribution. This report first …

Assessing Mobility And Upper Extremity Function Beyond Laboratory Settings In Manual Wheelchair Users With Spinal Cord Injury Using Inertial Measurement Units, Kathylee Pinnock Branford

Graduate Theses, Dissertations, and Problem Reports (ETD)

Manual wheelchair users with spinal cord injury (SCI) face chronic, repetitive shoulder demands that far exceed those of able-bodied daily life, placing them at high risk for rotator cuff pathology and long-term upper extremity dysfunction. Despite this burden, existing research has relied predominantly on brief laboratory assessments that capture only a narrow part of real-world mechanical demands, leaving critical gaps in the identification of true injury risk factors. This dissertation developed and applied inertial measurement unit (IMU)-based methods and novel algorithms to characterize arm use, mobility, and environmental context during a full week of free living behavior in 25 manual …

How Does Pre-Registration Child Specific Education Prepare Newly Qualified Nurses’ To Care For Children, Young People, And Their Families? An Empty Narrative Review, Matt Carey, Danielle Edge, Julie Blamires, Mandie Foster, Sarah Neill

School of Nursing and Midwifery

This narrative review investigates the influence of child-specific content within pre-registration nursing programs on newly qualified nurses’ perceptions of preparedness to care for children, young people, and their families. Despite international recognition of the specialised competencies required for pediatric nursing, the proportion and quality of child-focused education across Higher Education Institutions is not clear. The Population, Exposure, Outcome framework provided a comprehensive search strategy applied across eight databases to identify relevant studies that met the inclusion and exclusion criteria. Of 663 records identified, 451 were screened and 25 full texts wereassessed for eligibility by two reviewers. No studies met the …

Exploring The Views Of Children With Cerebral Palsy, Their Parents And Physiotherapists On Participating In A Feasibility Randomised Controlled Trial Testing An Exergaming Device: A Qualitative Study, Rachel Rapson, Jos M. Latour, Jonathan Marsden, Bernie Carter

School of Nursing and Midwifery

Background: This study aimed to understand the experiences and views of children with cerebral palsy, their parents and physiotherapists participating in the ACCEPT feasibility randomised controlled trial, which explored a 10-week physiotherapy intervention using an interactive gaming training device. Design: Qualitative methods included semi-structured interviews, e-diary and photographs. Nine parent–child dyads and three physiotherapists participated. Children were aged between 7 and 16 years; four had co-existing additional needs. Interviews were transcribed. Reflexive thematic analysis was used. Results: Five themes covered the breadth of participants’ experiences: (1) Fitting in therapy; (2) Motivation; (3) New opportunities; (4) Physiotherapists out of their comfort …

Job Satisfaction, Burnout, And Intent To Stay In Neonatal Nursing In England And Wales: A Cross-Sectional Survey Study, Kathy Chant, Yoko Nishimura, Aviva Petrie, Jos M. Latour, Nicola Booth, Kelly Crofts, Lisa Viola, Katie Gallagher

School of Nursing and Midwifery

Objective: To explore job satisfaction, burnout and intent to stay in neonatal nurses in England and Wales. Methods: A cross-sectional online survey study using the McCloskey Mueller Satisfaction Scale (MMSS) to explore job satisfaction, the Copenhagen Burnout Inventory (CBI) to explore burnout and the Nurse Retention Index (NRI) to measure intent to stay. All neonatal nurses working in England and Wales were eligible to take part. Data were collected between February and September 2024. Results: A total of 1590 neonatal nurses completed the survey. Job satisfaction was neutral. Moderate work burnout was reported, with statistically significant differences in mean score …

A Review Of The Effect The Kentucky Center For School Safety Has On Kentucky School District’S Safe Schools Data, Patricia Greer

Murray State Theses and Dissertations

The study examines the impact of the Kentucky Center for School Safety on safety data from Kentucky Schools. The data consisted of behavior events reported in the Safe Schools Data collected from the student information system, Infinite Campus. The analysis was conducted using interaction data from the Kentucky Center for School Safety and behavioral data from Kentucky Public Schools.

Speaking For The Families: Organizational Socialization Of Military Spouses In Volunteer Leader Positions, Virginia Klaus

Murray State Theses and Dissertations

Military spouses holding volunteer leadership positions in military unit family readiness groups, provide a link between commanders and families of service members. They act within military organizations as the only official voice of spouses, a stakeholder group recognized as influential in retention rates and force readiness. Despite their importance, military spouses are often portrayed in research as passive members, taking on roles to meet the expectations of their peers and military organizations. That contradicts historical evidence of military spouses as active organizational members who have socialized other spouses, and as family advocates who have challenged military organizational practices and policies. …

Identifying The Knowledge And Skills That Students Enrolled In Agricultural Systems Technology Degree Programs Need: Perspectives From University Faculty, Jerry Blake Kennedy

Murray State Theses and Dissertations

National trends have highlighted the need for a knowledgeable, skilled workforce in advanced agricultural systems. University-level Agricultural Systems Technology (AST) undergraduate degree programs and closely-related degree programs are vital to equipping the agricultural workforce with the knowledge and skills needed to support the industry. Ensuring that AST curricula are relevant and appropriate is vital to equipping undergraduate students in such programs with the knowledge and skills they need to succeed in the modern agricultural workforce. This study sought to identify the essential knowledge and skills needed by undergraduate AST degree program students from the perspectives of university-level faculty across the …

Exploring Pedagogical Content Knowledge Of Experienced Teachers In Agricultural Animal Reproduction: A Grounded Theory, Amanda Wooditch

Murray State Theses and Dissertations

Teaching agricultural animal reproduction requires a specialized integration of scientific content knowledge and instructional strategies, conceptualized as Pedagogical Content Knowledge (PCK). While PCK has been widely studied in other disciplines, research on its development and application in agricultural education has been limited. This qualitative study utilized grounded theory methodology to explore the PCK of experienced high school agriculture teachers in Georgia as they taught animal reproduction.

Twenty educators, each with a minimum of eight years of classroom experience, participated in the study through semi-structured interviews, lesson artifacts, and memos. Analysis, guided by Gess-Newsome’s (2015) Model of Teacher Professional Knowledge and …

Wired For Inclusion: Leveraging Strengths Of Neurodivergent Special Educators, Brok Hess, Teresa Clark Ed.D.

Murray State Theses and Dissertations

Special education teachers face unique challenges, and neurodivergent special educators possess distinctive strengths that can allow them to excel in the classroom. However, barriers, stigma, and ableism persist that have prevented neurodivergent individuals from accessing this career, receiving support, and thriving as special educators. Self-efficacy and executive functioning both correlate to success and retention within education. This research analyzed the relationship between special education teachers’ self-efficacy and executive functioning, specifically among neurodivergent special educators. Results concluded that a significant positive correlation exists between neurodivergent special education teachers’ executive functioning and self-efficacy. Attention to these results will highlight the importance of …

Out In The Arena: Examining The Lgbtq+ Experience In Ihsa, Katharine C. Didier

Murray State Theses and Dissertations

This study investigated factors influencing Intercollegiate Horse Show Association (IHSA) LGBTQ+ riders’ perceptions of inclusion, safety, and belonging, with the hypothesis that teams with diversity and inclusion policies would be perceived as more accepting. An online survey was developed to gather information from self-identified LGBTQ+ IHSA students. Questions covered demographics, team environment, and perceived inclusivity within their equestrian programs. Question types included multiple choice, Likert-type, short answer, and open-ended. IHSA coaches were asked to share the survey link with team members. Students were able to respond anonymously. The survey was open for 8 weeks. Reminders were sent out at 3 …

Beyond The Classroom: The Continuing Impact Of Brown V Board On Equitable Access To Career And Technical Education For Historically Underrepresented Students, Shannon Hood

Murray State Theses and Dissertations

Using a qualitative phenomenological design grounded in Critical Race Theory (CRT) and Culturally Relevant Pedagogy (CRP), this study examined how institutional structures, instructional practices, and community and industry partnerships shape equitable access, engagement, and outcomes in secondary Career and Technical Education (CTE) programs serving students from historically marginalized backgrounds. Semi-structured interviews were conducted with thirteen participants, including educators, administrators, and industry partners engaged in secondary CTE implementation. Thematic analysis identified recurring patterns related to leadership decision-making, instructional relevance, culturally responsive teaching practices, relational trust and advocacy, and authentic work-based learning (WBL) experiences. Findings indicate that equitable participation in CTE extends …

The Economic Impact Of The Georgia Young Farmers Association On Georgia's Economy, Robert E. Bodiford Iii

Murray State Theses and Dissertations

Agriculture is Georgia’s largest economy, generating billions of dollars annually. Sustaining this sector requires ongoing investment in human capital through education, training, and leadership development. While research has extensively examined youth agricultural education, limited attention has been given to the economic contributions of adult agricultural education programs. The Georgia Young Farmers Association serves as a primary provider of structured adult agricultural education in the state, offering continuing education through meetings, farm tours, workshops, and leadership development activities. The purpose of this study was to estimate the economic impact of the Georgia Young Farmers Association on Georgia’s economy[BL1] . The …

The Effect That Positive And Negative Self-Concepts Have On Adolescents' Behavior And Personalities, Portia L. Davis

Murray State Theses and Dissertations

Abstract

The development stage of adolescence is a complex process in which adolescents begin to explore their identity and form either a positive or negative self-concept. Self-concept plays a crucial role in shaping adolescents' personalities and behaviors. Self-concept includes how adolescents view themselves and how others see them. An adolescent's self-concept can influence their self-confidence, social relationships, and decision-making abilities. This study examines the relationship between overall self-concept and adolescents' personality traits and behaviors. To gather this information, a quantitative research design is used, in which adolescents complete assessments such as the Tennessee Self-Concept Scale (TSCS), the Woodcock-Johnson IV (WJ-IV), …

"It's Dangerous To Go Alone": Examining Npcs As Influential Social Agents In An Original Single-Player Rpg, Chloe Bella Whitfield

Murray State Theses and Dissertations

Parasocial Interactions (PSI) and Parasocial Relationships (PSR) may have the capacity to act as an extension of and supplement for healthy social interaction (Elvery, 2021). In some instances, PSI and PSR may even be used as a means to improve unfulfilled social needs and decrease feelings of loneliness (Jarzyna, 2021). It has been noted that digital media such as video games may produce parasocial encounters that are particularly unique, as they often simulate realistic, back-and-forth social interactions between users and a virtual agent (Elvery, 2022; Hartmann, 2008). The present study observed PSR formation between players and a non-player character (NPC) …

Barriers To Mental Healthcare Among Men, Adrienne White

Murray State Theses and Dissertations

Men are consistently less likely than women to seek professional mental health services despite experiencing significant rates of depression and psychological distress. Traditional masculine norms and depression-related stigma have been proposed as major contributors to this disparity. The present study examined the relationships among depression stigma, conformity to masculine norms, depression severity, perceived barriers to care, and attitudes toward seeking professional mental health treatment among adult men with current or past depression. Seventy participants completed measures of depression severity (PHQ-9), conformity to masculine norms (CMNI-30), depression stigma (DSS), attitudes toward help seeking (MHSAS), and perceived barriers to care (BMHS). Contrary …

Personality Assessment Inventory Profiles In Adults Seeking Autism Spectrum Disorder Assessment, Emily Kinsey

Murray State Theses and Dissertations

The current study aimed to examine differences in interpersonal functioning and response validity among adults presenting for autism spectrum disorder (ASD) assessment compared to those seeking services for other clinical concerns. The study used archival data from 238 client files collected in an outpatient clinical setting. Interpersonal functioning was assessed using the Dominance (DOM), Warmth (WRM), and Nonsupport (NON) subscales of the Personality Assessment Inventory (PAI; Morey, 1991). Response validity was evaluated using the Negative Impression Management (NIM) and Positive Impression Management (PIM) scales. A multivariate analysis of variance (MANOVA) showed no significant group differences across DOM, WRM, and NON …

Comprehensive Postsecondary Transition Planning For Students With Intellectual Disability In Florida, Sonia Y. Clark-Rosier

Murray State Theses and Dissertations

The purpose of this qualitative study was to explore the impact of early transition planning on parents’ postsecondary expectations for their child with an intellectual disability and to examine the benefits of planning, particularly when considering higher education opportunities. This study also probed the factors that contribute to the development of self-efficacy in special education teachers facilitating comprehensive transition planning. Schlossberg’s transition theory, with its four S’s—situation, support, self, and strategies—served as the theoretical framework. The data collection methods were document analysis, focus groups with special education teachers, high school teachers, and parents, and researcher observations. Seven themes emerged to …

Academic Growth From Preact To Act: The Influence Of Socioeconomic Status And Attendance In A Rural Alabama High School, Stacy L. Tinch

Murray State Theses and Dissertations

The purpose of this quantitative correlational study was to examine academic growth from the PreACT to the ACT among students attending a rural public high school in Alabama and to investigate whether socioeconomic status (SES) and attendance were associated with differences in that growth. Guided by Opportunity-to-Learn Theory, the study explored whether students demonstrated academic growth during high school and whether SES, attendance, or the interaction between these variables influenced growth outcomes. Archival student-level data were collected from four graduating cohorts. The final sample consisted of 384 students with complete records for PreACT scores, ACT scores, attendance, and socioeconomic status. …

Attention Or Affect? Evaluating The Discriminant Validity Of Cpt-3 Performance, Gavin F. Price

Murray State Theses and Dissertations

The Conner Continuous Performance Test Third Edition (CPT-3) is a behavior-based measure of attention-related problems commonly used to assess Attention-Deficit/Hyperactivity Disorder (ADHD). Research into the discriminant validity of the CPT-3 remains limited, particularly regarding the influence of internalizing symptoms such as anxiety and depression on performance. The current study examined whether CPT-3 performance was more strongly associated with cognitive indicators of inattention or internalizing symptoms, such as depressive or anxious symptoms. Archival data from 105 adult clients at Murray State University Psychological Center was analyzed. Cognitive inattention was measured using Verbal Comprehension Index (VCI) – Working Memory Index (WMI) discrepancy …

Career Readiness Indicators In High School Influenced By Leaders In Alabama, Kevin J. Wieseman

Murray State Theses and Dissertations

This phenomenological study investigated how educational leaders conceptualize and influence Career Readiness Indicators (CRI) in Alabama high schools. As Alabama places increasing emphasis on College and Career Readiness (CCR), this research explored how leaders’ lived experiences affect initiatives designed to prepare students for postsecondary achievement. Drawing on Transformational Leadership Theory and Distributed Leadership Theory, the study examined leadership practices associated with work-based learning, soft skills development, academic preparedness, and career-readiness outcomes. Semi-structured interviews were conducted with educational leaders from Alabama school systems recognized for exemplary CCR performance. Data were analyzed using a phenomenological approach to identify shared leadership experiences and …

International Teacher Attrition: A Qualitative Meta-Synthesis Through The Job Demands-Resources Framework, Lakeysha Rena Joseph Toliver

Murray State Theses and Dissertations

Abstract

Teacher attrition has emerged as a persistent crisis for workforce sustainability across international education systems. This crisis is threatening instructional continuity and deepening inequities that extend across the P-20 continuum. A substantial amount of research has been conducted on teacher attrition in individual countries worldwide. Isolated national studies rarely shed light on the structural patterns driving educators out of the profession, leaving policymakers without a clear cross-contextual understanding of why teachers leave. This qualitative meta-synthesis examined how the interaction between occupational demands and institutional supports shapes teacher attrition across international education contexts, using the Job Demands-Resources (JD-R) framework to …

Surrogate-Based Approaches For Evaluating Post-Harvest Food Safety Interventions In Fresh Produce, Md Shafiul Islam Rion

Graduate Theses, Dissertations, and Problem Reports (ETD)

Pathogenic bacteria are still a threat to human beings worldwide as their presence is often unknown even if they are already present in fresh produces. This in turn resulted in several outbreaks and recalls across the United States. This dissertation investigated the survival of pathogenic bacteria and their potential non-pathogenic surrogates after antimicrobial interventions in different modes of applications on the surface of cantaloupes, butternut squash, and fresh cilantro. In the first study, peroxyacetic acid (PAA) was applied in three separate doses on nalidixic acid resistant Salmonella Typhimurium, Listeria monocytogenes, Enterococcus faecium, and Listeria innocua inoculated cantaloupe surfaces …

Comparison Of Push-Pull Air Curtain To Overhead Downdraft Systems On Aerosol Containment And Distribution In Controlled Environments, Manal Mutairi

Graduate Theses, Dissertations, and Problem Reports (ETD)

Abstract

Comparison of Push-Pull Air Curtain to Overhead Downdraft Systems on Aerosol Containment and Distribution in Controlled Environments.

This dissertation looks at the ongoing issue of tiny airborne particles created during medical and dental procedures and evaluates ways to reduce the risk of exposure for healthcare workers and patients to these particles. The first study focuses on the size, how long particles stay in the air, and how far they travel from common medical procedures that create aerosols, showing that tiny particles (less than 5 µm) can stay in the air long enough to escape basic droplet controls. As a …

Exploring Youth Soccer Coach Recruitment Practices, Han-Earl Lim

Graduate Theses, Dissertations, and Problem Reports (ETD)

This qualitative single-case study examined how a private-interest, nonprofit youth soccer club in the Midwestern United States recruits coaches, what coach qualities are prioritized in hiring, and how organizational and sociocultural conditions shape those practices. The study was guided by three research questions focused on (a) recruitment and early support processes, (b) hiring criteria and decision rationales, and (c) the organizational and sociocultural contexts influencing recruitment. Data were generated through five semi-structured interviews with four participants who were involved in recruitment practices (the Executive Director, the Assistant Director, and two full-time head coaches). Additional sources included an organizational mapping survey …

Exploring The Application Of Wastewater Monitoring To Determine The Prevalence And Diversity Of Influenza On The Campus Of West Virginia University, Lakyn Renee Sanders

Graduate Theses, Dissertations, and Problem Reports (ETD)

Influenza viruses (IV) affect populations globally, with the World Health Organization (WHO) estimating that IV are responsible for an estimated 3-5 million infections and 290,000 – 650,000 deaths annually^1–3. More specifically, the 2019-2020 IV season is associated with an estimated 38 million illnesses and 22,000 deaths in the United States alone⁴. IV are rapidly spread between individuals through direct contact with infected individuals, contaminated surfaces, or aerosolized virus particles². Traditional IV infection monitoring relies on clinical screening of patients presenting influenza-like symptoms, commonly through the use of multi-target panel tests such as the BioFire …