Digital Commons Network^™

Curiosity In Tourism: A Review And Future Directions, Sten Langmann, Pieter Jan Bezemer, Eerang Park, Sangkyun Kim

Research outputs 2022 to 2026

Curiosity increasingly attracts attention in tourism research. However, the field remains conceptually fragmented around what curiosity is and how it works, often pointing to related yet different understandings of the concept. Drawing on an in-depth analysis of 61 peer-reviewed articles, we aim to build a more coherent agenda for future research by answering two core questions: how has curiosity been conceptualised and studied in tourism research, and what gaps and directions emerge from the literature? The analysis reveals that curiosity has been studied in four primary ways in tourism research: an innate motivational driver, a situational mediating state, an outcome …

Best Practices For Supporting Occupational Therapy Students With Disabilities During Clinical Education: Results From A Three-Round Delphi Study, Courtney Gohean, Katie Mclaughlin, Aster Harrison

Department of Occupational Therapy Faculty Papers

INTRODUCTION: Disabled occupational therapy students face systemic barriers in clinical education. Although legal mandates require reasonable accommodations, implementation is often inconsistent, and few standardized guidelines exist for fieldwork education. This study is aimed at establishing best practices for supporting occupational therapy and occupational therapy assistant students with disabilities during fieldwork.

MATERIALS AND METHODS: A three-round Delphi study was conducted with a panel of 30 experts, including disabled occupational therapy students, disabled occupational therapy practitioners, academic fieldwork coordinators (AFWCs), fieldwork educators (FWEs), disability services staff, and researchers. In Round 1, participants answered open-ended questions about challenges, accommodations, and environmental supports. Responses …

Using Early And Periodic Screening, Diagnostic, And Treatment (Epsdt) To Improve Access To Obesity Pharmacotherapy: A Practical Guide For Clinicians Caring For Youth With Obesity Across United States Medicaid Programs:, Jaime M. Moore, Valerie M. O'Hara, Cassie Totman, Brooke Sweeney, Sarah Hampl, Alaina P. Vidmar

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Coverage of obesity pharmacotherapy for youth varies substantially across state Medicaid programs. This variability limits access to evidence-based treatment for pediatric obesity. The Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit is a federally mandated Medicaid provision requiring coverage of medically necessary services for individuals under age 21, even when such services are not included in standard state Medicaid benefits. Despite its broad scope, EPSDT remains underutilized due to limited awareness and operational complexity.

METHODS: We developed a clinician-facing, practice-oriented framework to operationalize EPSDT for pediatric obesity treatment. This approach integrates (1) review of federal EPSDT policy and …

Non-Vigorous Physical Activity Associated With Reduced Hospitalization Risk With Or Without Diabetes Or Peripheral Artery Disease: Study Of Latinos., Sarah K. Alver, Carmen C. Cuthbertson, Kelly R. Evenson, Jennifer A. Schrack, Daniela Sotres-Alvarez, Natasha Z. Anita, Yasmin Mossavar-Rahmani, Linda C. Gallo, Jordan A. Carlson, Matthew Allison, Martha L. Daviglus, Olga Garcia-Bedoya, Christina Cordero, Xiaonan Xue, Jianwen Cai, Kunihiro Matsushita, Robert C. Kaplan

Manuscripts, Articles, Book Chapters and Other Papers

PURPOSE: This study assessed whether greater physical activity (PA) and lesser sedentary behavior (SB) reduce hospitalization risk equally among those with and without prediabetes, diabetes, or peripheral artery disease (PAD).

METHODS: We studied PA, SB and hospitalizations in 12,734 adults from the Hispanic Community Health Study/Study of Latinos, who were 52.2% female with mean (standard deviation) age 41.1 (14.9) yr at baseline. Participants reported 10,025 nonpregnancy-related hospitalizations (excluding emergency room only) over 13 yr. We modeled the association between accelerometer-measured activity (SB; light intensity physical activity [LPA]; moderate physical activity [MPA]; vigorous physical activity [VPA]) and hospitalization, using Andersen-Gill proportional …

Prediction Of Decline In Ovarian Function In Turner Syndrome., Roopa Kanakatti Shankar, Tazim Dowlut-Mcelroy

Manuscripts, Articles, Book Chapters and Other Papers

Comment on

• The role of hormonal markers in predicting reproductive lifespan in girls with Turner syndrome-a retrospective study. van der Coelen S, Sas T, Richter-Unruh A, Braat D, Fleischer K, Nadesapillai S, IntHout J, van der Velden J.J Endocr Soc. 2026 Jun 5;10(7):bvag122. doi: 10.1210/jendso/bvag122. eCollection 2026 Jul.PMID: 42272567 Free PMC article.

The Rise And Fall Of Lateral Electrical Surface Stimulation (Less) Through The Lens Of Srs Archives., Ali Rezazadeh Shirazi, Jay I. Kumar, Katie Dold, George H. Thompson, Andrew G. King, Richard M. Schwend, John P. Lubicky, Jay Shapiro, Behrooz A. Akbarnia, History Committee Of The Scoliosis Research Society

Manuscripts, Articles, Book Chapters and Other Papers

PURPOSE: Lateral electrical surface stimulation (LESS), commercially known as the ScoliTron™, emerged in the late 1970s as a noninvasive alternative to bracing for adolescent idiopathic scoliosis. Early clinical reports generated considerable enthusiasm and adoption, but the technique was ultimately abandoned. This study examined the rise and fall of LESS through a combined analysis of the Scoliosis Research Society (SRS) archives and published literature, with the goal of understanding factors that influence the adoption, evaluation, and abandonment of innovation in scoliosis care.

METHODS: A structured historical review was conducted using archival materials from the Scoliosis Research Society (SRS), including meeting abstracts, …

Pharmacogenetics In Pediatric Cardiology., Adenike Adenikinju, Jonathan B. Wagner, Mollie Walton

Manuscripts, Articles, Book Chapters and Other Papers

Children with congenital and acquired heart disease frequently require complex and prolonged pharmacotherapy, often involving off-label cardiovascular medications with narrow therapeutic ranges. Consequently, variability in drug response and medication-related adverse events remains a significant clinical challenge in pediatric cardiology. Pharmacogenetics provides a framework to individualize drug selection and dosing by incorporating genetic variability alongside established clinical and developmental factors. This review outlines the current clinical utility and emerging role of pharmacogenetics in pediatric cardiology, emphasizing applications most relevant to day-to-day patient care. Established pharmacogenetic associations with direct implications for pediatric cardiac practice include gene-drug pairs involving tacrolimus (CYP3A5), …

Sexual Education And Sti Prevention In High School: A Neutrosophic Analysis Of The Opportunities And Risks Of Generative Artificial Intelligence, Antonio Pioquinto Rivera, Gregorio Nunez Hernandez, Rosalinda Villa Juarez

Neutrosophic Sets and Systems

Sexually transmitted infections (STIs) remain a critical challenge during adolescence. Given the limitations of traditional sex education, generative artificial intelligence (GAI) has emerged as a personalized and anonymous consultation alternative. This study analyzes, from a neutrosophic perspective, the scientific evidence published between 2019 and 2026 on the use of GAI to strengthen STI prevention among high school students. Through a critical integrative review of thirteen reference studies, a matrix was built that classifies the findings across four dimensions (AI-mediated learning, sexual education, STI prevention, and educational equity) according to their truth (T), falsity (F), and indeterminacy (I) components. The results …

Project-Based Learning And Mathematical Competencies In Primary Education: A Neutrosophic Cognitive Map Reading Of A Critical Integrative Review, Uriostegui Adan Yurithzi Majogani

Neutrosophic Sets and Systems

Developing mathematical competencies in primary school is essential for interacting with the environment. Faced with the limitations of traditional direct instruction, project-based learning (PBL) has emerged as an active alternative. This study analyzes, through a critical integrative review of ten reference studies (2016-2026), whether PBL determines the development of basic mathematical competencies in primary school students, and formalizes the resulting conceptual system as a neutrosophic cognitive map (NCM) with eight concepts and nine causal connections classified as positive, negative, or indeterminate. The static analysis of the map identifies PBL as the most central concept and makes explicit that the direct …

How Certain Is An Institutional Research Profile? Three Undeclared Decisions, And A Neutrosophic Reading Of What They Cost, Alexis Matheu Perez, Bastian Gutierrez

Neutrosophic Sets and Systems

Institutional bibliometric profiles report Lotka's exponent, a Bradford core and a Price ratio as if they were properties of the institution. They are properties of the institution together with three decisions that the reporting almost never states: which source defines the corpus, which document types are compared, and which population of authors the laws are fitted on. This article measures what each decision is worth, using Universidad Bernardo O'Higgins (UBO, Santiago, Chile) as the case and Universidad Bolivariana del Ecuador as a control. Since the resulting uncertainty is not sampling error, we give it a place to be reported: a …

More Than A Free Snack: Benefits Of Mobilized Resources And Socialization For Pediatric Healthcare Workers., Thomas Ayres, Kristin Ray, Aimee M. Hoflander, Angela Myers

Manuscripts, Articles, Book Chapters and Other Papers

INTRODUCTION: Addressing the burnout epidemic in the healthcare workforce is a primary concern of the modern healthcare organization and recognized across researchers and leaders of nations. This study aims to test whether a mobilized micro-break intervention, the Wellbeing on Wheels (WOW) Cart, improved health care worker (HCW) energy perceived organizational support and work engagement.

METHODOLOGY: This study was conducted at an independent children's hospital in the midwestern United States. Between August and September 2024. A total of 367 pediatric HCWs completed our survey. IBM's SPSS was used to analyze the data using t-tests, ANOVAs, linear regression, and polynomial regression …

Whose Neighbourhood: A Study Of Early Challenges And Opportunities In Delivering Pride In Place, Katharine Willis, Kasper De Graaf

School of Art, Design and Architecture

’Whose neighbourhood?‘ examines the early challenges and opportunities in delivering the Government’s Pride in Place programme and asks what is needed to turn the devolution of funding into genuine community power.Pride in Place provides 284 neighbourhoods across the UK with up to £20 million each in funding and support over ten years, with local communities intended to play the leading role in deciding how that investment is used. The report welcomes the scale, duration and community-led ambition of the programme, but finds that there remains a significant gap between that ambition and the practical capability needed to deliver it — …

Temporal Changes In Mechanical Pin Prick Sensitivity Following High Frequency Induced Sensitisation Of Central Nociceptive Pathways: A Test Re-Test Reliability Study, Samuel Mugglestone, Giorgio Ganis, Sam W. Hughes

School of Psychology

High-frequency stimulation (HFS) is a human surrogate model of secondary hyperalgesia and a key experimental tool for understanding the mechanisms and modulation of central nociceptive pathways. An emerging area of research focuses on the role of top-down endogenous analgesic systems during secondary hyperalgesia development. However, the test-retest reliability of the early temporal changes in sensitivity are poorly understood. In the present study, we investigated the between-session reliability of the early temporal dynamics and late-phase expression of HFS-induced changes in mechanical pinprick sensitivity in a heterotopic area on the forearm in 28 healthy participants across five time points relative to HFS …

Relationships Between Psychosocial Aspects Of Stuttering And Self-Disclosure Of Stuttering In A Japanese Sample, Daichi Iimura, Saburo Takahashi, Mizuki Aoki, Kentaro Yoshizawa, Kota Yanai, Shoko Miyamoto, Michael P. Boyle

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Purpose We aimed to psychometrically evaluate a Japanese version of the Disclosure of Stuttering Scale, from Boyle et al. (2018), and identify the psychosocial factors associated with level of stuttering self-disclosure among adults who stutter.

Methods: Adults who stutter were recruited via stuttering self-help groups in Japan and the authors’ contacts. Participants completed their demographics, the Disclosure of Stuttering Scale and other psychological scales assessing affective, cognitive, and social aspects of stuttering via an online survey. We analyzed 180 participants after those with unreliable or duplicate responses were excluded. The scale’s reliability and validity were confirmed, and multiple linear regression …

Relationships Between Psychosocial Aspects Of Stuttering And Self-Disclosure Of Stuttering In A Japanese Sample, D Iimura, S Takahashi, M Aoki, K Yoshizawa, K Yanai, S Miyamoto, Michael P Boyle

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Purpose: We aimed to psychometrically evaluate a Japanese version of the Disclosure of Stuttering Scale, from Boyle et al. (2018), and identify the psychosocial factors associated with level of stuttering self-disclosure among adults who stutter. Methods: Adults who stutter were recruited via stuttering self-help groups in Japan and the authors' contacts. Participants completed their demographics, the Disclosure of Stuttering Scale and other psychological scales assessing affective, cognitive, and social aspects of stuttering via an online survey. We analyzed 180 participants after those with unreliable or duplicate responses were excluded. The scale's reliability and validity were confirmed, and multiple linear regression …

The Relationship Between Adverse Childhood Experiences, Protective And Compensatory Experiences, And Parenting Attitudes Among Fathers, Kylie Schmidt

Dissertations

Adverse childhood experiences (ACEs) are defined as potentially traumatic events that occur in childhood particularly between the ages of 0 and 17 years that negatively influence long-term health, relational functioning, and parenting practices (Centers for Disease Control and Prevention, 2026; Felitti et al., 1998; Merrick et al., 2019). Conversely, protective and compensatory experiences (PACEs) have emerged as protective factors that foster resilience and possibly buffer against the adverse outcomes of ACEs (Narayan et al., 2018). As the existing research has greatly focused on mothers, little is known about how men’s early life experiences shape their parenting attitudes, particularly during the …

Examining The Impact Of Social Support On Academic Self-Efficacy In Black Doctoral Students In Psychology, Asia A. Hall

Dissertations

This study examined the relationship between perceived social support and academic self-efficacy, or academic confidence, among Black doctoral students in psychology programs at predominantly White institutions (PWIs). Grounded in self-efficacy theory, the study was designed to explore whether perceived social support was associated with and predictive of students’ academic confidence. A quantitative, cross-sectional design was used, and data were collected using adapted versions of the Multidimensional Scale of Perceived Social Support (MSPSS) and the Academic Self-Efficacy (ASE) scale. The sample consisted of 60 Black doctoral students enrolled in psychology programs at PWIs across the United States. Descriptive statistics indicated the …

Offline And Thriving: Understanding The Professional And Personal Lives Of Non-Social Media Users In A Digitally Dominant Era, Bhargava Mantena

Dissertations

Existing research has treated voluntary social media abstinence as the absence of users rather than as a condition worth study. This mixed-methods study examined its psychological and occupational correlates. Adults aged 21 to 65 reporting abstinence from all major platforms for six months or more completed three validated instruments measuring mental well-being, work engagement, and perceived social isolation; a purposive subsample of 12 took part in semi-structured interviews. The analysis set comprised 120 participants, below the 128 indicated by the a priori power analysis. Research Question 1 could not be tested as approved, because no active-user comparison group was recruited; …

Sedentary Behaviors And Functional Disability Among Chinese Older Adults (2008–2018): Evidence Including Mahjong, Yen-Han Lee, Yen-Chang Chang, Minzhi Ye, Cai Xu

School of Social Work Faculty Publications

Purpose: This study examined how different types of sedentary behavior relate to changes in functional disability, measured by activities of daily living (ADL) and instrumental activities of daily living (IADL), among Chinese older adults.

Major findings: Using data from 17,939 participants in four waves (2008–2018) of the Chinese Longitudinal Healthy Longevity Survey (CLHLS), sedentary behavior was categorized into four types: none, playing mahjong only, combining these with other sedentary activities, and other activities alone (e.g., reading and watching TV). Cox two-state regression models estimated the hazard of transitioning in ADL and IADL disability. Engaging in sedentary behaviors was generally …

Impact Of Exercise On Mental Health In Inpatient Settings, Samuel Blake Rn, Nathaniel Clark Rn

Nurse Residency

In adult psychiatric inpatients with mental illness, how does participation in a structured exercise program compared with standard inpatient care affect depression, anxiety, and overall mental health outcomes during hospitalization?

The Impact Of Stigma On The Mmpi-3 Scores Of An Indo-Caribbean Community Sample, Julia Persaud-Naipaul

Theses and Dissertations

Evaluation of personality and psychological disorders is accomplished through the use of psychometric measures. However, tests require interpretation of test responses using a normative criterion based on a particular population that may not fully consider the effect of cultural influences on an individual’s level of willingness to report psychological difficulties. For example, individuals in collectivistic cultures may not be as willing to self-report problems because mental illness is often perceived as a source of embarrassment and shame. One culturally unique population that has been overlooked in psychological assessment is the Indo-Caribbean population. Their specific cultural values, beliefs, attitudes, and practices …

Tennessee Archivist 45, No. 4, Society Of Tennessee Archivists

Tennessee Archivist newsletters

Fall 2026 issue of the Tennessee Archivist, a newsletter produced by the Society of Tennessee Archivists.

Is The Crisis Over? Fostering Innovative Work Behavior In Response To The Constant Pressure Of Resource-Deficiency For Street Level Bureaucrats: The Impact Of Psychosocial Safety Climate, Teamwork, And Work Engagement, Yvonne Brunetto, Matthew Xerri, Geremy Farr-Wharton

Research outputs 2022 to 2026

There is conflicting evidence about the pathways Street Level Bureaucrats’ (SLBs’) use to engage Innovative Work Behavior (IWB). This study uses Street Level Bureaucrat (SLB) and Conservation of Resources (COR) to examine the extent to which SLBs’ work engagement and/or burnout mediates the relationship between Psychosocial Safety Climate (PSC) and teamwork, and IWB. The methods comprised a sample of 259 healthcare SLBs (doctors, nurses, allied health) collected at two times, and analyzed using structural equation modeling. The results show that the variance of PSC and teamwork explained a third of engagement, and engagement-burnout mediated the impact of PSC and teamwork …

The Stickiness Of Meritocratic Beliefs From Adolescence To Adulthood In Singapore, Yen Kiat Chong, Shin Bin Tan, Vincent Chua, Han Ei Chew

Research Collection Office of Impact

The belief in meritocracy has been rising over the past few decades in developed countries. While many studies have focused on the belief in meritocracy, its distribution across groups and its effects, much less is known about how beliefs may change as individuals age and undergo major life transitions. Using linear growth models on three waves of panel data from a national youth survey in Singapore, we found that the major life transitions to adulthood – progressing through the education system (e.g., completing tertiary education), transiting from full-time studies to full-time work, getting married and becoming a parent – predicted …

Intracommunity Social Capital Systems Of Class And Caste In South Asian Intimate-Partner Violence Survivor Outcomes, Vriddhi Vinay

Dissertations, Theses, and Capstone Projects

This study theorizes how caste and class function as transnational forms of social capital that structure intimate partner violence (IPV) outcomes among South Asian diasporic women in the New York City metropolitan area. While existing IPV scholarship foregrounds migration status, gender, and legal precarity, it often treats South Asian communities as internally homogeneous and overlooks how intracommunity hierarchies mediate access to support. Drawing on social capital theory and postcolonial feminist frameworks, this research positions caste and class stratification as underexamined axes of stratification within United States-based IPV analysis. Using survey data from 24 South Asian woman-identifying IPV survivors in New …

Role Of The Corticostriatal Pathway In Learning With Interoceptive Nicotine Stimulus, Tyler Allen

Doctoral Dissertations

Tobacco use, primarily smoking, is the leading preventable cause of death, causing eight million deaths annually. Nicotine, the main addictive constituent of tobacco, acts as a reinforcer and as an interoceptive conditioned stimulus. While its pharmacology is well studied, the neural mechanisms of learning with nicotine remain underexplored. We examined the role of prelimbic cortex (PL) projections to the anterior dorsomedial caudate putamen (a-dmCPu) in nicotine-evoked goal-tracking. To achieve pathway-specific inhibition, we expressed Designer Receptors Exclusively Activated by Designer Drugs (DREADDs) in male and female rats. Subsequently, rats underwent self-administration conditioning in which active responses delivered intravenous (IV) nicotine followed …

Individual Differences In The Granularity, Complexity, And Diversity Of Bodily Sensations, Alexandra L. Ecker

Doctoral Dissertations

The majority of theories of emotion posit that the body is central to the experience of emotion (see, e.g., Barrett & Bar, 2009; Barrett, 2006; Lindquist, 2013; James, 1884; Schacter & Singer, 1962; Gendron & Feldman Barrett, 2009; Stemmler, 2004; Kreibig, 2010; Russell, 2003). Thus, it is no surprise that body awareness, or the subjective awareness of internal sensations (Mehling et al., 2009), has gained much attention in emotion research. There is some evidence that body awareness (BA) is related to both affective experience (i.e., general feelings of pleasantness/unpleasantness and activation/deactivation; MacVittie et al., 2025a), emotional intensity (i.e., the strength …

Assessment Of Glycemic Control Among Patients With Type 2 Diabetes Mellitus Attending A Tertiary Diabetes And Endocrinology Center In Sulaymania City/ Iraq, Lina Ali Al-Khafaji, Bahjat Abdulridha Alsaeedy

Muthanna Medical Journal

Introduction: The sociodemographic and clinical factors play a role in type 2 Diabetes Mellitus (T2DM) glycemic control.
Objectives: To assess glycemic control among T2DM patients and its association with sociodemographic and clinical factors.
Materials and methods: A prospective observational study of 210 patients with T2DM at a tertiary diabetes and endocrinology center in Sulaymania city/ Iraq, from April to November 2024. The study involved sociodemographic data, body mass index, blood pressure, and blood tests for HbA1c, fasting blood sugar, total cholesterol, LDL, HDL, triglycerides, blood urea and creatinine. The performed HbA1c tests were compared with baseline results to identify differences, …

Parental Involvement In An Indonesian Islamic Kindergarten: An Instrumental Case Study Of Mothers’ Voices, Somariah Fitriani, Yessy Yanita Sari, Irdalisa Irdalisa, Hamidah Mohamad

The Qualitative Report

Parental involvement plays a critical role in children’s cognitive, effective, and psychomotor development; however, limited research has explored mothers’ perceptions of parenting and practices of parental involvement and parenting styles. This instrumental case study employed semi-structured interviews with 23 mothers in an Indonesian Islamic kindergarten to explore their understandings, experiences, and beliefs regarding parental involvement. It also aims to identify different kinds of parenting styles. The study revealed three themes, indicating that parenting and parental involvement are understood as an educating process, an interaction process between parents and children, and a mechanism for supporting children’s development. The findings indicate that …

Intimate Partner Violence And Emotion Regulation Among Emerging Adults: Investigating The Roles Of Dispositional Mindfulness And Executive Function In The Context Of A Laboratory-Induced Stress Paradigm, Mikell Bursky

Dissertations, Theses, and Capstone Projects

Intimate Partner Violence (IPV) is a major public health concern that impacts an estimated 10 million men and women in the United States annually. IPV refers to a range of physical, sexual or psychological forms of aggression committed against a current or former romantic partner in the context of a relationship. The highest rates of IPV are observed in emerging adulthood, a developmental period between the ages of 18 to 25 that is significant for the transition from adolescence into adulthood, and the establishment of first meaningful intimate relationships. Although distal risk factors for IPV such as violence in the …