Digital Commons Network^™

Exploring Resiliency, Identity, And Access: Educational Narratives Of Adults Who Experienced Youth Homelessness, Taylor Mestres

University of the Pacific Theses and Dissertations

This study explored the educational experiences of adults who experienced homelessness during their youth, focusing on how instability, stigma, and resilience shaped their K-12 schooling. Guided by Maslow's hierarchy of needs and resiliency theory, the research employed a narrative inquiry approach with seven adult collaborators who reflected on their schooling while experiencing housing instability. Seven themes emerged: living between places, school as sanctuary, concealment and stigma, resilience and survival, the role of educators and support systems, thriving despite adversity, and retrospective recognition. Findings reveal that while housing instability and shame created significant barriers to learning and belonging, schools also functioned …

Empowering Equity: Latinas In Leadership – Navigating Work-Life Balance In The Post-Pandemic Era, Teresa Excinia

University of the Pacific Theses and Dissertations

This dissertation explored the lived experiences of Latina leaders as they navigated how cultural expectations influenced work–life balance in the post-pandemic era. The COVID-19 pandemic reshaped workplace dynamics, blurring boundaries between professional responsibilities and personal life. For Latinas, these challenges were compounded by cultural expectations that shaped their roles both at home and in the workplace. The purpose of this study was to understand how Latina leaders managed the dual pressures of balancing career demands with cultural and familial obligations. Using Testimonio as the methodological framework, this study captured the voices and narratives of Latina leaders across industries, offering an …

Exploring The Knowledge Gap: Mental Health Crisis Identification Training For 911 Call Takers, Kayla L. Ralston, Emma Adcook, Gary Cuddeback, Rebecca Smith, Amy Adkins

UROP Posters

Individuals with serious mental illness (SMI) are more likely to come into contact with law enforcement and the justice system. Livingston (2016) found that 25% of people with mental illness have been arrested at least once in their lives.  Law enforcement officers often become the primary intervention in handling a mental health crisis, and most mental health-related training curricula (e.g., Crisis Intervention Team (CIT)) have focused on this group. However, the burden to initially ascertain if an emergency is mental health-related has fallen to 911 call takers and dispatchers, the first first responder. The performance outcomes outlined by the Virginia …

Childlessness And Health In Middle Age And Older Adulthood: Evidence From Singapore, Christine Ho, Dahye Kim, Rohan Ray, Bussarawan Teerawichitchainan

Research Collection School Of Economics

Health and well-being in mature adulthood are important concerns given the prevalence of individuals aging without children. We exploit two new instruments for childlessness— infertility and the number of childless siblings—and condition our analyses on a rich set of covariates including childhood health and financial status, to investigate the causal relationship between childlessness and health in middle age and older adulthood. Using a nationwide dataset of 1,500 Singaporeans aged 50 and above, we show that OLS underestimates the negativeeffects of childlessness on health. We find that childlessness leads to higher likelihood of poorer self-reported health and mental distress. The results …

Cathcart Family Papers - Accession 198, Cathcart Family, Kate Evans Cathcart Lindsay, Ellen Evans Cathcart

Manuscript Collection

The Cathcart Family Papers consist of materials documenting the lives, activities, and interests of Ellen Evans Cathcart (1869–1952) and her daughter, Kate Evans Cathcart Lindsay (1898–1975), as well as their family. Ellen Evans Cathcart, born in Columbia, South Carolina, was a prominent civic and community leader who served as an Associate Democratic National Committee member, was instrumental in the founding of the South Carolina Children’s Bureau, and was a charter member of the Equal Suffrage League of South Carolina. The collection documents her involvement with the Children’s Bureau, women’s suffrage, the United Daughters of the Confederacy, women’s clubs, and other …

Services Sector In Developing Countries: A New Engine Of Growth Or Premature Deindustrialization?, Pirun Chan

Research Papers

From debates over the services sector as the new engine of growth to ‘premature deindustrialization,’ developing countries are having a harder time figuring out the right strategy to achieve higher income. Can the services sector replace manufacturing as the driving force of growth for developing countries in the twenty-first century? This study examines the relationship between the services sector and economic growth in 27 developing countries from 1990 to 2010. The study regresses the per five-year growth rates of GDP per capita on sectoral shares at the beginning of each five-year period, controlling for population size, human capital, trade openness, …

Improving Pediatric Emergency Department Lethal Means Safety Documentation Rates For Adolescents With Mental Health Concerns, Cassandra L. Stegall, Ana-Maria Mcgill, John Fanton, Paul C. Mullan

Department Psychiatry & Behavioral Science Faculty Publications

Introduction:

Lethal means safety counseling (LMSC) is recommended for children presenting to the emergency department (ED) for a mental health (MH) evaluation. Currently, no gold-standard guidelines exist for documenting LMSC in the ED.

Methods:

This quality improvement project was conducted in the ED of a tertiary children's hospital. Baseline data were analyzed for access to any LMSC documentation (ALD) for "firearms/guns," "sharps," or "medication," and for complete LMSC documentation (CLD) if access to all 3 types was documented. The first intervention period added open-ended screening questions about access to lethal means to the MH-licensed clinical social worker note template. Intervention …

Common Data Set, 2025-2026, Planning, Research, And Policy Analysis

Common Data Set (2001-present)

Common Data Set 2025-2026 for Illinois State University

Toward A Transformative Church: The Role Of Elders In Church Growth In The Seventh-Day Adventist Church, Brian Kwalela Mungandi

All Electronic Theses and Dissertations

This study addressed the need for a transformational leadership strategy that engages elders in membership retention and church growth for a Seventh-day Adventist Church. This mixed-method study aimed to identify factors contributing to declining membership in the Seventh-day Adventist Church, with the goal of informing strategies for improved member retention and potential church growth. A survey involving 30 active members was administered to gather insights into the target church’s profile. Additionally, interviews were conducted with 18 elders across four churches to evaluate leadership perspectives concerning membership retention and church growth. These data sources offered a snapshot of the target church's …

Archives And Children's Knowledge, Elliott Kuecker, Ashley Rockenbach

Publications and Research

This article argues for the importance of collecting works created by children—not just about and not just for—in formal archival collections. Framed through the ideas of legitimate knowledge and epistemic injustice, this piece combines notions important to children’s rights activists and childhood studies scholars with the role archives can play in preserving children’s knowledge through child-created materials. The authors describe how researchers struggle to find work created by children within archives, impacting the ability to create child-centered research that centers children’s views of the world as prominently as adult views of the world. Some collections that do include child-created materials …

Exploring Healthcare Students' Perceptions About Race And Privilege At A Large Academic Medical Center: A Pilot Study Of A Peer Education Program, Elizabeth A. Brown, Dante Pelzer, Katrina Black Reed, Chinieka Jackman-Rogers, Madison Kimmell

Health Behavior, Policy & Management Faculty Publications

Amid the racial unrest stemming from the summer of 2020, in the United States, many institutions had difficult conversations about race and the impact of racism with employees, students, and patients. In January 2021 and February 2021, we recruited undergraduate students for the Peer Education Program (PEP), a voluntary program conducted at a large academic medical center, and encouraged students to have a safe space to discuss controversial topics in healthcare. From April 2021 to July 2021 four interdisciplinary healthcare students met once a month for 1 hr to discuss privilege, race/racism, leadership, and advocacy and their influence on health …

Recognizing Excellence: Key Traits, Qualities, And Behaviors Of The Exceptional Fieldwork Educator In Occupational Therapy, Piper Hansen, Lydia H. Schallenberg, Jayde M. Kahn, Jacqueline Rizzi, Ariel Torres

Journal of Occupational Therapy Education

All students of occupational therapy enrolled in accredited programs are required to complete Level I and Level II fieldwork experiences. A critical factor in shaping successful fieldwork experiences is the fieldwork educator, who guides clinical learning, models professional behaviors, and supports skill development for practice readiness. Despite the importance of the fieldwork experience, the fieldwork educator, and the impact of the supervisory relationship, there is limited understanding of the unique attributes and strategies that distinguish exceptional occupational therapy fieldwork educators. This study sought to investigate the key traits, qualities, and behaviors of the exceptional fieldwork educator in occupational therapy and …

Predictors Of First-Attempt Nbcot Success: A Multivariable Analysis Of Occupational Therapy Graduates, Kristina Hartsook, Sean Brim, Arlenys Loffredo

Journal of Occupational Therapy Education

First-time pass rates on the National Board for Certification in Occupational Therapy (NBCOT) examination have declined in recent years, highlighting the need to better understand factors associated with licensure readiness. This study examined academic, internal, and external predictors of first-attempt NBCOT success among occupational therapy graduates. A retrospective, cross-sectional survey design was used with a sample of 40 graduates from a single institution. Participants completed a post-examination survey assessing academic performance (graduate grade point average [GPA]), self-management skills (time management), external demands (workload, stress, support), study behaviors, and engagement with preparation resources, including the Occupational Therapy Knowledge Examination (OTKE). Descriptive, …

Stress Dynamics Between Clinical Supervisors And Allied Health Students: A Scoping Review, Piao Wang, Laurie Peebles, Aine O'Connor, Xinrong Li, Yongsheng Wang

Funded Scholarship

Stress within clinical supervision in allied health education functions as a reciprocal and relational process that shapes both learning and professional development. This scoping review synthesizes findings from 54 studies published between 1980 and 2024 to examine how stress is experienced, transmitted, and managed between students and clinical supervisors. Four interconnected domains were identified through the synthesis: the supervisory relationship, systemic and contextual pressures, personal factors, and the placement environment. Together these domains illustrate how organizational demands and supervisory strain influence student engagement, feedback processes, and educational outcomes. The literature provides valuable descriptive insight but remains fragmented, methodologically inconsistent, and …

Advancing Interprofessional Communication: Preliminary Outcomes Of A Novel Collaboration Framework In A Student Head Injury Clinic, Natalia Noce, Kelly Ann Pena, Susan Paparella, Andrew Lynch, Erin Keller, Aaron Dallman, Pamela Rothpletz-Puglia

Journal of Occupational Therapy Education

When healthcare providers practice interprofessional practice, care improves, and medical errors are reduced. Interprofessional Education Collaborative (IPEC) principles and the Team Strategies and Tools to Enhance Patient Performance and Safety (TeamSTEPPS®) frameworks are utilized in healthcare education to develop interprofessional collaborative practice skills, but there is little understanding of how these skills change over time. We sought to evaluate the development of interprofessional collaborative practice skills by examining graduate occupational therapy, physical therapy, and speech-language pathology students' first-hand reports of their experiences over time in an interprofessional head injury clinic. We employed an applied interpretive qualitative research approach longitudinally collecting …

Effective Teaching Behaviors Of Adjunct Faculty In Occupational Therapy Education: Perspectives Of Students, Adjuncts, And Core Faculty, Kayla Collins, Marian Gillard, Christine Davis, Kirsten Davin, Barbara M. Doucet, Bridget Scheidler

Journal of Occupational Therapy Education

Adjunct faculty constitute nearly half of the higher education workforce in the United States, yet they often receive limited preparation and institutional support for their teaching responsibilities. In occupational therapy education, where rapid program expansion has heightened reliance on adjunct instructors, understanding which teaching behaviors are most valued is critical to ensuring instructional quality, student success, and professional readiness. This study examined perceptions of effective adjunct teaching behaviors in a doctoral occupational therapy program using the Teaching Behavior Checklist (TBC), a validated 28-item measure of teaching effectiveness. Participants included students (n = 33), adjunct faculty (n = 19), and core …

Exploring Microaggressions Experienced By Students Of Color In Occupational Therapy Programs: Fostering A Climate Of Belonging, Laurie Knis-Matthews Ph.D., Ot, Sara Frommer Otd, Otr/L, Jacquelyn Pierre Otd, Otr/L, Geena Santomo Otd, Otr/L, Corrine Pineda Msot, Otr/L, Jackeline Artiles Otd, Shaniqua Bradley Ph.D., Lcsw

Journal of Occupational Therapy Education

Microaggressions, which are subtle and often unintentional acts of bias, continue to shape the educational experiences of students from marginalized backgrounds, yet their nuanced nature makes them difficult to define and address. This phenomenological qualitative study investigated the lived experiences of occupational therapy graduate students of color regarding microaggressions within their academic programs. Using purposeful sampling, five occupational therapy graduate students from various United States institutions participated in individual, semi-structured interviews. Thematic analysis revealed four key themes: It’s Hard to Describe a Microaggression without Using Examples and Explaining the Emotions Behind It; These Microaggressions Had Immediate and Long-Term Consequences on …

Evaluating A Global Occupational Therapy Telementoring Program: An 18-Month Pre–Post Analysis Of Ot Echo, Sarah Mckinnon, Kate Barlow, Kelsey Sullivan, John Wong

Journal of Occupational Therapy Education

Global inequities in access to mentorship and continuing professional development limit workforce growth and clinical capacity in occupational therapy. OT ECHO (Extension for Community Healthcare Outcomes), an international telementoring and professional development program utilizing the Project ECHO model, was developed to provide accessible, case-based professional development to occupational therapists worldwide. This study employed a repeated-measures pre–post evaluation design across 18 monthly OT ECHO sessions conducted between December 2023 and June 2025. Each session included a brief didactic presentation, case-based discussion, and facilitated small-group breakout sessions. Participants completed pre- and post-session knowledge assessments consisting of three to four multiple-choice questions aligned …

Teaching Crisis Co-Regulation In Occupational Therapy: A Pilot Study Of A Simulation-Based Role-Play, Carli Dimeo, Allen Keener, Elizabeth G. Hunter

Journal of Occupational Therapy Education

Health professions educators have identified a need for tools to assess student competence in de-escalation and co-regulation. Despite the importance of proficiency with these clinical skills, there is little evidence examining effective approaches for teaching and assessing these skills in occupational therapy students. This pilot study utilized a simulation-based role-play experience to determine the feasibility of a teaching method for occupational therapy students to apply these skills in psychosocial scenarios. Activities were conducted as a required component of a Psychosocial and Community Practice course. Prior to the simulation, students completed instruction addressing emotional regulation and co-regulation. Students then practiced these …

Interprofessional Simulation Improves Confidence For Fieldwork In Acute Care Settings, Valley Mccurry, Tara S. Pearce, Chris Eidson, Patricia Perez

Journal of Occupational Therapy Education

Preparing occupational therapy students for fieldwork in acute care settings presents logistical and educational challenges, and students often report limited confidence in their readiness for this environment. Simulation-based learning is a safe, structured approach for developing clinical reasoning, communication, and teamwork skills prior to Level II fieldwork. This study examined the impact of an extended time, multiple patient interprofessional acute care simulation. Students rotated through a series of increasingly complex patient cases across multiple units in a simulated acute care hospital, interacting with authentic and simulated hospital equipment, a simulated electronic health record, and structured debriefing. Three independent cohorts of …

Collaboration Between Occupational Therapy Doctorate And Doctor Of Osteopathic Medicine Students: Interprofessional Education In Fall Prevention, Linda Frasier, John V. Rider

Journal of Occupational Therapy Education

Falls among older adults are a pervasive public health concern that requires coordinated interprofessional strategies. Interprofessional education (IPE) can enhance collaboration and role clarity among students in health professions, particularly in geriatric care, where complex medical, functional, and environmental factors intersect. The purpose of this study was to examine the impact of an IPE event involving entry-level Doctor of Occupational Therapy (OTD) and Doctor of Osteopathic Medicine (DO) students focused on fall prevention in older adults. A retrospective cross-sectional design was employed to analyze written reflections from 125 students following their participation in a standardized patient IPE event. Small interprofessional …

How Do Students Come Across Occupational Therapy And What Makes Them Want To Study Occupational Therapy? Implications For Recruitment, Mette Eg Bruun, Mette Krohn, Sofie Balle Riis, Lene Tanggaard, Tina Helle

Journal of Occupational Therapy Education

Recruitment challenges in occupational therapy education vary globally. To address workforce needs, it is necessary to examine the factors influencing students’ decisions to pursue occupational therapy. This study investigated how students discovered occupational therapy, what they found appealing about the profession, the influence of study location, and demographic differences between students enrolled in an urban university city and a rural district. Three focus group interviews with 15 occupational therapy students were conducted, supplemented by descriptive statistics comparing student characteristics across urban and rural programs. Qualitative analysis identified five categories: (1) discovering occupational therapy by chance, (2) the power of occupational …

Examining The Relationship Between Musculoskeletal Knowledge And Fieldwork Performance Among Canadian Student Occupational Therapists, Madelyn Walther, Viansa Guiotto, Rhona Anderson, Emily S. Ho

Journal of Occupational Therapy Education

To evaluate the physical aspects of occupational performance, occupational therapists must understand the anatomical structure and function of the body. As such, occupational therapy academic programs must provide sufficient foundational musculoskeletal (MSK) education to prepare student occupational therapists for successful clinical practice. There is a paucity of research on MSK educational needs, and the relationship between student occupational therapists’ MSK academic outcomes and fieldwork performance. This study examined the relationship between MSK anatomy course academic grades and fieldwork performance indicators on the Competency-Based Fieldwork Evaluation for Occupational Therapists (CBFE-OT) of student occupational therapists. A mixed-methods sequential explanatory design was conducted …

Hands-On: Integrating Active Learning Into An Upper Extremity Occupational Therapy Elective, Jennifer Radziak, Katie Jones, Kelsey Picha

Journal of Occupational Therapy Education

In an effort to provide students with advanced clinical practice skills, several occupational therapy elective courses were developed. The current article describes an educational innovation that involved an in-person elective course for graduate second year Master of Science in Occupational Therapy students that focused on the upper extremity. The course was team-taught, promoted active learning, and used unique activities to engage students in the learning process. Relevant evidence-based practice literature and clinical guidelines were incorporated into the course to teach students about the treatment of upper extremity conditions. The active learning strategies implemented in the course included fresh donor dissection, …

Integrating Web-Gis And Inquiry Learning To Enhance Spatial Thinking In Geography Learning, Nyokro Mukti Wijaya, Meri Herlina, Sugeng Widodo, Suhendro Suhendro

Journal of Educational Technology Development and Exchange (JETDE)

This study investigates the impact of integrating Web-GIS with Inquiry Learning on secondary school students’ spatial thinking skills. A 2×2 factorial experimental design was employed with 116 eleventh-grade students from SMA Negeri 13 Bandar Lampung, divided into four treatment groups: direct instruction with printed maps, direct instruction with Web-GIS, inquiry learning with printed maps, and inquiry learning with Web-GIS. The Spatial Thinking Ability Test (STAT), a widely validated international instrument, was used to measure outcomes. Data were analysed using two-way ANOVA. The findings indicate that the learning media had a significant effect, with Web-GIS outperforming printed maps, whereas learning strategies …

Virtual Reality And Creativity In Visual Art Education: The Mediating Role Of Exploration Within A Project-Based Learning Framework, Lidan He, Shaharuddin Bin Md Salleh

Journal of Educational Technology Development and Exchange (JETDE)

Virtual reality (VR) is increasingly integrated into creative education for immersive, interactive learning. While prior research confirms VR’s potential to enhance learning outcomes, its support for creativity remains underexplored. This study examines whether exploration mediates the relationship between VR use and creative performance within a project-based learning framework. A quasi-experimental study was conducted with 80 second-year visual art students, who were allocated by intact sections to either a VR–PBL group or a traditional PBL group. Over four weeks, students completed an illustration-based design project. Creative performance was rated by experts, and exploratory behavior was measured using the Experiential Learning Survey, …

Policy Brief For All-Party Parliamentary Group (Appg) On Autism: National Implementation Of Systemic Family Therapy For Autism, Becky Stancer

School of Law, Humanities and Social Sciences

Addressing the Crisis of Premature Mortality and Family Trauma in Autism through Systemic Intervention.

Improving Effective Completion Of Catheter Care Using A Reminder System To Minimize Incidence Of Catheter-Associated Urinary Tract Infections: A Quality Improvement Project, Morgan K. Leonard

Master's Theses and Capstones

BACKGROUND: CAUTI rates can be decreased by implementing a care cluster for RNs for CAUTI care into morning assessments and medication administration to ensure it is being done regularly with reminders through cards at the computers in patient rooms. LOCAL PROBLEM: The local problem in the microsystem were the catheter-associated urinary tract infection (CAUTI) rates at 1.199, while the national benchmark is 1.000 (Medicare, n.d.).

METHODS: Reminder cards were placed in patient rooms on the computers which are highly utilized by staY while providing patient care to serve as a reminder to complete catheter care in a high task burden …

Strengthening Social Structures To Improve Informal Care For Older People With Chronic Life-Limiting Illnesses In Rural Ghana, Barbara Adonteng-Kissi, Obed Adonteng-Kissi

Research outputs 2022 to 2026

Traditional family-based care for older people in Ghana is declining as globalization and social change weaken historical support systems. This analysis is informed by a review of scholarly literature concerning the implications of globalization for the provision of caregiving for older people managing chronic life-limiting illnesses. We aimed to explore ways of strengthening social structures to enhancing the quality of lives of older people with chronic life-limiting illnesses in rural Ghana amongst 15 older people; 15 family caregivers; 10 healthcare professionals. Critical Social Theory (CST) functions as the primary theoretical framework for conducting an interrogation of the systemic structures that …

Howell Thomas Heflin Collection, University Of Alabama School Of Law

Manuscript Collections

The Howell Thomas Heflin Collection documents Heflin's years as legal reformer and Alabama State Supreme Court Chief Justice, as well as his tenure as United States Senator through press clippings, scrapbooks, speech files, audiotapes, videotapes, press releases and statements, newsletters and various printed materials, photographs, negatives, campaign materials, and memorabilia.