Digital Commons Network^™

Scheduling Group Care In Routine Perinatal Care: Identifying Implementation Modifications Across Belgium, Kosovo, And The Uk, Astrid Van Damme, Florence Talrich, Deborah Lynn Billings Phd, Christine Mccourt, Crystal L. Patil, Matty Crone, Marlies Rijnders, Ilir Hoxha, Sharon Schinder Rising, Katrien Beeckman

Publications

Background: Group Care (GC) is an antenatal/postnatal care model comprised of a stable group of pregnant people or parent–child dyads receiving care in two-hour group sessions that combine clinical care with interactive discussion and learning. Integrating GC into healthcare systems organised for individual care poses challenges at both site and system levels. This study identified scheduling-related modifications across contexts to understand modification processes. Methods: We used an explanatory sequential design with mixed qualitative methods across seven GC implementation sites in Belgium, Kosovo, and the United Kingdom. A qualitative survey based on the Framework for Reporting Adaptations and Modifications to Evidence-based …

Positive Partner Support And Veteran Well-Being: How Capitalization Support Strengthens Military Veterans And Partnerships, Maryann Dona Samson

Dissertations and Theses

Among military veterans, the transition to civilian life is often marked by elevated distress and burnout, low job satisfaction, and a lack of perceived psychological safety. Social support, especially from intimate partners, can serve as a critical protective factor. While most support literature focuses on stress-buffering in adverse contexts, positive social support, such as responsiveness to shared positive experiences (i.e., capitalization support), is a powerful though understudied process. This dissertation investigates the role of partner capitalization support, which is the responsiveness shown by a romantic partner when one shares good news, as a source of stress reduction, resilience, and relational …

English Language Learners’ Perceptions Of Challenges To Persisting To Graduation In Higher Education, Rania Alhajjar

Walden Dissertations and Doctoral Studies

No abstract provided.

The Psychosocial Factors Influencing Hiv Testing Among Women In Ghana, Janet Okailey Okine

Electronic Theses and Dissertations Archive

HIV testing is still an important component of HIV prevention, and disparities persist among women in Ghana. This study examines psychosocial and socio-demographic factors influencing HIV testing behavior, using data from the 2022 Ghana Demographic and Health Survey. A binary logistic regression result revealed that older, more educated, and wealthier women, and women who utilized HIV test kits, exhibit a much higher likelihood of undergoing HIV testing. Awareness of HIV stigma reduces the likelihood of women undergoing testing. Variations existed depending on the place of residence. Women in rural and northern belts were less likely to undergo testing. Marital status, …

“Your ‘Magic Dick’ Won’T Fix Us”: The Lived Experience Of Women With Vaginismus, Alisun Fiona Hughes

Electronic Theses and Dissertations Archive

Genito-Pelvic Pain/Penetration Disorder, or what is commonly referred to as Vaginismus, is a pelvic floor dysfunction which causes penetration of the vagina to be painful or impossible. This qualitative study examines the lived experiences of women living with vaginismus, looking specifically at how they were socialized to perceive sex and how they navigate their condition. Grounded in theories such as Sexual Scripts Theory, Stigma Theory and Gender as Performance, this research analyzes how this condition is not just a biological trait, but also a socialized phenomenon that often causes a “spoiled identity”. Data was collected through an open-ended online survey …

When School Culture Excludes: Deficit Discourse, Microaggressions, And The Mental Health Of Marginalized Students – A Conceptual Framework With Implications For School Psychology Practice And Equity Policy, Modupe Mercy Oyewunmi

Publications

Deficit-laden language like ‘behavior problem,’ ‘not college material,’ ‘won’t fit in’, ‘not a cultural fit’, operates as a systemic form of implicit bias and microaggression in school settings. Despite decades of research on school belonging and well-being, school psychology has yet to integrate these exclusionary discursive practices into a coherent health-determinant model that also accounts for the current anti-diversity, equity, and inclusion (DEI) policy environment. This conceptual paper proposes a testable framework linking deficit discourse and school-based microaggressions to student identity suppression, academic impostor phenomenon, and educator moral injury, with downstream effects on school mental health outcomes. We situate these …

How Do Us States Define Person-Centered And Family-Involved Care In Assisted Living Regulations, Paula Carder, Lindsey Smith, Jennifer N. Bunker, Cassandra L. Hua, Erh-Chi Hsu, Isabelle Boun, Olivia M. Ainsworth, Kali S. Thomas, Eric Jutkowitz

Institute on Aging Publications

Introduction: A large share of assisted living (AL) residents have a diagnosis of dementia or cognitive impairment, and these individuals can benefit from person-centered care and family-involved care. This study examines whether and how states’ AL licenses address these topics.MethodsThis research analyzed a national database of 249 unique licensing requirements that govern 35,602 ALs in all states and associated regulations, including those that govern memory care (MC) services. We reviewed each regulation for the presence of person-centered or family involved care and then used content analysis of license requirements with at least one relevant policy to identify key categories and …

The Effect Of Social Entrepreneurship On Economic Development In Emerging Economies: A Review Of Existing Studies, Samuel Bangura, Princess Thulile Duma, Ntombifuthi Alexia Mthembu

Management Dynamics

Background: Social entrepreneurship (SE) has emerged as an innovative mechanism to tackle persistent societal challenges, such as poverty, unemployment, and inequality, by prioritising social impact alongside sustainable business models. This is particularly relevant in resource-constrained emerging economies like South Africa, where high unemployment (approximately 33%) and weaknesses in the entrepreneurial ecosystem (ranked 49th globally) hinder traditional economic development (ED) pathways.

Objectives: This systematic review aims to examine the relationship between SE and ED, exploring definitions of SE, its interconnections with ED, contextual applications (with a focus on South Africa), associated challenges, opportunities, enabling factors, and contributions to sustainable growth and …

"Everyone Leaves Me Behind”: How Harmful Tropes In Fiction Impact Autistic Women, Sara E. Allard

Ought: The Journal of Autistic Culture

Until now, females with ASD have been ignored by healthcare professionals, policymakers, and the general public. The unique presentation of autistic women and girls is now in the cultural spotlight within not just the advocacy and scientific community, but also the arts. Female autistic characters are getting increased representation across literature and television, yet their narratives are still often stuck in the past. Most authors and screenwriters have yet to understand the specific struggles that female autistics face compared to their male counterparts, relying on the outdated, reductive perceptions that have plagued them for decades.

This article outlines three harmful …

Living Through Misinformation: An Autoethnography Of Autism In Chinese Communities, Joy Lu

Ought: The Journal of Autistic Culture

This critical autoethnographic essay examines how misconception, misinformation, and disinformation shape understandings of autism within Chinese communities and produce tangible harm for autistic individuals and their families. Drawing on lived experience, advocacy work, digital observation, and cross-cultural analysis, it explores how language, medical practices, social media, and professional authority sustain persistent misrepresentation.

The essay argues that this misinformation is not merely the result of ignorance, but a socially reinforced and institutionally supported system of knowledge. By situating personal encounters within broader cultural and structural contexts, it highlights the interconnected roles of language, power, and exclusion in shaping autistic lives. It …

Pretty Much From Scratch: A Braided Essay On Autistic Diagnosis, Creativity, Identity, And Community, Jenée Stanfield

Ought: The Journal of Autistic Culture

This braided essay uses memoir and research to explore autistic diagnosis, creativity, identity, and community. It examines how the misinformation around these topics harm and “other” autistics: the fallacy of diagnostic objectivity/neutrality, the dual myths of autistic hyper- and hypo-creativity, and autism as an identity defined solely by medical professionals. The memoir sections play with point of view and genre.

Jenée is a late-realized autistic with ADHD and OCD, who identifies as neurodivergent and neuroqueer. She lives in Washington state with her spouse and dog. She has a Master of Fine Arts in Creative Writing and is currently a Master …

The Unexpected Gift: Using Hip-Hop And Autoethnographic Methods To Challenge The “Symbolic Death” Discourse Of A Child’S Autism Diagnosis, Adam Ellis

Ought: The Journal of Autistic Culture

This article explores the social construction of autism through an autoethnographic account of parenting an autistic child in Canada. Drawing on Elisabeth Kübler-Ross’s grief model, neurodiversity scholarship, and post-traumatic growth theory, the paper examines how parents may experience grief, uncertainty, and the collapse of imagined futures following an autism diagnosis, while also arguing that much of this distress is produced by ableist and deficit-oriented social systems rather than autism itself. Using arts-based research, including a rap song and music video, the article explores: (1) what it is like to receive an autism diagnosis as a parent; (2) the grieving process …

When Distress Is Misread: Autistic Credibility And The Politics Of Interpretation, Katrine Callander

Ought: The Journal of Autistic Culture

Misinformation about autism is often understood as a problem of inaccurate facts, stereotypes or public misunderstanding. This essay argues that misinformation also operates through dominant interpretive frameworks that shape how autistic experiences are recognised, understood and believed. Drawing on participatory narrative research with autistic women, the essay examines how institutions frequently reinterpret experiences of harm as personality dysfunction, emotional instability or individual deficit rather than recognising them as relational and socially produced. Autistic forms of communication and storytelling are often treated as signs of unreliability, shaping whose accounts are considered credible within clinical and institutional contexts. By reframing these patterns …

Techwork: Developing And Validating A Reflective Tool For Impact-Aware Design, Sihui Wu, Marirena Kladeftira, Kim Helmersen, Gudela Grote

DRS Biennial Conference Series

Most assessments of technology impact occur only after its deployment, limiting the ability to address unintended social, cultural, and organizational effects. This paper introduces TechWork, a prospective and reflective tool for evaluating emerging technologies within existing work systems. Grounded in reflective practice tradition, socio-technical systems theory, and contemporary work design research, TechWork guides interdisciplinary teams through structured prompts and impact mappings to examine how their own design choices influence autonomy, skills, collaboration, and job demands. The tool was tested through design-education workshops in an architectural studio, applied to vernacular construction practices where embodied expertise and cultural knowledge are central to …

User-Centered Dread: A Lovecraftian Critique Of Design, Lewis Urquhart, Emma Lawrie

DRS Biennial Conference Series

This paper offers a speculative critique of contemporary design practice through the lens of Lovecraftian horror by critically interrogating assumptions embedded in user-centered design theory. Drawing on the oeuvre of 'weird fiction' author H.P. Lovecraft’s cosmically pessimistic mythologies, this paper explores three thematic dimensions - control, user unknowability, alien materiality - to reveal the limitations of human-centred design paradigms. Utlising examples from literature, film, and everyday experience, this critique demonstrates how design’s aspirational narratives, centered on mastery, empathy, and progress, are increasingly inadequate in addressing the complexities of a more-than-human world. The concept of 'user-centered dread' emerges as a central …

Emerging Hybrid Human-Genai Workflows To Optimise Human Ideation, Sketching And Design, Mauricio Novoa Munoz, Juan Antonio Islas Munoz, Alejandro Lozano Robledo

DRS Biennial Conference Series

This article presents findings on the reciprocal relationship between industrial design education and the industry it prepares graduates for. Particularly considering the growing impact of Generative Artificial Intelligence (GenAI) on ideation, sketching, design methodologies, and productivity. To inform this research, industry professionals currently integrating GenAI into their practice were consulted to establish benchmarks and highlight critical areas for updated pedagogical approaches and digital transformation, thereby ensuring that design learning and productivity workflows remain relevant. The study arises from an awareness of current workforce shifts that are anticipated to become more pronounced soon. Rapid technological advancements are driving significant cultural and …

Weaving Relational Dynamics: Civil Servant Agency In Service Design Collaboration, Annukka Svanda, Martina Čaić, Tuuli Mattelmäki

DRS Biennial Conference Series

This paper examines relational dynamics within a programmatic service design collaboration shaping public service development in Espoo, Finland. Over two years, a service design researcher collaborated with civil servants to co-create more inclusive employment practices. Drawing on iterative design interventions, observations, interviews, and informal everyday communications, reflexive analysis identifies three conditions that enabled collaborative design agency: relational alignment, infrastructuring coherence, and reflexive reconfiguration. These relational conditions highlight how civil servants actively advance design work and institutional learning. By bringing forward the concept of collaborative design agency, the study highlights how design in public services is an emergent capacity calling for …

Making Sense Of Pain: Participatory Design Approaches To Understanding And Supporting People Living With Chronic Pain, Ivana Nakarada-Kordic, Jannisa Seck, Nathan Beetge, Cassandra Khoo, Stephen Reay

DRS Biennial Conference Series

Pain is universal, yet its invisible nature makes it difficult to express or understand. Understanding the intricate mechanics of chronic pain and how to manage it effectively can be particularly challenging. This paper describes research exploring how human-centred design, transdisciplinary collaboration, and participatory approaches can produce diverse design outcomes that support the management and treatment of chronic pain. Two case studies are presented: 1) an exploration of how pain might be expressed through illustration and storytelling to offer insight into lived experience, and 2) how experiences of pain could be made more tangible through physical artefacts to support patient–clinician communication. …

Default Bodies: Challenging Gendered Norms In Fighting Games Through Participatory Design, Shalom Taiwo, Laura Pruszko

DRS Biennial Conference Series

The over-sexualisation of female characters in video games peaked in the 1990s and 2000s and fighting games have been slow to move away from it. Their reliance on visual exaggeration to convey identity and fighting style makes this harder to change. With 48% of players today being women, this raises questions about how these portrayals persist. This paper examines how participatory approaches can be used to explore how women players respond to these designs through a survey, a within-subject evaluation task, and a co-design workshop. Participants recognised exaggeration as part of the genre’s identity but criticised its association with sexualisation. …

Intermediary Ecologies And Participatory Infrastructures In Wind Power Planning – Towards A Practice Of Design For Just Transitions, Tessa Laven, Ramia Maze, Niki Wallace

DRS Biennial Conference Series

This paper analyses how transition intermediaries and participatory infrastructures shape an unjust energy licensing process and outlines implications for design for just transitions. Centring on the Fosen Wind Farm in Norway, where wind power development violated Indigenous Sámi cultural rights, it traces how licensing enabled renewable expansion while generating democratic and rights-based conflicts. Using historical case analysis and a synthesis of various literatures, the paper explores the intermediary ecology of licensing and shows how interactions among transition intermediaries structure power asymmetries. In dialogue with design research on infrastructuring, it proposes three practices for design in just transition contexts: unveiling institutional–cultural …

Uncovering The Health Impacts Of Extreme Temperatures In Western United States Prisons Through Interdisciplinary Architectural And Epidemiological Methods, Serena Langdon-Dimidjian, Allison Macht, Shawhin Roudbari, Katherine Lemasters, David Ciplet, Elizabeth Corrado, Michael Clifton, Bob Eisman

DRS Biennial Conference Series

Mass incarceration is a public health and architectural crisis in the United States. Extreme temperatures present mental and physical health challenges for incarcerated populations, exacerbated by the architectural strategies of carceral spaces. At the intersection of architecture and epidemiology we investigated how participants could leverage architectural drawings to analyze the inhumane temperatures they experienced in state prisons. Through interviews and focus groups with formerly incarcerated people, we found that the method of participatory architectural drawing allowed participants and researchers to spatialize the impact of extreme temperatures on mental and physical health as mediated by architectural space. Through a collaboration between …

The R’S Have It: Navigating The Playground Of Design For Health Through Design Rationale, Bard Wartena, Derek Kuipers

DRS Biennial Conference Series

This paper examines how systemic designers in health navigate plural perspectives and overlapping quality regimes. We introduce the Playground of Design as four interconnected spaces of problem, design, change, and solution, together with four R’s, Rapidness, Rigour, Relevance, and Resonance, as conversational lenses for articulating design rationale in plural settings. Two Dutch cases illustrate this approach. Bias Blaster, a serious game for adolescents recovering from psychosis, is reread retrospectively to reconstruct systemic design rationale. E-Health Junior, a long-running e-health consortium, is reconstructed through interviews and translated into a pedagogical workshop for perspective-taking. We argue that combining the Playground of Design …

Archives And Graphic Memory: 1980s Brazilian Rock Album Covers As Cultural Heritage, Paulo Eduardo Moretto, Priscila Lena Farias

DRS Biennial Conference Series

The centrality of modernist and institution-centred narratives has narrowed the scope of Brazilian graphic design throughout history, limiting its cultural and epistemological diversity. This article explores the value of researching graphic artefacts normally understood as not pertinent to design research, focusing on album covers from the Brazilian rock scene of the 1980s. Based on the formation of an archive of 155 covers, this study emphasizes the need for appropriate methods to analyse mass-culture artefacts whose wide circulation shapes collective design practices and visual imaginaries. By reflecting on the criteria of selection, interpretation, and preservation that determine what is collected, analysed, …

Revisiting Kansei Engineering Through Japanese Scholarship: Toward Field Kansei Engineering, Liang Dong, Hong Zhang, Chun-Hsien Chen

DRS Biennial Conference Series

Japan, as the birthplace of Kansei Engineering (KE), has played a pivotal role in shaping this field, building a solid research foundation and accumulating extensive scholarly experience. A substantial body of valuable Japanese-language studies has been published in academic conferences and journals in Japan. However, current English-language review articles in KE rarely include these Japanese works. To address this gap, this study provides a preliminary attempt to compile and analyse Japanese publications that propose new concepts, theories, models, and frameworks within KE. The review highlights distinctive perspectives developed by Japanese scholars, revealing contextual and situational sensitivity, collective and social understanding, …

Design For Well-Being: A Preliminary Investigation On Design Interventions In The Context Of Loneliness Economy, Jinxia Liu, Angela Giambattista, Loredana Di Lucchio

DRS Biennial Conference Series

Loneliness has become a prominent public health issue that causes negative consequences at both individual and social levels. Concurrently, the market is actively responding and gradually forms the loneliness economy, addressing human emotional needs by offering related products and services. However, the largely implemented digital solutions remain problematic. This paper aims at investigating how design research has addressed the loneliness issue and what roles design plays in addressing loneliness. A mixed methodological approach was adopted, combining analysis of keyword co-occurrence and a meta-narrative review. The results identify the threefold design contributions: building and enhancing social connectedness, creating artificial companions and …

Computational User Research For A Public Helpline For Continuous Service Improvement: Parents Anonymous® As A Service Ecosystem, Ali O. Ilhan, Elizabeth C. Harris, Isil Oygur

DRS Biennial Conference Series

Parents Anonymous®, a social service agency, provides a comprehensive ecosystem of supports to parents through its National Parent & Youth Helpline and mutual support groups. The verbal support provided through the Helpline is the core of this public service. We present a computational user research approach that learns from call transcripts to guide continuous improvement across the helpline–group system. From real conversations, we extract clear, actionable signals: how emotions shift during a call, which needs recur over time and when people are most likely to reach out. These insights feed back into everyday practice: refining counsellors’ training and responses, timing …

Strategic Positioning In Design Agencies: Achieving Optimal Distinctiveness Through Portfolios, Bingqing Tian, Antonius Van Den Broek, Mikko Koria

DRS Biennial Conference Series

The growing recognition of design’s value to business and society has driven rapid expansion in the design industries, intensifying competition among designers and design firms. Despite an increased scholarly attention to the strategic role of design, there is a lack of understanding how design businesses strategize and position themselves in the market. We aim to revitalise this debate by reviewing a diverse range of literatures on strategic positioning of design agencies and suggest a focus on the theory of optimal distinctiveness. This theory argues that to be successful, firms need to find an optimal balance between being different to be …

Support Designer’S Wellbeing: Understanding Resilience In Design Education As A Wicked Challenge, Yilin Quan, Matthew Isherwood, Ji Han

DRS Biennial Conference Series

Design students are expected to engage with wicked problems as part of their learning. Since these problems have no definitive solutions, the learning process can be challenging and may negatively affect students’ wellbeing. Cultivating resilience becomes critical. Although the conceptualisation of designer resilience has gained attention, it remains underexplored. This paper proposes a new conceptual model of resilience in design education, suggesting two capacity clusters: one emphasising short-term recovery and balance restoration, and the other focusing on long-term sustained engagement. It further frames resilience cultivation in design education as a wicked problem in itself, characterised by the inherent complexity within …

Material Agents At Work In Alternative Food Networks, Cagri G. Varli, Stefano Maffei

DRS Biennial Conference Series

Despite growing interest in sustainable food systems, their material dimension as active design agents (artefacts and infrastructures) remains largely unrecognized. This study challenges the positioning of packaging and distribution tools as passive elements, repositioning them as entities that shape the ongoing negotiation of ethics, responsibility, and co-dependence within food systems. Drawing on interviews, thing ethnography, and relational mapping across two alternative food network case studies, the study examines the roles of these material agents. The findings show that material artefacts contribute to the organization of care, responsibility, and continuity across both pragmatic and symbolic dimensions of food networks. Differences in …

Exploring Embodiment’S Impact On Autonomy And Agency In Behavioral Design, Ruth Schmidt

DRS Biennial Conference Series

The field of behavioral design uses insight into humans’ cognitive tendencies to help people make better, more rational choices. Yet individuals’ perceptions of what seems rational—let alone viable, or even conceivable—are not universally shared and are often informed by their embodiment as much as cognition. For example, fear of being scolded can inhibit overweight or obese individuals from seeking preventive healthcare, people with ‘invisible’ disabilities may feel pressured to pass as able-bodied to fit in, and Black individuals may avoid ordinary activities likely to prompt ‘birding while Black’ confrontations. Depicting cognition as the single site of judgment and decision-making therefore …