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2026

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Racing To Safety: Tax Policy For Ai Safety-By-Design, Mirit Eyal-Cohen, Yonathan Arbel Jan 2026

Racing To Safety: Tax Policy For Ai Safety-By-Design, Mirit Eyal-Cohen, Yonathan Arbel

SMU Law Review

The White House recently announced its vision of artificial intelligence (AI) policy: AI development is a race and America must win it. To that end, a new America’s AI Action Plan directs federal agencies and states to remove regulatory barriers to AI development and accelerate innovation. This approach leaves limited room for regulatory measures that would address the safety risks of powerful AI systems: their behavior in novel domains remains unpredictable, their decision-making opaqueness, and their alignment with human values is uncertain. While experts warn of large-scale accidents, policymakers find themselves in a bind: Regulate AI and cede ground to …


Trademark Confusion After The Algorithmic Turn, Daryl Lim Jan 2026

Trademark Confusion After The Algorithmic Turn, Daryl Lim

SMU Law Review

Trademark confusion doctrine rests on an implicit theory of consumer perception. Courts infer confusion through proxies such as similarity, market proximity, intent, and evidence of actual confusion, presuming that consumers encounter trademarks in stable, human-designed environments. That premise no longer holds uniformly across contemporary markets. Today, consumers increasingly encounter trademarks through algorithmic systems that rank, cluster, recommend, and generate content on their behalf.

This Article argues that trademark law’s likelihood of confusion doctrine has not yet reckoned with this transformation. In algorithmically mediated markets, confusion often arises without copying, deception, or misleading conduct by traders. Instead, it often arises from …


Predictive Protest Policing, Christian Powell Sundquist Jan 2026

Predictive Protest Policing, Christian Powell Sundquist

SMU Law Review

The policing of dissent in America is undergoing a radical transformation that threatens the fundamental right to protest. Demonstrations are no longer merely surveilled; they are algorithmically suppressed. Law enforcement agencies increasingly deploy algorithmic social media surveillance to predict protest violence, forecasting potential “riots” and justifying militarized responses before a single demonstrator takes to the street. This Article identifies and challenges what it terms “predictive protest policing,” arguing that these systems do not objectively detect threats but actively construct them, disproportionately targeting racial justice demonstrations. Drawing on evidence from the federal response to immigration protests in Minneapolis, the preemptive policing …


Preserving Gender Norms Through Harm-Based Reasoning: The Best Interest Of The Child Standard And Transgender Parents, Ariël Decoster Jan 2026

Preserving Gender Norms Through Harm-Based Reasoning: The Best Interest Of The Child Standard And Transgender Parents, Ariël Decoster

SMU Law Review

Contemporary custody law purports to have moved beyond dominant gendered understandings of parental roles and family life by resolving disputes under the ostensibly neutral “best interest of the child” (BIC) standard rather than through the explicitly gendered rules that once governed custody adjudication. This Article examines custody disputes involving transgender parents to reveal a structural feature of custody adjudication under the BIC standard, namely the continued reproduction of dominant gender norms under the guise of a neutral legal standard.

Analyzing transgender custody cases alongside scholarship documenting how the BIC standard’s indeterminacy has enabled bias against other marginalized parents, the Article …


Math Toxicity: A Psychoanalytic Examination Of Blips And Belonging In Mathematics Education, Kimberly R. Kirstein Jan 2026

Math Toxicity: A Psychoanalytic Examination Of Blips And Belonging In Mathematics Education, Kimberly R. Kirstein

College of Graduate Studies: Theses & Dissertations

This dissertation examines how secondary mathematics education functions not only as a curricular and institutional structure but as a lived, relational, and affective experience for students. While mathematics education research has extensively documented patterns of achievement, access, and anxiety, far less attention has been given to how students come to experience mathematics as a site of threat, shame, and diminished worth. This study introduces the concept of math toxicity to describe the cumulative harm produced when mathematics operates as a gatekeeping mechanism that links performance to identity and value. Drawing on historical analysis, psychoanalytic theory, and autobiographical inquiry, this research …


Celebrities, Personalities, And Drinking Styles, Madeleine Krueger Jan 2026

Celebrities, Personalities, And Drinking Styles, Madeleine Krueger

College of Graduate Studies: Theses & Dissertations

This study replicated and extended the findings of Hill et al. by examining the influence of sociocultural factors, vulnerable and grandiose narcissism, and related psychological variables on drunkorexia behaviors. The replication was expanded to include body dissatisfaction and celebrity worship, as prior literature suggests these variables may be strongly associated with disordered eating and alcohol-related compensatory behaviors. Results indicated that body dissatisfaction emerged as a significant predictor of drunkorexia, supporting previous research that links negative body image with maladaptive weight-control behaviors surrounding alcohol consumption. Several limitations should be noted, including the use of a single-university sample, reliance on a cross-sectional …


Professional Learning Community Implementation And Perceptions Of Influence On School Culture, Herbert L. Chambers Jr. Jan 2026

Professional Learning Community Implementation And Perceptions Of Influence On School Culture, Herbert L. Chambers Jr.

College of Graduate Studies: Theses & Dissertations

As school leaders strive to achieve educational success at all levels in schools, this research provided educational professionals with feedback on how the implementation of professional learning communities (PLCs) is perceived as influencing school culture. The purpose of this non-experimental quantitative survey design was to examine how educators perceived that school culture is influenced by the practice of PLCs. Descriptive statistics were calculated for 57 survey items. This research design provided the perceptions of school leaders, teachers, and support staff at the elementary, middle, and high school levels based on five identified dimensions of the Professional Learning Community Assessment – …


Spieltrieb, Edward F. Newcomb Jan 2026

Spieltrieb, Edward F. Newcomb

College of Graduate Studies: Theses & Dissertations

This thesis investigates the creative and pedagogical intersections of nostalgia, play, and neurodivergent experience through a mixed-media studio practice. Grounded in Friedrich Schiller’s concept of Spieltrieb—the human drive to play as a balance between sensual and rational impulses—this work explores how childhood memory, instinct, and impulsive mark making inform both artistic production and art education.

Drawing on theoretical frameworks by Susan Sontag and John Berger, the work resists overinterpretation in favor of sensory immediacy, inviting viewers into direct, embodied encounters with material form. Sontag’s critique of mimetic representation and Berger’s analysis of reproducibility and context inform a practice that …


The Monster Consuming American Education: An Ethnodramatic Exploration Of Standardized Testing And Student Stress, Jennifer Bagley Jan 2026

The Monster Consuming American Education: An Ethnodramatic Exploration Of Standardized Testing And Student Stress, Jennifer Bagley

College of Graduate Studies: Theses & Dissertations

This study looks at how elementary students experience Standardized Testing, focusing on the emotional and physical effects of the Georgia Milestones Assessment System (GMAS). Most research on high-stakes testing focuses on scores, accountability, and policy, but fewer studies look at how students actually describe these experiences. Grounded in Cultural Studies and informed by Critical Pedagogy, this study examines how students interpret and make meaning of their testing experiences within the broader culture of accountability and standardized assessment. This study focuses on student voices to better understand what testing feels like for them and how they make sense of it in …


Social And Community Determinants Of Alcohol Use Among Hispanic/Latino College Students: The Role Of Early Adversity And Drinking Motives, Isis A. Garcia-Rodriguez Jan 2026

Social And Community Determinants Of Alcohol Use Among Hispanic/Latino College Students: The Role Of Early Adversity And Drinking Motives, Isis A. Garcia-Rodriguez

Theses and Dissertations

Background. Alcohol use remains one of the most prevalent health-risk behaviors among college students in the United States and is associated with a range of academic, physical, and psychological consequences. Hispanic/Latino college students navigate complex social and cultural environments that may influence alcohol use behaviors, including exposure to early-life adversity, sociopolitical stressors, and culturally grounded sources of resilience. Guided by the Healthy People 2030 Social Determinants of Health (SDOH) framework, this study examined how social and community context factors relate to alcohol use among Hispanic/Latino college students and whether drinking motives function as a psychological mechanism linking social experiences to …


The Relationship Between Symptom Catastrophizing And Sociocultural Factors Among Adults With Persistent Sympathetic Activation Syndromes, Whitney M. Redemer Jan 2026

The Relationship Between Symptom Catastrophizing And Sociocultural Factors Among Adults With Persistent Sympathetic Activation Syndromes, Whitney M. Redemer

Theses and Dissertations

Persistent Sympathetic Activation (PSA) has emerged as a potential unifying mechanism underlying a range of complex chronic health conditions yet remains poorly characterized within biomedical and psychosocial research. Limited research has delineated how PSA manifests across diverse populations or how diagnostic and sociocultural factors shape lived experiences of this phenomenon; thus, the objective of the present study was to examine whether diagnostic certainty – operationalized as provider-confirmed versus self-suspected PSA-related diagnoses – is associated with symptom catastrophizing, and whether this relationship varies as a function of sociocultural factors. Drawing on data from a larger study aimed at characterizing the lived …


Your Left Or Mine: A Journey To Accessibility For Learning Disabilities And Neurodivergence In Stage Combat Pedagogy, Ambria Campbell Jan 2026

Your Left Or Mine: A Journey To Accessibility For Learning Disabilities And Neurodivergence In Stage Combat Pedagogy, Ambria Campbell

Theses and Dissertations

This thesis examines stage combat pedagogy from its inception to the present day through the lens of accessibility for learning disabilities and neurodivergence. Relevant research in education as it relates to disability is analyzed and applied to the field of stage combat pedagogy. What follows is a deconstruction and reconstruction of beginning level stage combat pedagogy to increase accessibility. These ideas are then tested and the results reflected on. This thesis focuses on college level and aged students who are the most likely demographic for beginning stage combat students. The completion of this thesis does not represent an endpoint in …


The Transition From School To Work For Students With Emotional And Behavioral Disorders: Examining The Lived Experiences Of Students In Private Day Schools, Gabrielle S. Pickover Jan 2026

The Transition From School To Work For Students With Emotional And Behavioral Disorders: Examining The Lived Experiences Of Students In Private Day Schools, Gabrielle S. Pickover

Theses and Dissertations

This qualitative phenomenological study examined the lived experiences of young adults with Emotional and Behavioral Disorders (EBD) as they transitioned from private day school settings into sustained employment. Guided by Schlossberg’s Transition Theory, the study explored participants’ perceptions of the barriers, supports, and strategies that shaped their transition experiences. Data were collected through twelve semi-structured interviews with six participants who maintained at least one year of continuous employment following high school. Analysis revealed four primary themes: structure as a stabilizing force, resilience developed through adversity, experiential learning as a pathway to employment, and employment as identity and independence. Findings suggest …


Cb1 Allosteric Modulation: Preclinical Insights Into Therapeutic Potential And Misuse Liability, Mohammed A. Mustafa Jan 2026

Cb1 Allosteric Modulation: Preclinical Insights Into Therapeutic Potential And Misuse Liability, Mohammed A. Mustafa

Theses and Dissertations

Cannabinoid type-1 (CB1) allosteric modulators represent a promising approach to modulate CB1 receptor signaling by binding to distinct receptor sites, without producing adverse cannabimimetic and dependence-related effects associated with Δ9-tetrahydrocannabinol (THC) and other CB1 agonists. This dissertation investigates the pharmacological, behavioral, and dependence-related profiles of CB1 allosteric modulators for their therapeutic potential and misuse liability. Presented here, the chiral CB1 positive allosteric modulator (PAM) ZCZ011 was resolved into its R- and S-enantiomers and characterized across in vitro and in vivo assays. Both enantiomers enhance CB1 agonist activity and produce intrinsic effects in vitro. Behaviorally, they produce antinociceptive effects in the …


Munajat: Design As A Dialogue With The Divine, Shawky Abdalla Jan 2026

Munajat: Design As A Dialogue With The Divine, Shawky Abdalla

Theses and Dissertations

Contemporary design discourse remains grounded in functional, seemingly user-centered paradigms, often neglecting what lies beyond the tangible within a human experience. This research challenges such frameworks by positioning design as a dialogue with what exceeds the physical, moving toward the experiential, where meaning precedes and informs form. Drawing on Islamic philosophy, particularly the relationship between zahir and batin (outward form and inward meaning), the study repositions design as a medium for remembrance (dhikr) rather than mere utility.

Through a critique of modernist and postmodernist principles, the research proposes a series of objects that engage with memory, introspection, and transcendence in …


Centering Individual Well-Being In Learning Environments: Academic Stress, Psychological Safety, And Digital Discourse, Rachel Niemira Namboodri Jan 2026

Centering Individual Well-Being In Learning Environments: Academic Stress, Psychological Safety, And Digital Discourse, Rachel Niemira Namboodri

Theses and Dissertations

Statement of Problem

How do we guide students through school while supporting their emotional and psychological health? This question lies at the heart of contemporary educational psychology research, as growing evidence demonstrates that students’ academic achievement and psychological well-being are deeply intertwined with their experiences in learning environments (Baumeister & Leary, 1995; Edmondson & Lei, 2014; Gopalan & Brady, 2020; Song et al., 2024; Spencer, 1995; Walton & Cohen, 2011). Decades of scholarship affirm that students’ academic achievement and psychological well-being are deeply intertwined with how they experience schools, classrooms, peers, teachers, and institutional structures (Baumeister & Leary, 1995; Edmondson …


Waxing And Waning: Hidden Interiors Of Grassroots Expression, Asmita Baskar Jan 2026

Waxing And Waning: Hidden Interiors Of Grassroots Expression, Asmita Baskar

Theses and Dissertations

Concealed interiors historically emerged from necessity in response to dominant systems around surveillance, control, and visibility. These hidden spaces carefully regulated access, cultivated intimacy, and enabled self-expression within grassroots groups and marginalized communities. Operating free from surveillance and in contrast to surrounding architectural and urban systems, these concealed spaces were not formally “interior designed”, yet they reveal how communities activate the interiors they encounter to retain agency.

Scholarship on grassroots resistance is largely examined through sociology, anthropology, psychology, or political science, with limited literature directly linking interiority, interior design, and resistance within covert spaces. This thesis addresses the gap in …


Vitality: Wellness For Female Collegiate Athletes, Kristin Beach Jan 2026

Vitality: Wellness For Female Collegiate Athletes, Kristin Beach

Theses and Dissertations

Vitality is a wellness center for female collegiate athletes. It is rooted in female oriented design strategies for comfort, recovery, and wellbeing. This project aims to provide an inclusive environment in which women within the VCU athletics department can come and support their health and wellbeing.  Spaces include physical therapy, academic support, movement studios, gathering lounge, locker room, private therapy, and grab and go food options. This program aims to provide spaces that support the busy schedule of a collegiate athlete, while using design strategies that enhance social, mental, and physical wellbeing while visiting. Located in a historic sauers building, …


Maintaining Legitimacy While Managing Competition: Do Transplant Survival Ratings Affect Kidney Transplant Waitlisting?, Andrew Placona Jan 2026

Maintaining Legitimacy While Managing Competition: Do Transplant Survival Ratings Affect Kidney Transplant Waitlisting?, Andrew Placona

Theses and Dissertations

Statement of problem and objectives: Waitlisting is an essential step towards kidney transplantation among people with end-stage kidney disease (ESRD). There are no universal standards for waitlisting ESRD patients and how waitlists are managed in kidney transplant programs is opaque and under-studied. This study investigated whether the quality ratings of kidney transplant programs based on their one-year survival rates were associated with waitlist outcomes, including the number of waitlist additions, waitlist removals, the risk profiles of patients added or removed from a kidney transplant program’s waitlist, and whether market competition among kidney transplant programs attenuated these relationships.

Procedure followed: …


"It's The People, Not The Place:" Queering Shared Space In Richmond, Virginia, Kathleen Brown Jan 2026

"It's The People, Not The Place:" Queering Shared Space In Richmond, Virginia, Kathleen Brown

Theses and Dissertations

The intersection of queerness and planning is an understudied subject area that has implications for equity and access. Queer communities face real barriers to equitable access of resources that stem from a long history of legal, cultural, and economic marginalization. Experiences of shared spaces for queer groups and organizations is important to understand, as outward expressions of queerness are not always welcome in shared spaces, depending on sociopolitical context. Richmond, Virginia has a rich queer history both filled with challenges as well as examples of queer success and joy that makes it a prime case study selection.

This thesis utilizes …


Exploring, Understanding, And Supporting Academic Help-Seeking In Context, Molly L. Taylor Jan 2026

Exploring, Understanding, And Supporting Academic Help-Seeking In Context, Molly L. Taylor

Theses and Dissertations

Conceptualized as a self-regulated learning (SRL) strategy, academic help-seeking is a fascinating behavior because it is self-directed while also reliant on social interactions with help-givers (Karabenick, 2004). What is known about help-seeking in academic settings largely revolves around individual traits, strategies, motivations, beliefs, and identities, and how each of these constructs influence help-seeking outcomes (Bornschlegl et al., 2020; Fong et al., 2023; Karabenick & Gonida, 2018). What is underexplored in these areas, however, is how features of the learning context interact with student-level factors to shape academic help-seeking behaviors and beliefs. This dissertation attempts to address some of these gaps …


Tuberculosis In Jim Crow Virginia, 1900-1972, Elizabeth Dooley Jan 2026

Tuberculosis In Jim Crow Virginia, 1900-1972, Elizabeth Dooley

Theses and Dissertations

Tuberculosis (TB) was a major public health concern in the United States, especially in the first half of the twentieth century. Transmission and treatment of the disease, which is spread between humans through close contact, was complicated by racial segregation laws in the South known as Jim Crow laws. Virginia subscribed to these laws, which played a role in how and where Black Virginians with TB could be treated. Segregated treatment facilities with an inadequate number of beds for the number of infected people and deaths in the state added to these complications of disease control and plan for eradication. …


Early Math Readiness And Later Achievement: A Longitudinal Study, Bailey Bontrager Jan 2026

Early Math Readiness And Later Achievement: A Longitudinal Study, Bailey Bontrager

Theses and Dissertations

The current body of literature provides much evidence that mathematics skills at the start of kindergarten are predictive of later mathematics achievement, and that students enrolled in early childhood education (ECE) programs are better prepared for mathematics at the start of kindergarten. However, the potential for children to develop mathematical skills prior to entering kindergarten relies on access to ECE programs and resources in families’ surrounding communities. Recent use of geospatial data collection techniques and measures of community resource availability have enabled researchers to examine specific localities for the ways in which community organizations and institutions support residents in particular …


Student Perceptions Of Clinical Psychology Workforce Diversity, Ogochukwu Obi Jan 2026

Student Perceptions Of Clinical Psychology Workforce Diversity, Ogochukwu Obi

College of Graduate Studies: Theses & Dissertations

Clinical psychology remains a predominantly White field, with more than four in five current clinical psychology academics and practitioners being White. Increased racial representation in the field could contribute to more culturally responsive treatment research and practice and improved treatment outcomes. Barriers to increasing racial representation exist across all levels of psychology education and careers. The current study focuses on a potential barrier to pursuing a clinical or counseling psychology doctorate for Black undergraduate psychology majors. Research on social identity theory, perceived identity compatibility theory, and social-cognitive career theory show students’ identities can influence career aspirations, educational experiences, and sense …


Positive Body Image In Postpartum Women: A Psychometric Evaluation Of The Body Appreciation Scale-2 And A Phenomenological Exploration, Taylor Vashro Jan 2026

Positive Body Image In Postpartum Women: A Psychometric Evaluation Of The Body Appreciation Scale-2 And A Phenomenological Exploration, Taylor Vashro

Theses and Dissertations

Postpartum women appear particularly vulnerable to body dissatisfaction due to the rapid physiological, emotional, and environmental changes that occur across the perinatal experience (Baskin et al., 2021; Nippert et al., 2021). Recent studies have demonstrated the experience of both negative and positive body image during postpartum (Rodgers et al., 2024; Watson et al., 2016). However, there is limited research regarding the measurement and exploration of positive body image in postpartum women. The current study aimed to: 1) evaluate the factor structure and psychometric properties of the Body Appreciation Scale-2 (BAS-2), a widely used measure of positive body image in postpartum …


Resilience In The Wake Of Faith-Based Trauma: Investigating The Role Of Social Support In Complex Posttraumatic Stress And Well-Being After Religious/Spiritual Abuse, Ellen Murphy Jan 2026

Resilience In The Wake Of Faith-Based Trauma: Investigating The Role Of Social Support In Complex Posttraumatic Stress And Well-Being After Religious/Spiritual Abuse, Ellen Murphy

College of Graduate Studies: Theses & Dissertations

Religious/spiritual (r/s) abuse involves the mistreatment of individuals within religious or spiritual contexts, often resulting in psychological and spiritual harm (Ellis et al., 2022; Johnson & VanVonderen, 1991). Although research examining the potential benefits of religion and spirituality has proliferated, harm stemming from religious/spiritual experiences remains relatively understudied (Ward, 2011). This study investigated associations between r/s abuse severity, complex posttraumatic stress disorder (CPTSD) symptoms, and psychological well-being. To identify potential protective factors, the moderating role of perceived social support in the relationships between r/s abuse and CPTSD and well-being outcomes was examined. Additional exploratory variables included current spirituality and religiosity, …


How Does Language Influence Interest In Psychological Treatment?, Alexis B. Dixon Jan 2026

How Does Language Influence Interest In Psychological Treatment?, Alexis B. Dixon

College of Graduate Studies: Theses & Dissertations

In 2022, approximately 59 million adults in the United States were diagnosed with a mental health disorder, and approximately half received mental health services (NIMH, 2023). Given the number of individuals whose mental health concerns remain untreated, it is vital to investigate mechanisms predicting treatment-seeking behaviors. Health literacy, which influences treatment-seeking, is largely absent from research on barriers to mental health treatment. Health literacy is related to readability, the ease of reading (Adkins & Singh, 2001), and jargon, the technical language used by professionals in a field (Shulman et al., 2020). Health materials are often written at a high reading …


Understanding The Support And Information Needs Of Family Members After Acquired Brain Injury: A Systematic Review, Craig Andrews, Alyson Norman, Sue Jackson, Mark Holloway Jan 2026

Understanding The Support And Information Needs Of Family Members After Acquired Brain Injury: A Systematic Review, Craig Andrews, Alyson Norman, Sue Jackson, Mark Holloway

School of Psychology

The aim of this systematic review was to (a) identify the specific information and support needs of family members caring for ABI survivors and (b) assess the effectiveness of current support systems and resources available. A comprehensive search of the literature was carried out, focusing on studies that were published between the years 2000 and 2025. Seventeen studies met the inclusion criteria. The review employed a narrative synthesis approach to collate findings across papers. The analysis identified five key themes: ABI Knowledge, The Strain of Unsupported Transitions, Emotional and Financial Cost, ABI Support Groups, and Supporting Social Connectedness. The findings …


Self-Guided Functional Imagery Training To Reduce Anxiety, Jackie Andrade, Stephanie Hartgen-Walker, Caroline Morgan, Ayan, Idil Aytekin, Khadijah Sekoni, Kardelen Sengul, Jonathan Rhodes Jan 2026

Self-Guided Functional Imagery Training To Reduce Anxiety, Jackie Andrade, Stephanie Hartgen-Walker, Caroline Morgan, Ayan, Idil Aytekin, Khadijah Sekoni, Kardelen Sengul, Jonathan Rhodes

School of Psychology

Objectives: Many university students experience high anxiety but have limited access to effective interventions. We evaluated a novel digital intervention for anxiety based on functional imagery training (FIT), designed to help individuals identify the impacts of anxiety, set engagement goals, and strengthen motivation for change. Functional Imagery for Keeping Anxiety low (FIKA) uses speak-aloud tasks, journalling, empathic questions, and personalised guided imagery for a person-centred approach. It builds motivation for engagement goals over safety goals through development and practice of vivid and emotionally laden multisensory imagery. Design: Study 1 used semi-structured interviews and thematic analysis to explore user experiences of …


Optimization Of A Group-Based Intervention For People Living With Severe Obesity (Progroup): Understanding Fidelity To Delivery And The Patient Experience, Lily Hawkins, Mark Tarrant, Shokraneh Moghadam, Dawn Swancutt, Rod Sheaff, Laura Hollands, Jonathan Pinkney, Jenny Lloyd Jan 2026

Optimization Of A Group-Based Intervention For People Living With Severe Obesity (Progroup): Understanding Fidelity To Delivery And The Patient Experience, Lily Hawkins, Mark Tarrant, Shokraneh Moghadam, Dawn Swancutt, Rod Sheaff, Laura Hollands, Jonathan Pinkney, Jenny Lloyd

School of Psychology

Objectives: Understanding the fidelity of delivery of complex health behaviour interventions is crucial in determining their effectiveness and identifying aspects needing refinement. PROGROUP is a group-based intervention for people with severe obesity. It aims to promote a shared social identity to support behaviour change. Data from a feasibility randomized controlled trial (fRCT) were used to assess fidelity of intervention delivery and the impact on patient experiences, to optimize the intervention for a main trial. Methods: Data from 18 patient and five facilitator interviews, audio and video data of group sessions, two fidelity checklists, support calls and a group processes questionnaire …