Digital Commons Network^™

Fall 2021

Scientia

A Decade of Progress and Success; Speech Language Pathology Program; COVID-19 Long-Hauler Study; Peer Mentors Initiative; Faculty Update; Expert Engagement: Three CSH initiatives further education and scholarship while supporting communities in need; Strategic Command: Business consultant and med tech expert Stephen Sichak helps others face pandemic challenges; Taking Care: A School of Nursing research team plumbs the pandemic experiences of nurses nationwide

Changing Expectations In Higher Education Post-Pandemic, Gregory R. Mackinnon, Tyler Maclean, Mohamad El Maouch, William Yuan, Zhao Kaibin, Bi Dandan, Marwa Saab

Journal of Global Education and Research

A sample of higher education students in Canada and China was surveyed and interviewed to ascertain any changes in their educational expectations given their experiences with emergency remote teaching during the pandemic. In addition, the instructors of these students were interviewed to corroborate student feedback. The research suggested that students in Canada and China expressed expectations of increased flexibility and improved pedagogy. Whereas Canadian students were overtly demanding of the instructor and the educational system, Chinese students were comparatively subtle in their expectation that the post-pandemic level of support be maintained. The primary concern of the Chinese cohort was a …

A Quantitative Content Analysis Of Major United States-Based Religious Organizations' Framing Of Mask-Wearing On X (Formerly Twitter) During Covid-19, Michael J. Farzinpour

Doctoral Dissertations and Projects

The purpose of this quantitative content analysis was to examine how major U.S.-based religious organizations framed mask-wearing on X (formerly Twitter) during the COVID-19 pandemic and whether identifiable framing cues were associated with observable audience engagement. Grounded in framing theory and prospect theory, the study analyzed publicly available tweets posted by 14 nationally prominent U.S. megachurches and affiliated public-facing organizational representatives between March 2020 and December 2022. The final sample consisted of 1,288 tweets. Tweets were coded for gain- and loss-framed valence-framing cues, compliance- and resistance-oriented frame-orientation cues, and engagement outcomes measured through publicly visible likes, comments, and retweets. Because …

Understanding The Lived Experiences Of Individuals With Post-Acute Sequelae Of Sars-Cov-2 Infection (Pasc) In Rwanda: A Phenomenological Qualitative Study, Iliza Grace Ndatinya, Simal Thind, Fernand Rwamwejo

Global Health Articles

OBJECTIVES: To qualitatively explore the lived experiences of individuals with post-acute sequelae of SARS-CoV-2 infection (PASC) in Rwanda, with the aim of informing context-appropriate interventions to improve patients' quality of life.

DESIGN: Qualitative, phenomenological study using in-depth interviews and thematic analysis.

SETTING: All provinces of Rwanda, including the City of Kigali.

PARTICIPANTS: Adults who tested positive for PASC during a nationwide prevalence study were purposively sampled across all study sites. A total of 30 people were interviewed before saturation was reached.

RESULTS: Participants' lived experiences with PASC were characterised by numerous themes. Despite describing significant life changes since their COVID-19 …

Predictors Of Psychological Strain In College Students In The Context Of The Covid-19 Pandemic, Randy M. Ludwig

Journal of Social, Behavioral, and Health Sciences

The coronavirus disease 2019 (COVID-19) pandemic exacerbated the traditional challenges of being a college student. This study examined the factors associated with the mental health difficulties many college students faced during the pandemic. Factor analysis was used to uncover a latent variable called psychological strain, which was composed of mental instability, mental health strain, sadness, anxiety, and unhappiness. An exploratory path model was created to determine which factors most closely related to psychological strain. Of the 14 factors considered, 11 were significant predictors. Overall, the most important risk factor was found to be social isolation (total effects = .437), while …

Abstracts From The 2026 Health Care Systems Research Network (Hcsrn) Annual Conference, Dallas, Texas, Health Care Systems Research Network

Journal of Patient-Centered Research and Reviews

The Health Care Systems Research Network (HCSRN) comprises 18 learning health systems with integrated care delivery and embedded research units. The network’s annual conference serves as a forum for research teams from member institutions to disseminate project findings, explore scientific collaborations, and share insights about population-based research practices that can measurably improve health and health care for all. The theme of this year’s conference was “Scaling Learning Health Systems: Data-Driven Pathways to Better Outcomes.” Abstracts presented at HCSRN 2026 are published in this issue supplement of the Journal of Patient-Centered Research and Reviews, the journal of record for HCSRN’s annual …

“I Was Not Wonder Woman And Required Help”: Black, Latina, And White Women’S Recovery From The Covid-19 Pandemic, J. Mitchell Vaterlaus, Colton Pierce, Harry Foster, Alison Brennan, Nicole Wanago

Journal of Social, Behavioral, and Health Sciences

The COVID-19 pandemic disproportionately affected women, particularly women of color, yet less is known about their recovery experiences following the end of the public health emergency. This exploratory mixed-methods study examined recovery from the COVID-19 pandemic among Black, Latina, and White women in the United States. Participants (N = 133) completed a survey that included a self-reported recovery measure and open-ended questions regarding their recovery experiences. A chi-square analysis indicated a significant association between race/ethnicity and recovery status, with Latina women more likely to report ongoing recovery than Black and White women. Codebook thematic analysis identified four themes: (1) …

Connected But Disconnected: A Covid-19 Youth Participatory Action Research Study, Vianney Atugonza, Jodi Dworkin, Stacey S. Horn, Joanna A. Tzenis, Samantha Lebouef

Journal of Youth Development

In 2020, the COVID-19 pandemic forced most schools across the U.S. to close and transition to remote learning. Families were forced to transform their homes into classrooms while facing challenges to their health, finances, and social connections. To better understand how young people experienced these changes, a Youth Participatory Action Research (YPAR) project was employed to engage young people in naming, exploring, and sharing their experiences during this time. Nine high school youth leaders were trained as researchers to conduct interviews with their peers. These youth scholars were also trained on how to code, sort, and disseminate data and results. …

Disrupted Trajectories: Covid-19, Transnational Youth Mobility And Unequal Transitions To Adulthood, Simon Chambers, Anita Harris, Loretta Baldassar

Research outputs 2022 to 2026

While the impact of COVID-19 on youth development has been widely studied, less is known about its effects on transnationally mobile young adults. This longitudinal study of Australian outbound and inbound mobility examines how the pandemic disrupted this population's experiences abroad as they navigated transitions to adulthood. It draws on two waves of survey data collected using a convenience sample between July 2020 and September 2022. Our findings reveal that COVID-19 presented significant challenges to young adults living away from home, with disruptions to their future plans, social connections, and well-being. However, these impacts were not uniform. The pandemic magnified …

The Impact Of Covid-19 On The Mental Health And Well-Being Of Black And Latinx Nurses In California, Jerry John Ouner, Patience Afulani, David A. Asakitogum, Nneka Umeh, Monica Getahun, Jaffer Okiring, Michael Denyu, Orlando Harris, Osamuedeme Odiase

International Nursing Research Congress (INRC)

On January 31, 2020, Santa Clara County reported California’s (CA) first COVID-19 case. As the pandemic unfolded, health systems were severely strained, and health care workers faced dual exposure risks from their communities and households alongside heightened occupational risk from direct patient care.1,2 For Black and Latinx nurses, COVID-19’s disproportionate impact on their communities intensified stress, fear, and uncertainty, and when combined with the demands of frontline work, greatly increased their risk of psychological distress and burnout. We examined COVID-19’s impact on the mental health and well-being of Black and Latinx nurses in CA.

Method: We conducted an explanatory sequential …

A Qualitative Case Study On The Negative Impact The Global Pandemic Had On The Oil And Gas Industry, Sarah Denise Hagans

Doctoral Dissertations and Projects

The purpose of this flexible-design single-case study was to expand the understanding of the reasons behind the negative impact the global pandemic had on international trade in the oil and gas industry. The research was critical to understanding the turbulent period for the oil and gas industry during the global pandemic. The study was essential because the possible negative effects of the global pandemic on the oil and gas industry were not fully determined or understood because of the volatility in upstream, midstream, and downstream production. The research aimed to determine the driving factors and explanations for how the negative …

Challenges To Longevity Among Native Americans In The Four Corner States, Ashley Lenarz

All Graduate Theses and Dissertations, Fall 2023 to Present

Previous research has shown that Native Americans within the Four Corners States of the United States experience poor health outcomes and premature mortality. The Four Corners States include Arizona, New Mexico, Colorado, and Utah. Research examining COVID-19 pandemic outcomes has also suggested that Native peoples within the Four Corners States have been especially hard hit with high rates of infection and mortality. Our research seeks to (1) understand how life expectancy trends and differences changed among non-Hispanic Native Americans and Whites in the Four Corners States during the COVID-19 pandemic and (2) examine how much of these trends and differences …

A Longitudinal Analysis Of Hospital Consumer Evaluation In Virginia, Tulay Akmandor Inac

Health Services Research Dissertations

Suboptimal patient experience signals a need to improve clinical efficacy, patient safety, and healthcare quality. The COVID-19 pandemic intensified hospital resource and staffing demands, reducing hospitals’ capacity to invest in patient experience improvement. Prior studies remain limited because many lack longitudinal structure and organized theoretical models, making temporal inference difficult and weakening analyses of patient experience disparities. To address these limitations, this dissertation incorporates three studies examining patient experience and pandemic-related effects.

In state-level markets comparable to Virginia, limited research has examined longitudinal patient experience trends across regional hospital systems using HCAHPS scores. The first study uses descriptive trend analysis …

Impact Of Covid-19 Pandemic On Mathematics Achievement And Problem-Solving Ability: Insights From Secondary Schools In India, Laishram Nirtish Singh, Anand Jyoti Sanasam, Jocyline Thokchom, Ningombam Cha Cogent, Laisom Sharmeswar Singh

Journal of Humanistic Mathematics

The COVID-19 pandemic disrupted students’ engagement with mathematics. This study aims to contribute to our understanding of the extent of this disrupting by examining differences in mathematics achievement and problem-solving ability between adjacent cohorts who learned Class 8 under different schooling conditions in India: Group A (pandemic-exposed Class 8 cohort) and Group B (post-reopening Class 8 cohort). Using a descriptive design in a natural setting, we selected a stratified sample of 1,200 students from Class 9 and Class 10 across 21 secondary schools in Manipur, India. The sample was stratified by gender, family type, school type, and locality to ensure …

The Impact Of Age, Health, And Education On Public Attitudes Towards Covid-19 Vaccines In Ireland, Kate Buckley, Aisling Burke, Chloe Holland, Clodagh O'Flynn

International Undergraduate Journal of Health Sciences

Abstract:

Introduction: Studies have revealed that age, health status and 3^rd level education influence public attitudes towards the COVID-19 vaccination during the pandemic. The aim of this study was to investigate the factors that influence the public’s attitudes towards the COVID-19 vaccine two years post-pandemic.

Methods: Ethical approval was obtained for the study. A total of 241 participants who provided informed consent were surveyed anonymously using closed-ended, open-ended and Likert Scale questions. Associations between specific demographics and vaccination attitudes were established using SPSS software.

Results: A higher percentage of 25–34-year-olds and 35–44-year-olds regretted receiving COVID-19 vaccines (46.6% and 37.5% …

A Glimpse Into Classrooms: Teachers’ Experiences Pre- And Post-Covid, Sam Hilbert, Katherine Wheeler, Robin H. Lock, Janna Brendle, Kassi Gregory

Journal of Educational Research and Practice

The COVID-19 pandemic forced many schools to pause in-person learning. Prior research indicates that these closures affected overall mental health and student academic performance. Mental health concerns, particularly anxiety and depression, were exacerbated for many school-aged children during these closures. Research has linked disorders, such as anxiety and depression, with changes in behaviors. Academic gaps have also been linked with negatively displayed behaviors in school settings. COVID school closures resulted in a 25% increased global prevalence of anxiety and depression diagnoses and an estimated 1-year academic loss in student learning. Although both variables have been shown to contribute to changes …

Rapid Recovery Of Peripheral Oxygen Saturation In Hypoxic Covid-19 Patients With Ivermectin/Doxycycline/Zinc Multidrug Therapy, Sabine Hazan, Adriana C. Vidal, Eleftherios Gkioulekas, Anoja W. Gunaratne, Sibaish Dolai, Robert L. Clancy, Peter A. Mccullough, Thomas J. Borody

School of Mathematical & Statistical Sciences Faculty Publications

Several combination therapies for the early outpatient treatment of COVID-19 were proposed by independent research groups at the onset of the pandemic during 2020 and 2021. In this observational study, we report on the outcomes of an off-label triple combination therapy, consisting of ivermectin, doxycycline, and zinc, with adjunct vitamin C and D3 supplementation, which was used on high-risk COVID-19 patients. These patients refused an initial recommendation to seek inpatient care, despite a high-risk presentation compounded with one or more comorbidities and/or severe hypoxia. Telemedicine was used to administer personalized treatment to patients at home, who did not have access …

Financial Wisdom Across Political Identities: Exploring Insights From A Convenience Sample Of Participants During The Global Pandemic, Miguel Quiñones, Virginia Zuiker, Yiting Li, Hanna Yu

Journal of Human Sciences and Extension

The COVID-19 pandemic triggered a global economic crisis that magnified financial hardships and revealed how political affiliation shapes financial behavior. This study examined how U.S. residents with differing political orientations navigated financial uncertainty, drawing on open-ended survey responses collected in fall 2020. Results show both commonalities and nuanced differences across political lines. Across groups, participants emphasized saving for emergencies, living within their means, seeking financial support, and building skills to increase income—underscoring the universality of core financial principles during crises. However, distinctions also emerged: Republican participants more frequently emphasized self-sufficiency, often seeking additional jobs or withdrawing from retirement funds; Independents …

Gender Differences In Streaming Service Adoption And Cancellation During Covid-19, Dylan Lewis

Florida Atlantic Undergraduate Research Journal

For over a decade, the rise of subscription-based entertainment models has appeared inevitable. This trend became even more apparent when the world went into lockdown to curb the spread of COVID-19. During this time, many people began reevaluating how they allocated their discretionary income for day-to-day purchases as the future looked bleak. The purpose of this study was to examine people’s preferences between subscription-based models and one-time purchases. To do this, a 12-question survey was conducted, and data were collected through Amazon Mechanical Turk, yielding over 195 responses. The results indicate a statistically significant relationship between age and the use …

Clinical And Laboratory Profile Of Pediatric Covid-19 Cases: A Retrospective Cross-Sectional Study At The Children Welfare Teaching Hospital, Baghdad, Oras Abd Al-Rahman Mankhi, Hassanien Habeeb Ghali

Iraqi Postgraduate Medical Journal

Background: Coronavirus disease 2019 (COVID-19) continues to pose a global health challenge. Although children are generally less severely affected than adults, severe outcomes and mortality continue to be reported, particularly in low-resource settings. paediatric cases may present with a wide spectrum of clinical manifestations. Understanding the clinical and laboratory characteristics of pediatric COVID-19 in Iraq is essential for improving diagnosis, management, and outcomes.Objective: To describe the demographic, clinical, laboratory and radiological characteristics of pediatric COVID-19 patients admitted to the Children Welfare Teaching Hospital (CWTH), Baghdad, and to identify factors associated with disease severity.Methods: A retrospective cross-sectional study was conducted on …

The Relationship Between Psychological Stress And Sars-Cov-2 Nucleocapsid-Antibody Response Following Natural Infection: Longitudinal Findings From The Aegis Study, Erika T Beidelman, Ashley Judge, David B Allison, Stephanie Dickinson, Lilian Golzarri Arroyo, Anna L M Macagno, Michael J Ricciardi, Jon Macy, Stanley Perlman, Christina Ludema, Kevin C Maki, Molly Rosenberg

Faculty, Staff and Students Publications

Psychological stress can cause diminished immune response to infectious challenges. The extent this holds true during severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and the modifying effect of vaccination status is untested. We explored these relationships in a non-random sample standardized to the US adult population. Across 2178 participants in the Aegis study (2021-2022), we identified 507 eligible laboratory-confirmed SARS-CoV-2 infections. We estimated the natural log of nucleocapsid-binding antibody absorbance (N-antibody) at study visits up to 225 days following a positive SARS-CoV-2 test. Linear mixed effects models were fit to estimate the association of baseline perceived stress and, separately, …

Exploring Minor Feelings: Asian And Asian American’S Racialized Emotions, Identity, And Mental Health Amidst Covid-19, Kristina Mirasol Arevalo

Dissertations, Theses, and Capstone Projects

The COVID-19 pandemic highlighted the central role of racialized emotions in shaping how Asians/Asian Americans (A/AA) experience, interpret, and respond to racism, yet these emotional processes remain underexamined in psychological research. Rather than treating emotions as outcomes of discrimination, this dissertation conceptualizes racialized emotions as dynamic processes through which structural racism is experienced, interpreted, and embodied in everyday life. This framework positions racialized emotions as a key mechanism linking racialized social contexts to identity development and mental health. Across three studies using qualitative and quantitative methods, I examine how racialized emotions shape racial meaning-making, ethnic-racial identity, and psychological well-being among …

Long-Covid And Cognition, Mychael Bruce

Dissertations

COVID-19 is an evolving virus that can harm the body’s respiratory and cardiovascular systems. Directly related to COVID-19 are individuals who do not recover from their initial infection, making them long haulers. Long-COVID is transitioning from a range of isolated phenomena to higher prevalence rates in patients who contracted COVID-19. Many individuals report issues with cognitive function, referred to as ‘brain fog’, that affect memory, attention, and even language skills. This literature review addresses the available research on Long-COVID and how persistent infection correlates with cognitive difficulties. It aims to explain the neurobiology of Long-COVID and how Long-COVID interacts within …

Early Childhood Educators’ Perceptions Of Changes In Student Executive Function Skills And Challenging Behaviors Post-Covid-19, Sofia Cicero, Raquel Plotka

Excelsior: Leadership in Teaching and Learning

The COVID-19 pandemic greatly impacted children’s lives in a multitude of ways, including their educational and social lives. Many children had to switch to online learning platforms or follow social distancing rules. There is a lack of research exploring the lasting impact that the isolation period has left on young children, specifically those in early childhood (3-7 years old). The purpose of this study was to explore whether teachers witnessed changes in student executive function skills and challenging behaviors after the pandemic. In addition, play-based learning has been shown to improve executive function and behavioral outcomes. This study also attempted …

Trust, Civic Institutions, And Crisis: A Study Of Civic Culture In Italy, Nolan Joseph Sherwood

Master's Theses

This paper examines whether cultural familism — the orientation of trust toward family at the expense of strangers and civic institutions — shapes civic institutional engagement in Italy across three levels of analysis. The first analysis links four familism indices constructed from the European Values Study (2017) to pre-COVID municipal 5 per mille tax allocation rates across approximately 7,700 Italian municipalities, finding that higher Trust Gap and Institutional Distrust robustly predict lower baseline civic giving, both nationally and within each region. The second analysis uses a Regression Discontinuity in Time design exploiting the sharp onset of COVID-19 in 2020, finding …

Resilience In The Age Of Covid-19: A Phenomenological Study Of Survivors 65 And Older, Kwajulyn Onothia Rucker

Doctoral Dissertations and Projects

Few studies have examined resilience among those aged 65+ during the COVID-19 pandemic. This research fills that gap, offering data to guide policies and treatments for future pandemics. The pandemic revealed factors influencing psychological resilience, with stressors linked to health issues becoming chronic worldwide. Older adults faced heightened stress, and 95.5% of COVID-19 deaths occurred in those 50 and older. Lockdowns increased isolation and depression, yet many showed resilience by drawing on strengths, social networks, and circumstances. Key themes from this study included faith, engagement, adaptability, and adversity. Most (80%) adapted well, feeling 'fine' or 'okay' and finding hope through …

Cognitive Behavioral Therapy-Based Psychosocial Interventions To Reduce Anxiety After Social Isolation In Adolescent Females, Bailey E. Noble

InnovateHER Meeting 2026

• COVID-19 social isolation linked with higher anxiety risk in adolescents, especially females
• Review examined whether CBT-based psychosocial interventions reduce anxiety after pandemic-related loneliness/social isolation
• Across 6 studies, remote and internet-delivered CBT linked with anxiety improvement 
• Strongest outcomes seen with therapist-assisted CBT
• Common barriers: privacy, motivation, scheduling, and digital access
• Nursing relevance: early screening, referral, and support for treatment participation

An Equity-Based And Culturally Responsive Bill Of Rights For Early Childhood Students Of Color With Exceptionalities, Evette Simmons-Reed, Michelle Frazier Trotman Scott, Gloria Tardash, Mildred Boveda, Donna Y. Ford

Perspectives on Early Childhood Psychology and Education

The COVID-19 pandemic exacerbated existing disparities in early intervention (EI) and early childhood special education (ECSE) services for culturally and linguistically diverse (CLD) disabled children, exposing critical gaps in access, services and support. systemic inconsistencies in implementation, training, and funding, remain barriers limit opportunities for CLD students to benefit, despite the aims of the Individuals with Disabilities Improvement Act (IDEA). To address these inequities, this manuscript proposes an expanded and updated Culturally Responsive Equity-Based Bill of Rights for EI and ECSE. Building upon Ford and colleagues' (2018) work, this revised document extends protections to children aged zero to five, emphasizing …

Making Sense Of Hospitalization: An Interpretative Phenomenological Analysis Of Covid-19 Patients’ Psychological Experiences In Indonesia, Mira Wahyu Kusumawati, Heni Dwi Windarwati, Setyawati Soeharto

The Qualitative Report

While previous research has probed into the experiences of COVID-19 patients during isolation in hospitals, little is known about their psychological experiences and the meaning of such experiences. To address the gap,this study was designed to explore the psychological experiences of patients who were confirmed positive for COVID-19 while undergoing isolation in hospitals. Using a phenomenological approach, we recruited 19 COVID-19 survivors who were confirmed positive for COVID-19 in the first six months of the pandemic entering Indonesia, located in Madiun Regency, East Java Province, Indonesia. We conducted face-to-face semi-structured interviews with health protocols and analysed the data using the …

Trauma, Memory, And Decision-Making: How Covid-19 Shaped Autobiographical Memories And Risky Decision-Making In Young Adults, Rachel Seo

Student Theses

Autobiographical memory is a critical component of the memory process that guides future behaviors by relying on past personal experiences connected to major public events. This decision-making process is heavily influenced by trauma exposure and post-traumatic stress disorder (PTSD) symptoms, as they may guide individuals to riskier behaviors. The COVID-19 pandemic represents a global traumatic stressor that contributed to shifts in behavioral outcomes post-pandemic. Despite research showing associations between memory accessibility, traumatic symptoms, and decision-making, there is limited research on health-related behaviors and post-pandemic behavioral outcomes in individuals with high trauma exposure specifically from the pandemic. The present study investigates …