Digital Commons Network^™

Qualitative Thematic Analysis Of Crisis Communications From The Digital Pulpits Of Megachurches During Covid-19, Ralph Dustin Henderson

Doctoral Dissertations and Projects

The purpose of this qualitative thematic analysis multi-case study was to explore how secular crisis communication theories were adopted and modified by theological themes in U.S. megachurches during the first six weeks of the COVID-19 pandemic related lockdowns. Image Repair Theory (IRT), Discourse Renewal Theory (DRT), and Rhetorical Arena Theory (RAT) were examined alongside Christian themes (Theodicy, Radical Love, Physical Care, and Nontraditional Stakeholder Scope). Thematic analysis of sermon transcripts from 18 megachurches showed that IRT modified: high-attribution tactics were minimal; denial (via IMRA theodicy) defended the Church Universal (CU); evasion justified Church Local (CL)actions; and offensiveness reduction (esp. Transcendence) …

Insights From The Front Line: Uplifting Stories Of The Covid-19 Pandemic Through The Eyes Of The Public Health Workforce In Iowa, Heidi Haines, Amanda Sursely, Hanh Pham, Rylee Beltran, Daniel K. Sewell, Lina Tucker Reinders, Natoshia Askelson, Sarah Dixon, Kaitlin Emrich, Christine Estle, Michelle Lewis, Jimmy Reyes

Faculty Publications

Introduction: SARS-CoV-2 was declared a pandemic in March 2020. Studies have characterized some of the negative impact of the pandemic on public health workers (PHW), but few have explored the strength and coping strategies used. Our study documents the experiences of PHW in Iowa during the pandemic. Methods: We used an innovative mixed methods data collection tool, SenseMaker^® to gather stories from PHW in Iowa between March and July 2022. Participants provided additional data about their story via structured follow-up questions. We conducted descriptive analyses of the quantitative questions. A qualitative thematic and sentiment analysis was applied to all …

Participant Engagement In A National Longitudinal Study Of Covid-19: Insights From The Inspire Study, Kris Pui Kwan Ma, Tracy Stober, Michael Gottlieb, Rachel E. Geyer, Kristin L. Rising, Sharon Saydah, Michelle Santangelo, Kristyn Gatling, Dylan Grau, Ralph C. Wang, Juan Carlos Montoy, Ahamed Idris, Samuel Macdonald, Mandy J. Hill, Ryan Huebinger, Maria G. Prado, Nicole L. Gentile, Erica Spatz, Caitlin Maliki, Jocelyn Dorney, Joann G. Elmore, Michelle L'Hommedieu, Robert A Weinstein, Arjun K. Venkatesh, Kari A. Stephens

Department of Emergency Medicine Faculty Papers

OBJECTIVE: To examine participants' motivations and their experiences throughout a decentralized, longitudinal COVID-19 study in the U.S.

METHODS: We recruited 355 participants from the Innovative Support for Patients with SARS-CoV-2 Infections Registry (INSPIRE) between November 2022 - March 2023 to answer five qualitative survey questions anonymously. We used an inductive content analysis approach to analyze the data.

RESULTS: We identified five key themes from the analysis, which reflected participants' a) motivations to join the study, b) study benefits, c) perceptions of survey questions, d) experiences with the research process, and e) preferences for disseminating research findings. Participants were motivated to …

Leading Through Critical Incidents: A Phenomenological Study Of K–12 School Leaders’ Responses To Critical Incidents, Terry-Ann Griffin

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to explore how K–12 school leaders respond to critical incidents in schools. A critical incident is any actual or alleged event or situation that creates a significant risk of substantial or severe harm to physical or mental health, safety, or well-being. The study focused on three major critical incidents: school shootings/gun violence, the COVID-19 pandemic, and racial unrest. The research was guided by Bandura’s Social Cognitive Theory, which explains human behavior through reciprocal interactions between personal, environmental, and behavioral factors. The central research question was: How do K–12 school leaders respond to …

Iowa Test Scores Before And After Covid-19 In Early Adolescents, Carmel F. W. Ontoy

Doctoral Dissertations and Projects

This paper addresses past research that examined the effects of COVID-19 on academics and presents a study further examining an area of academics before and after COVID-19. Research relating to COVID-19 has varied, studying correlations and effects on factors such as mental health and relationships. Researchers and educators projected various degrees of learning loss, and while some studies have revealed some loss, others have revealed little to no change. Further research is needed to continue developing researchers’ and educators’ understanding of how COVID-19 and the shift to online learning may have been related to learning and academics of young adolescents. …

Impact Of Sars-Cov-2 On Healthcare And Essential Workers: A Longitudinal Study Of Promis-29 Outcomes, Jocelyn Dorney, Imtiaz Ebna Mannan, Caitlin Malicki, Lauren E. Wisk, Joann Elmore, Kelli N. O'Laughlin, Dana Morse, Kristyn Gatling, Michael Gottlieb, Michelle Santangelo, Michelle L'Hommedieu, Nicole L. Gentile, Sharon Saydah, Mandy J. Hill, Ryan Huebinger, Katherine Riley Martin, Ahamed H. Idris, Efrat Kean, Kevin Schaeffer, Robert M. Rodriguez, Robert A. Weinstein, Erica S. Spatz, Inspire Group

Department of Emergency Medicine Faculty Papers

IMPORTANCE: The mandatory service of essential workers during the COVID-19 pandemic was associated with high job stress, increased SARS-CoV-2 exposure, and limited time for recovery following infection. Understanding outcomes for frontline workers can inform planning for future pandemics.

OBJECTIVE: To compare patient-reported outcomes by employment type and SARS-CoV-2 status.

DESIGN: Data from the INSPIRE registry, which enrolled COVID-positive and COVID-negative adults between 12/7/2020-8/29/2022 was analyzed. Patient-reported outcomes were collected quarterly over 18 months.

SETTING: Participants were recruited across eight US sites.

PARTICIPANTS: Employed INSPIRE participants who completed a short (3-month) and long-term (12-18 month) survey.

EXPOSURE: SARS-CoV-2 index status and …

Enhanced Restoration Of Covid-19 Ct Scan Images Utilizing Advanced Wiener Filtering Techniques, Warqaa Shaher Alazawee, Marwa Subhi Ibrahim, Raghda Salam Al Mahdawi, Ali Albu-Rghaif, Ahmed Sabri Altaie

Iraqi Journal for Computer Science and Mathematics

COVID-19, caused by the SARS-CoV-2 virus, was declared a global pandemic by the World Health Organization (WHO) and rapidly spread worldwide from late 2019. While Reverse Transcription Polymerase Chain Reaction (RT-PCR) is the primary diagnostic tool, its sensitivity ranges from only 60% to 70%, leading to false negatives. Computed Tomography (CT) imaging has emerged as a valuable alternative for accurate diagnosis; however, the quality of CT images is often degraded by motion-induced blur and additive noise, particularly in children, individuals with mental health conditions, or those with phobias of CT scans. This study aims to enhance COVID-19 CT image quality …

Development And Transition In Crisis: The Impact Of The Covid-19 Pandemic On Division I College Athletes, Grace Kazmierski-Davie, Khalid Ballouli

Journal of Athlete Development and Experience

The aim of this study is to explore how Division I college athletes made meaning of their experiences during the onset of the COVID-19 pandemic in spring 2020. Though existing literature details various athlete transitions, there is limited knowledge about how athletes navigate unprecedented disruptions like a global pandemic. This qualitative study employed semi-structured interviews to gather in-depth data. The study included a diverse sample of 19 college athletes, ranging from freshmen to seniors, representing various sports and academic levels. Findings revealed that athletes employed diverse strategies to maintain readiness and mental sharpness, reflecting both proactive and reactive coping mechanisms. …

Full Issue: The International Undergraduate Journal Of Health Sciences, Volume 5, Issue 1, July 2025

International Undergraduate Journal of Health Sciences

Full Issue: The International Undergraduate Journal of Health Sciences, Volume 5, Issue 1, July 2025.

Abstracts From The 2025 Health Care Systems Research Network (Hcsrn) Annual Conference, St. Louis, Missouri, Health Care Systems Research Network

Journal of Patient-Centered Research and Reviews

The Health Care Systems Research Network (HCSRN) comprises 19 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 “Optimizing Collaborations to Advance Health in a Dynamic Research Landscape.” Abstracts presented at HCSRN 2025 are published in this issue supplement of the Journal of Patient-Centered Research and Reviews, the journal of record for …

The Effects Of A Mindfulness-Based Intervention On Depression And Anxiety In The Long-Covid Population, Rachel Welbel, Elizabeth Rutha, Jeffrey Ording, Douglas Wang, Jana Hirschtick

Journal of Patient-Centered Research and Reviews

Long-COVID is a complicated, post-viral syndrome involving multiple body systems and can present with neuropsychiatric symptoms. Little has been reported about the neuropsychiatric symptoms of long-COVID, and validated treatments do not yet exist. There is prior evidence that mindfulnessbased strategies have been helpful for those with chronic illnesses; shown significant decreases in anxiety, stress, and depression; and enhanced quality of life. In this study, we report on the utility of a mindfulness-based intervention on levels of anxiety and depression in a long-COVID population. Our hospital system founded both a “Covid Recovery Clinic” (CRC) and a “Post-COVID Resilience Program” (PCRP). The …

Mothers’ Plan To Protect Their Children From Covid-19 And Other Viral Illnesses, Miami Kadhum Yossif, Rehab Abdulwehab Jaafer

Iraqi National Journal of Medicine

Background: Mothers play a critical role in safeguarding the health and well-being of their children—a vulnerable population—particularly during outbreaks of infectious diseases. Aim: This study investigated the strategies employed by mothers to protect their children from COVID-19 and other viral illnesses. Methods: A cross-sectional study was conducted at the outpatient pediatric clinics of Basra Maternity and Children Hospital and Almawani Teaching Hospital, 118 mothers were enrolled from diverse backgrounds. Data was collected through structured interviews and a standardized questionnaire designed to assess maternal practices, attitudes, and experiences concerning the protection of their children. The key areas explored included hygiene practices, …

The Current And Future Burden Of Long Covid In The United States, Sarah M Bartsch, Kevin L Chin, Ulrich Strych, Danielle C John, Tej D Shah, Maria Elena Bottazzi, Kelly J O'Shea, Mckaylee Robertson, Colleen Weatherwax, Jessie Heneghan, Marie F Martinez, Allan Ciciriello, Sarah Kulkarni, Kavya Velmurugan, Alexis Dibbs, Sheryl A Scannell, Yanhan Shen, Denis Nash, Peter J Hotez, Bruce Y Lee

Faculty, Staff and Students Publications

Background: Long coronavirus disease (COVID), which affects an estimated 44.69-48.04 million people in the United States, is an ongoing public health concern that will persist as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) continues to spread.

Methods: We developed a computational simulation model representing the clinical course, health effects, and associated costs of a person with long COVID.

Results: Simulations show that the average total cost of a long COVID case can range from $5084-$11 646 (assuming symptoms only last 1 year) with 92.5%-95.2% of these costs being productivity losses. Therefore, the current number of long COVID cases could cost …

Impact Of Telehealth On Outcomes In Daily Practice, Shannon Stuebs

Theses and Dissertations

While telepsychology has existed in various forms for years and has been researched since the 1960s (Abrams, 2020), it was not until the COVID-19 pandemic that telepsychology started to be widely used. Prior to the COVID-19 pandemic, one study found that psychologists conducted only around 7% of their work via telepsychology, a number that jumped to over 85% in response to COVID-19 (Pierce, Perrin, Tyler, et al., 2020). While there has been a significant increase in the research exploring the efficacy of telehealth since the start of the pandemic (Lin et al., 2022), further research regarding long-term impacts and specific …

Rapid Access Chest Pain Assessment Clinic: An Australian Virtual Care Experience, Marwan Shawki, Thalys Sampaio Rodrigues, Hussein Al-Fiadh, Karen Sanders Mnursing, Ali H. Al-Fiadh

Journal of the Saudi Heart Association

Background: The Rapid Access Chest Pain Assessment Clinic (RACPAC) streamlines the evaluation of low to intermediate-risk chest pain patients, reducing hospitalisation and healthcare costs. However, there is limited data on the virtual model of care for RACPAC.

Aim: We sought to evaluate the structure, cost-effectiveness, and imaging modalities performance of face-to-face and virtual RACPAC in an Australian setting.

Methods:A retrospective analysis of patients attending the RACPAC within a large Australian quaternary hospital between 2012 and 2021. We described the clinic parameters and imaging modality utilisation with parametric and non-parametric descriptive statics. Patterns of diagnostic modality utilisation were assessed with …

Covid-19-Related Beliefs And Dietary Behaviors Of American Undergraduate Students Vary By Race Via The Lens Of The Health Belief Model, Doreen Liou, Jong Min Lee

Department of Nutrition and Food Studies Scholarship and Creative Works

The COVID-19 pandemic caused immense physical disruptions, affecting young adults in the U.S. The Health Belief Model is a social psychological framework that predicts the likelihood of adopting health behavior. The purpose of this research is to investigate COVID-19-related health beliefs and dietary behaviors among undergraduate students during the pandemic. Using convenience sampling, a cross-sectional survey was completed by 304 individuals at a New Jersey state university. Survey data included the frequency of COVID-19 prevention behaviors (e.g., wearing an indoor mask, handwashing), and consumption of fruit and vegetables. The Health Belief Model constructs measured perceived susceptibility to COVID-19, severity, benefits, …

The Impact Of The Covid-19 Pandemic On Maternity Care Services: Lived Experiences Of Midwives In Indonesia, Mergy Gayatri, Oluwadamilare Akingbade, Indhar Wahyu Wira Harjo, Adepegba Folasade Rebecca, Salako Faith Adebola

Journal of Asian Midwives (JAM)

Background: There have been fundamental changes in global maternity care in response to the COVID-19 pandemic across the globe. However, there are limited studies in Indonesia that have explored the changes experienced by midwives in various health facilities during the COVID-19 pandemic.
Method: A qualitative phenomenological study was conducted among midwives with at least three years of clinical experience in midwifery practice and practicing at different levels of healthcare. Semi-structured interviews were conducted through WhatsApp or Phone calls, as face-to-face interviews were impossible during the pandemic. Data were analyzed using thematic analysis.
Results: In total, 24 midwives …

Pengaruh Vaksinasi Covid-19 Terhadap Kesehatan Dan Kondisi Ekonomi Masyarakat Di Indonesia, Ayu Lestari, Fauziah Zen

Jurnal Ekonomi dan Pembangunan Indonesia

The COVID-19 vaccination is considered crucial for controlling the pandemic and accelerating economic recovery. However, empirical evidence on the impact of vaccination on health and the economy at the district/city level in Indonesia remains limited. This study aims to analyze the impact of vaccination on health outcomes and economic conditions. The methodology used is a fixed effect model with monthly panel data on vaccination and health outcomes (positivity rate and recovery), as well as annual data on per capita expenditure in 514 districts/cities from January 2021 to December 2022. The results show that the first dose of vaccination significantly reduces …

Determinants Of Bangladeshi Banking Inefficiency: Do Non-Performing Loans And Basel Iii Affect Banking Inefficiency?, Mohammad Abdul Matin Chowdhury, S. M. Shamsul Alam, Wan Rohaida Wan Husain, Rafikul Islam, Anwar Hossain

DLSU Business & Economics Review

The efficiency of commercial banking is a crucial determinant of the longevity of the financial system. High credit risk is a significant feebleness that leads to high non-performing loans (NPLs), which reduce banking efficiency in any economy. In this context, this study aims to identify the determinants of banking inefficiency in Bangladesh. The Data Envelopment Analysis (DEA) technique was employed to measure banking efficiency, whereas TOBIT regression was performed to identify the determinants of inefficiency of 38 commercial banks from 2016–2022. Findings demonstrated size, ownership structure and orientation, capital structure regulations (BASEL III), GDP growth, and inflation as significant determinants …

A Mixed Methods Study Exploring The Lived Experience Of Shared Trauma In Psychiatric Nurses During Covid-19, April Lynne Hutto

Theses and Dissertations

Introduction: Psychiatric nurses (PNs) had a unique lived experience of shared trauma (ST) during the COVID-19 pandemic. These nurses experienced the same traumatic event, COVID-19, with associated trauma symptoms as their patients. This mixed methods study aims to triangulate data on ST in PNs using a quantitative and qualitative study. Methods: PN (N=24) completed a semi-structured interview during the summer and fall of 2024. A quantitative study PN (N=552) in spring 2023, using the Shared Trauma and Professional Posttraumatic Growth (STPPG) inventory, was completed with descriptive and inferential statistics using SAS 9.4. A thematic analysis of the interviews was completed …

The Influence Of Human Presence And Footprint On Animal Space Use In Us National Parks, Kaitlyn M. Gaynor, Forest P. Hayes, Kezia Manlove, Nathan Galloway, John F. Benson, Michael J. Cherry, Rolf O. Peterson, Sarah Hoy, John Vucetich, Et Al.

Michigan Tech Publications

Given the importance of protected areas for biodiversity, the growth of visitation to many areas has raised concerns about the effects of humans on wildlife. In 2020, the COVID-19 pandemic led to temporary closure of national parks in the United States, offering a pseudonatural experiment to tease apart the effects of permanent infrastructure and transient human presence on animals. We compiled GPS tracking data from 229 individuals of 10 mammal species in 14 parks and used third-order hierarchical resource selection functions to evaluate the influence of the human footprint on animal space use in 2019 and 2020. Averaged across all …

Anxiety And Depression In Today's Youth: A Current Look Into Assessment And Treatment., Meredith J. Scafe, Meghan Kanya, Meaghan Flynn, Ram Chettiar

Manuscripts, Articles, Book Chapters and Other Papers

Following the COVID-19 pandemic, the American Academy of Pediatrics (AAP), the American Academy of Child and Adolescent Psychiatry, and the Children's Hospital Association declared a national emergency in child and adolescent mental health. Rates of anxiety and depression in youth continue at unprecedented levels, contributing to rising numbers of suicide attempts and lowered school attendance. Though many medical providers are trained to assess and provide recommendations for anxiety and depression, many report feeling ill-equipped to address these concerns in a timely, feasible, and effective manner. We review the existing literature on screening for anxiety and depression in the medical setting …

Does Your Company Care About The Fears Of Pandemic For Salespeople? Insights From Pandemic Demands And Resources, Ihsan Ullah Jan, Seonggoo Ji, Changju Kim

Asia Marketing Journal

The pandemics (e.g., COVID-19) disrupt the roles of all professionals, particularly those of salespeople. This study seeks to empirically examine how fears amidst the pandemic, as pandemic demands, influence salespeople's attitudinal and behavioral outcomes and how organizational and personal resources as pandemic resources mitigate the negative outcomes for salespeople. Building on the job demands-resources (JD-R) model and employing the partial least squares-based structural equation modeling, this study tested the proposed hypotheses using responses from 237 salespeople in South Korea. The results mainly supported hypotheses. As a major theoretical contribution, this study delineates Pandemic fears in terms of salespeople's fear of …

Interleukin-6 And Tnf-Alpha As Biomarkers Associated With Ace2 Snps Rs1978124 And Rs2074192 In Patients Type Ii Diabetes Mellitus With Covid-19, Ghaleb Hussein Al-Saeedi, Wisam Salih Abood

Al-Qadisiyah Medical Journal

Background: Diabetics have a unique set of challenges as a result of the current SARS-CoV-2 Coronavirus illness 2019 (COVID-19) epidemic. It predisposes to a particularly severe course of the disease and doubles the risk of dying from COVID-19.

Aim: Was to study the analysis and comparison of the relationship between polymorphisms and immune cytokines in the pathogenesis of type 2 diabetes in SARS-CoV-2 patients.

Methods: From January 2022 to April 2022, blood samples were drawn from 120 patients who were divided into three groups for a cross-sectional and case-control study admitted to COVID-19 isolation wards: 40 of whom were infected …

Gene And Alleles Of Tyk2 (Rs11085727) And Tyk2 (Rs34536443) Polymorphisms In Covid-19 Patients Using Arms-Pcr., Thuraya Habeeb, Adnan Aubaid

Al-Qadisiyah Medical Journal

The clinical presentation of COVID-19 varies greatly from case to another, with host characteristics playing a pivotal role. The immune system is a pivotal function in establishing the course of SARS-COV-2 infection. Severe instances of COVID-19 and the resulting death are caused less by the virus itself than by the destructive unrestrained immune response. Among the host determinants for poor disease prognosis is probably genetic vulnerability to dysregulated immune response. The objective of this work is to examine some of the host genetic variables that are being studied in relation to the severity of COVID-19. The complex relationship between autoimmunity …

A Cross-Sectional Study On The Mental Health Of Survivors Of Covid-19 In Tamil Nadu, India, Guruvammal Paramasivam, Vikhram Ramasubramanian, Sugaparaneetharan Ayyanar, S. Mathumathi, P. Bijulakshmi

Indian Journal of Health Sciences and Biomedical Research KLEU

Background:

The novel coronavirus COVID 19 has been having an impact on the mental health of people. Studies have shown that a considerable percentage of people who have recovered from the infection suffer from mental health issues. Hence, it is important to follow-up on the persons who have recovered from the illness so that adequate support is provided to aid in reducing morbidity due to the illness.

METHODOLOGY:

The study was conducted among persons who had recovered from COVID-19 in a single hospital. Participants were contacted a month following their discharge from the hospital and they were encouraged to fill …

Prevalence And Predictors Of Stress During Covid Pandemic Among Health-Care Workers In India A Systematic Review, Janmejaya Samal, Bornali Datta, Subbanna Jonnalagada

Indian Journal of Health Sciences and Biomedical Research KLEU

The COVID-19 pandemic is one of its kinds of public health emergencies that the world is grappling with. The health-care workers (HCWs) were at the forefront of the battle against this scourge. As a result of continuous service delivery, they experienced stress and burnout which varied from the type of HCWs, gender, type of service, and the length of service rendered by them. Given the context, this systematic review assessed the prevalence and predictors of stress among different types of HCWs in India. The systematic review was conducted using PubMed search engine and 13 articles were selected for the purpose …

Does A Ban On Liquor Sales Benefit Alcohol Dependence Patients? A Study On Usage And Procurement Of Alcohol During The Covid-19 Lockdown, Naren Albert Rajendran, Kailash Sureshkumar, Shabeeba Z. Kailash, Sivabackiya Chitravelu, Niha R. Rumaisa

Indian Journal of Health Sciences and Biomedical Research KLEU

BACKGROUND:

Restricting the availability of alcohol in “dry states” and during the COVID-19 lockdown reveal illegal trading and consumption of illicit liquor leading to deaths and use of alternate harmful substances. The current study aims to fill the gaps in the literature to study alcohol usage and its procurement during its complete ban of sale.

MATERIALS AND METHODS:

A cross-sectional study of purposively sampled alcohol-dependent patients (

n

= 62) was conducted in an OPD setting, comparing two time periods: before and during total lockdown 2020. After reinforcing confidentiality and privacy, data were collected and analyzed.

RESULTS:

Alcohol usage during …

Knowledge, Attitude, And Practices About Online Education During Covid-19 Outbreak Among Dental Professionals In India – A Cross-Sectional Study, Nivedita Saxena, Shivayogi M. Hugar, Sanjana P. Soneta, Pooja K. Dialani, Neha Kohli, Vidyavathi H. Patil

Indian Journal of Health Sciences and Biomedical Research KLEU

AIM:

The aim of this study was to assess knowledge, attitude, and practices about online education during COVID-19 outbreak among dental professionals in India.

MATERIALS AND METHODS:

A sample of 200 participants was taken comprising interns, postgraduate, faculty, and private practitioners of dental specialty. A prevalidated 15-item questionnaire incorporating four domains was distributed among the participants. It was followed by statistical analysis of the data.

RESULTS:

The results were tabulated using descriptive analysis. Association was determined using the Chi-square test, whereas one-way analysis of variance is used for comparison between the groups. The correlation between knowledge, attitude, and practices among …

Nutrition Insights In Covid-19, Harpreet Kour, Richa Shrivastava

Indian Journal of Health Sciences and Biomedical Research KLEU

The COVID-19 is compromising individuals' immunity to a larger extent, it becomes imperative to strengthen and support the immune system with the right nutrition. Immune functioning can be improved through the right nutrition. Hence, adequate nutrition becomes paramount in leveling up the immune functioning through higher and wider Immunoglobulin generation. This review article is attempted to highlight the importance of nutrition during compromised immunity as in the case of COVID-19.