Developing And Mobilizing A Ttrpg Experience: Season D6, Jacob Woodrow Horne

Master of Fine Arts in Digital Media Culminating Experience

Season D6 is a game that will be developed as an attempt to refine certain issues seen in popular games. These shared problems include allowing players to become self-sufficient in a way that clashes with a team-based mindset, and a lack of flexibility and accidental antagonism placed upon the storyteller. To remedy these issues, Season D6 will break up the statistics that players use to calculate their in-game abilities into three separate groups, employ an experience system used to purchase abilities at a controlled, exponential rate and to calculate encounters, and uses a “Dabble” system intended to specify the roles …

Constant Connectivity To Work, Health Behaviors, Physical Symptoms: Exploring Boundary Management Practices That Can Help, Christina Christodoulou

Theses, Dissertations and Culminating Projects

The workday inevitably exposes employees to numerous demands that induce stress reactions. Without sufficient recovery (i.e. returning stress reactions to baseline), individuals risk experiencing chronic psychological, behavioral or physical strains. With the rise of constant connectivity to work, recovery is becoming more of a challenge. However, research on the recovery-related consequences of constant connectivity, particularly its impact on health behaviors and physical health outcomes, remains scarce. To fill this gap in the literature, this research explored the relationship between constant connectivity, boundary management practices, health behaviors, and physical symptoms using a mixed-methods, multi-study design. A mixed methods pilot study (N …

Exploring Student Feelings, Knowledge Related To Menstruation And Menstrual Education: A Cross-Sectional Survey, Ella A. Handel

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Menstrual, reproductive, and sexual health education in the United States remains inconsistent in both content and delivery. This inconsistency often leaves adolescents underprepared for developmental milestones such as menarche and contributes to ongoing stigma and discomfort surrounding menstruation. This study examined participants’ feelings and perceptions related to menstruation and menstrual education. Using a cross-sectional descriptive survey design, a mixed-methods approach was employed to collect data from 29 college students aged 18 to 19 years at a large public university in Arkansas. Quantitative data from Likert-scale items were analyzed using descriptive statistics, while qualitative open-ended responses were reviewed and organized into …

Silence Or Self-Disclosure? Examining The Psychological And Relational Factors Shaping Political Communication Between Gen Z And Their Families, Bradford E. Netherton

Communication (PhD) Dissertations

This dissertation examines the psychological and relational factors shaping political communication between Generation Z and their families. Using Communication Privacy Management (CPM) and Family Communication Patterns (FCP) theories as a dual framework, the study investigates how emotions, relational turbulence, and family orientations influence political self-disclosure during face-to-face gatherings. Data were collected via an online survey of 488 Gen Z participants (ages 18–28) following the 2025 Thanksgiving holiday. The results reveal a critical distinction between negative and positive privacy boundary strength. Negative boundary strength, characterized by defensive and restrictive regulation, was consistently associated with heightened experiences of fear, anger, frustration, and …

Leading With Hope: A Clinical Communication Campaign To Promote Partner Hiv Testing In Assisted Partner Notification And Antenatal Care Programs In Uganda., Emily A. Hurley, Violet Gwokyala, Linda Kisaakye Nabitaka, Jolly Beyeza Kashesya, Mercylynn Agasha, Florence Namaganda, Nikolaus Schuetz, J Nalubega Ross, Joseph K B Matovu, Rhoda Wanyenze, Glenn Wagner, Kathy Goggin

Manuscripts, Articles, Book Chapters and Other Papers

Among heterosexual couples in sub-Saharan Africa, fears of relationship dissolution and inability to bear healthy children following an HIV-positive result remain barriers to HIV testing. Recently expanded availability of pre-exposure prophylaxis (PrEP) affords a critical opportunity to promote HIV testing with reassuring communication that highlights use for relationship preservation and healthy childbearing. We aimed to develop a theoretically-grounded communication intervention to promote partner HIV testing within assisted partner notification (APN) and antenatal care (ANC) programs in Uganda. Through an 18-month iterative co-creation process, we developed the HOPE Clinical Communication Campaign (HOPE-CCC) in collaboration with a project advisory board (PAB) of …

Artistic Embodiment: The Role Of Art-Based Research In Communicating Disability Experiences, Juliana Scheopner

Theses/Capstones/Creative Projects

Visual art has immense potential to communicate complex experiences of disability. As a disabled artist, I am interested in how disability has been portrayed in artwork, particularly in how other disabled artists choose to represent their lived experiences. Through art-based research, this study explores how disabled artists have used portraiture to depict their disability. Selected art includes work from Frida Kahlo, Deborah Padfield, Persimmon Blackbridge, and the author. Following an analysis of literature, selected artworks, and salient disability scholarship, emergent themes were identified. The focus on the complexity of disability experiences demonstrated the importance of considering a wide range of …

Trad Lives Of Tiktok Wives: Rhetorical Strategies Of Mormon Wives On Tiktok, Makena L. Colson

Theses/Capstones/Creative Projects

Recently in the United States there have been debacles over gendered spaces in the home and workplace as debates spark over who a homemaker can be in a modernized society. TikTok, a short-form video social media app, is a way members of the younger generation communicate with one another over political and world events and discuss with one another in real time. The “tradwife” phenomenon on TikTok is examined here by using Walt Fischer’s Narrative Paradigm to show how what popular tradwife influencers’ words matter to a generation of adolescent girls and young mothers. Three popular influencers, Nara Smith, Hannah …

Aligning Strategy And Execution: The Role Of Senior Leaders In Project-Driven Organizations, Kenneth J. Boff

M.S. in Leadership

Strategic alignment remains a persistent challenge in project‑driven organizations, where shifting priorities and distributed execution often create gaps between strategic intent and project‑level action. This study examined how Senior Leadership Communication Practices influence Strategy–Execution Alignment and tested whether Organizational Culture for Alignment and Change Management Readiness mediate that relationship. A quantitative, cross‑sectional survey was administered to 54 senior leaders in project‑driven environments. All constructs demonstrated strong reliability, and correlation & regression analyses confirmed significant positive relationships among leadership communication, cultural alignment, readiness, and strategic alignment. Leadership communication significantly predicted culture (R² = .444), readiness (R² = .431), and alignment (R² …

Strengthening Fieldwork Mentorship: A Ceu-Based Approach To Supporting Occupational Therapy Educators, Michelle Bryant

OTD Capstone Projects

This project addresses a persistent gap in fieldwork education by developing a mentorship‑focused continuing education unit (CEU) for practitioners serving as fieldwork educators. Inconsistent preparation for mentorship has been identified as a barrier to effective supervision and student growth. Using a program-development approach, the project involved a literature review, expert consultation, and feedback from volunteer practitioners to shape the CEU’s structure, content, and clarity.

This CEU equips both Certified Occupational Therapy Assistants and Occupational Therapists with evidence‑supported strategies to strengthen core mentorship skills, including approachability, communication, adaptability, and therapeutic relationship‑building. Real‑life scenarios, guided reflection, and expert commentary help bridge theory …

The Impact Of Structured Family Meetings In The Intensive Care Unit, Loyce T. Mofor

Doctor of Nursing Practice Final Project Abstract

The Impact of Structured Family Meetings in the Intensive Care Unit (ICU)

Purpose

Train providers at an academic institution in a large metropolitan area to conduct family meetings using a structured approach and evaluate this intervention's impact on family satisfaction with communication in the ICU.

Background

Inadequate communication between families and healthcare teams leads to lower family satisfaction, heightened feelings of guilt, and diminished capacity for making clinical decisions.

Methodology

VitalTalk training was utilized to improve providers’ communication skills. Structured family meetings were conducted for Surgical and Thoracic ICU patients with an ICU length of stay of > 5 days or …

How To Talk To Zionists, Samuel Bischof

Theses and Dissertations

This paper offers rhetorical tools for weakening Liberal Zionists' commitment to the Israeli State, including a call to action, a typology of American Zionists, reflections on the author's Zionist upbringing, and an analysis of the pseudo-leftist phenomenon of Decolonial Zionism.

Promoting Healthy Relationships Through Communication And Conflict Resolution Skills In Adolescents, Persephone G. Patrone

Capstone Projects and Master's Theses

Many adolescents struggle with social skills and may be unaware of how to start and sustain healthy relationships. Without effective social skills, they may have difficulty forming long-lasting relationships and may experience feelings of isolation and loneliness. Developing these social skills can lead to greater emotional well-being, confidence, and future success. Therefore, I have created a one-day workshop for adolescents who attend the Village Project Inc. in Seaside, California.

Would You Listen, If I Could Speak?, Jordan Heaviland '29

A Midwestern Review: A Magazine of the Arts and Issues at DePauw University

Jordan Heaviland is a first-year Creative Writing major and Prindle Scholar, with a keen interest in Philosophy. He primarily writes poetry and short-fiction. His favorite books are House of Leaves and Oryx and Crake. Jordan has previous publications in Muncie Voice, Perspicacity Magazine, and The Lavender Journal.

Portrayals Of Miscarriage In Film And Television: A Qualitative Analysis, Geovana Leonetti Saraiva

All Theses

Entertainment media may serve as a primary source through which individuals learn about miscarriage; however, little research has examined how miscarriage is portrayed in film and television. This study addresses this gap by conducting a textual analysis of five films and five television shows using a constructivist grounded theory approach. Guided by the model of stigma communication (MSC), communication privacy management theory (CPM), and social support frameworks, the analysis explores how miscarriage is represented in entertainment media.

Findings indicate that the analyzed content frequently includes stigma-related cues—such as marks, labels, responsibility, and peril—that may contribute to the formation and reinforcement …

Inter-Government Communication– Transportation Options For Utahns, Andrew Nicholas Barber

Undergraduate Honors Capstone Projects

As a growing Western state, Utah has ambitions for building more infrastructure, especially public transportation. The way it organizes its communication strategy for public transportation, however, represents a microcosm in a larger debate between political scientists and economists. Professionals have backed one of two models for inter-government communication: the decentralized or “fiscal federalism” model and the centralized model, and pros and cons have been theorized for both. Decentralization, on paper, is more democratic, can better represent the needs of its constituents, and can better navigate pesky bureaucratic red tape, but is less efficient. Centralization, on the other hand, is more …

A Low Power Fpga Compute Array For Machine Learning And Artificial Intelligence Applications, Todd Wilson

All Graduate Theses and Dissertations, Fall 2023 to Present

Modern small satellites often lack the ability to analyze their data in real time, relying instead on downlinking raw measurements to Earth before any scientific interpretation can occur. This delay restricts missions that require rapid awareness of environmental or space-weather events. This thesis presents the Low-power Array for Cubesat Edge Computing Architecture, Algorithms, and Applications (LACE-C3A), a hardware platform designed to enable in-orbit data processing within the power and volume limits of CubeSat-class spacecraft. 

LACE-C3A uses a modular cluster of flash-based FPGAs, which offer low power consumption, radiation resilience, and in-flight reconfigurability. The system consists of a Controller board responsible …

Dyadic Agreement In And Task Correlates To A Measurement Of Conversational Success, Samantha Budge

All Graduate Theses and Dissertations, Fall 2023 to Present

Successful conversation matters for social connection, wellbeing, and quality of life, but people do not always agree on whether a conversation was successful, even when they participated in the same interaction. Conversation is also commonly measured through task success, even though it’s unclear how task success correlates to how successful a conversation feels. This study examined how conversational success is experienced by different conversation partners and whether feeling successful in a conversation is related to how well a task is completed.

Participants took part in a structured conversational task and then rated their own conversational experience using a self-report questionnaire …

Centering Latinx Perspectives And Cultural Identification In Music Listening: Examining Musical Consumption Behaviors And Choices Among Latinx Adults, Javier Alejandro Silerio

Open Access Theses & Dissertations

Music is a critical cultural activity and resource for people all over the world, often used for communication, recreation, identity formation, social bonding, and many other aspects of our daily lives. Moreover, this has been reported across many cultures and is not unique to a single group. Despite this, there is currently limited information and research around Latinx American music consumption and this population's overall relationship with music. Because of this, the purpose of this study is to examine music consumption behaviors among Latinx Americans, as well as possible relationships between their Latinx cultural identification and said music consumption behaviors. …

Voices Of A New Era: A Discursive Psychology Study Of Influencer-Follower Discourse On Tiktok, Andrea Guerrero Hernandez

Electronic Theses and Dissertations

The present study researched and investigated the discourse of five mega fashion influencers on TikTok, as well as the discourse of 15 followers engaging with fashion influencer content on the same platform. The theory used to guide this study was discursive psychology theory, which provided the groundwork for understanding how both influencers and followers position their identities, justify their actions and decisions, and construct their reality. The primary aim of this research is to deepen understanding of how influencer discourse shapes follower discourse, identifying recurring patterns, contradictions, and the ways in which tensions are negotiated. The findings reveal a range …

Current Landscape Of Mental Health Conversational Agents From A Trauma-Informed Care Lens: Scoping Review., Faye Kollig, Kira Voelker, Emily Ryan, Rachel Pfafman, Fayika Farhat Nova

Health Services and Informatics Research

BACKGROUND: Conversational agents (CAs) are increasingly used in mental health care to enhance access and engagement. However, their safe, ethical, and user-sensitive design remains a challenge. Despite growing attention to trauma-informed approaches in human-computer interaction, there is limited work on how the trauma-informed care (TIC) framework could be applied in the design of mental health CAs and no comprehensive synthesis to date.

OBJECTIVE: Guided by the Substance Abuse and Mental Health Services Administration's TIC framework, this scoping review explored how TIC principles (safety; trustworthiness and transparency; collaboration and mutuality; empowerment, voice, and choice; peer support; and cultural, historical, and gender …

The Cowl - V. 89 N. 20 - April 30, 2026

The Cowl

The Cowl - student newspaper of Providence College. Vol. 89 No. 20 - April 30, 2026. 32 pages.

Documentation And Dashboard Driven Quality And Safety Improvement In Interpreter Services For Limited English Proficient Patients, Richard T. Dillehay, Samuel Verkhovsky, Andrew Bohm, Harley Friedman, Dawn Welshman, Ann Morong, Vidya Karthikeyan, Jessica Dampier, Amanda Racine, Brant Oliver

Patient Experience Journal

Limited English Proficiency is known as an independent driver of disparities in patient's access to healthcare and their healthcare outcomes. The Joint Commission standards require that health systems document language services delivery to patients with limited English proficiency in a systematic way. Our health system had not historically utilized a methodical system for documenting language services utilization prior to the launch of this initiative. By utilizing a Lean Six Sigma approach, a project team comprised of leaders from interpreter services, operations, data analytics, and data informatics codesigned an Epic SmartForm data collection instrument and series of Tableau dashboards to monitor …

``We'll Be Right With You'', Improving Patient Experience With Complaint Management Within A Learning Health System Collaborative, James J. Perry, Mackenzie Hahn, Angela Kmiec, Brant J. Oliver

Patient Experience Journal

An improvement team at Cheshire Medical-Dartmouth Health participated in the Care Experience Collaborative aimed at enhancing the patient and workforce experience. Utilizing a hybrid Lean Six Sigma DMAIC approach alongside modified Institute for Healthcare Improvement learning techniques, local teams were coached by quality improvement specialists. The project's focus was on improving the complaint management process to boost hospital ratings and recommendations. Initial assessments revealed significant inefficiencies, such as delays in response times and poor tracking of complaint resolutions. Implementing a new digital monitoring system in conjunction with standardized training resulted in substantial improvements: complaint resolution times decreased by 53%, while …

Patient Experience (Px) In Low- And Middle-Income Countries (Lmics): A Scoping Review, Yara Abou Harb, Geoffrey A. Silvera

Patient Experience Journal

Patient Experience (PX) is a growing subject in the healthcare industry due to its association with improved clinical outcomes, patient safety, and business motives. While PX is well studied in high income countries, little is known about the state of PX in Low and Middle-income countries (LMICs). Objective: The study aims to examine literature on PX and related concepts in LMICs. Methods: This study executes a PRISMA literature review of academic databases (Ovid Medline, CINAHL, EMBASE and Google Scholar) as well as hand searching of PX related websites from 2005 to 2024. Results: 67 references met search criteria. Four themes …

Investigating The Effectiveness Of Different Modalities In Interprofessional Training, Rose Ann Mathai, Sean Lopez, Maureen Emlund, Jim Scherrer, Elisa Buzinski, Julia Sonnichsen, Myra Carew

Patient Experience Journal

Background: Interprofessional education (IPE) highlights the importance of values and ethics, teamwork, communication, and roles and responsibilities for healthcare professionals. Different modalities have been used to teach these skills. The most effective teaching modality must be determined to enhance the collaborative learning experience. Purpose: This study evaluated the changes in student perceptions on each interprofessional competency with respect to the teaching modality. Two groups were evaluated for this study. One was taught using a hybrid curriculum and the other in-person. Methods: This study utilized the Students' Perceptions of Interprofessional Clinical Education (SPICE-R2) survey to determine the changes in student …

Leveraging Digital Patient And Family Advisory Councils To Drive Patient Engagement, Priya Radhakrishnan, Shambhavi Mishra, Melissa Price, Cammy Sanders, Fiker Bekele, Kathi Zarubi, Craig Kartchner, Amrit Singh Johal, Carol Mayer, Craig Norquist

Patient Experience Journal

Patient and Family Advisory Councils (PFACs) have been integral in enhancing patient care, but their limited reach often excludes underrepresented populations. Digital PFACs present an opportunity to overcome these barriers and engage a broader spectrum of patients and families, fostering more inclusive healthcare decision-making. We implemented a Digital Patient and Family Advisory Council (DPFAC) at HonorHealth, as part of the Patient Centered Outcomes Research Institute (PCORI) capacity building grant. We used the RE-AIM and PRISM frameworks to engage participants through a digital platform. The process began with a needs assessment and was followed by the development of the platform, during …

Inaccessibility And Performative Inclusivity: Higher-Weight Francophone And Newcomer Adults' Experiences In A Canadian Atlantic Province, Andrea E. Bombak, Norma Chinho, Kathleen O'Keefe, Sumaiya Akhter, Lisa Thomson, Courtney Burk, Lee Turner

Patient Experience Journal

Weight stigma research is needed in diverse populations. Two populations that may experience compromised healthcare in New Brunswick, Canada's only officially bilingual province (English/French), are Francophone New Brunswickers and newcomers to Canada. As such, this study explores the experiences of higher-weight (Body Mass Index ≥ 30) adults (≥ 18 years of age) who also identify as primarily Francophone or as having moved to Canada ≤ 5 years ago in and out of healthcare contexts. Participants were interviewed according to a semi-structured interview guide face-to-face, by telephone, or video-call two times, at 2-to-3-month intervals. Interviews included questions about experiences and effects …

Applying A Patient Journey Mapping Approach To Understand Maternal Care Patient Journeys: A Pilot Study, Nicole Hicks, Kristin Tully, Christopher Goodier, Sreenath Chalil Madathil, Ayaba Logan, Myrtede Alfred

Patient Experience Journal

Introduction: In the United States, giving birth is the most common cause of hospitalization. Maternal care frequently represents birthing people's first experiences of prolonged interactions with the healthcare system. However, the structure of services is often fragmented and misaligned with individuals' needs, particularly for Black birthing people. Documenting birthing people's experiences during pregnancy and postpartum allows for identification of practices working well and opportunities to improve patient-centered maternal care. Methods: The mixed-methods study was conducted in the southeastern United States and used patient journey mapping(PJM) to document experiences of patients receiving maternal care at a large academic hospital …

Using Artificial Intelligence To Enhance Patient Comprehension And Risk Perception Of Pathology Reports: Findings From A Survey Of Patients And Pathologists, Jordyn Franco, Osee Koulong Leussa, Amer K. Abu Alfa, Mark K. Fung

Patient Experience Journal

Context: Electronic health records (EHRs) provide patients with direct access to their pathology reports, often before physician consultation. However, the complexity of medical terminology can lead to misinterpretation and anxiety. Artificial intelligence (AI), particularly large language models such as ChatGPT, may improve patient comprehension by simplifying medical language. Objective: This study evaluates ChatGPT's ability to enhance patient understanding and risk perception of pathology reports by generating patient-friendly explanations and assigning a numerical concern level. Pathologists assessed the accuracy of AI-generated summaries. Design: A publicly available colonoscopy pathology report was analyzed using ChatGPT, which produced a simplified summary and concern score. …

The Quiet End Of The Visit, Avinav Biswas

Patient Experience Journal

Reassuring language is a common and often well-intentioned feature of clinical encounters, frequently used to convey clinical confidence and bring visits to a close. This personal narrative reflects on an observed outpatient encounter during a physician shadowing experience in which reassurance appeared to function not only as comfort, but also as an implicit signal of conversational closure. From the perspective of a student observer, the piece describes a moment of patient hesitation that arose after reassurance was offered, then quietly disappeared as the visit concluded. Although the encounter was clinically appropriate and efficient, the unspoken pause highlighted how uncertainty can …