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An Accountability Myth: A Critical Analysis On High-Stakes Testing In U.S. Schools, Noelle E. Haskell Dec 2025

An Accountability Myth: A Critical Analysis On High-Stakes Testing In U.S. Schools, Noelle E. Haskell

Journal of Multicultural Affairs

High-stakes testing has become synonymous with the United States (U.S.) education system. This began in the early 1900’s through the form of intelligence testing which was developed by several U.S. psychologists. Since then, high-stakes testing has taken on many forms. Popular policies such as No Child Left Behind (NCLB), Race to the Top, and the Every Student Succeeds Act (ESSA) have all taken aim at increasing academic achievement and holding schools accountable through high-stakes, standardized tests. Even through its varying forms, high-stakes tests have continued to perpetuate inequalities. Considering this, the current study examines how the rhetoric used in describing …


Interventions To Promote Menstrual Health Among Adolescents In Lmic’S: Protocol For A Systematic Review, Precilla Dsilva, Sudhir Prabhu Dr, Prajna Kumari Dr, Baby S. Nayak Dr, Judith Noronha Dr Dec 2025

Interventions To Promote Menstrual Health Among Adolescents In Lmic’S: Protocol For A Systematic Review, Precilla Dsilva, Sudhir Prabhu Dr, Prajna Kumari Dr, Baby S. Nayak Dr, Judith Noronha Dr

Manipal Journal of Nursing and Health Sciences

Background: Menarche brings out significant change in each girl’s life. Coping with the discomforts and adopting the body changes becomes a biggest challenge for every teen. Cost effective non pharmacological interventions will help to bring about improvement in the general wellbeing and quality of life in each adolescents life.

Objective: This review aims to determine the different menstrual interventions adopted by adolescent girls residing in Low and Middle Income Countries (LMIC’s). The Review question will be :What interventions are currently available, and how do they contribute in promoting menstrual health among adolescents from LMICs

Methods: This review will include …


Self-Handicapping In Purdue Honors Students, Amanda Colip, Colin O'Donnell, Triniti Jenkins Dec 2025

Self-Handicapping In Purdue Honors Students, Amanda Colip, Colin O'Donnell, Triniti Jenkins

The Journal of Purdue Undergraduate Research

No abstract provided.


Kuleana Mākua: Native Hawaiian Parents' Exercise Of Agency In K-12 School Selection, Joseph Piikeha Kahaka`Ulamaikalaniki`Eki`E Hao Dec 2025

Kuleana Mākua: Native Hawaiian Parents' Exercise Of Agency In K-12 School Selection, Joseph Piikeha Kahaka`Ulamaikalaniki`Eki`E Hao

Theses and Dissertations

In this qualitative study the author investigates how Native Hawaiian parents on Hawai`i Island navigate educational choices for their children amidst a history of centralized, Western-dominated schooling and systemic cultural suppression. Grounded in Bandura’s Social Cognitive Theory (SCT), the research explores parent perceptions of different K–12 school types and the complex factors that drive their selection. Through semi-structured interviews and a card sort activity with sixteen Native Hawaiian parents (n = 16), the study confirms that parental choice is fundamentally an act of indigenous self-determination defined by Kuleana Mākua (parental responsibility, authority, and privilege). The findings reveal that parents’ choices …


Phenomenological Qualitative Study Exploring The Lived Experiences Of Women With Terminal Degrees Related To The Gender Gap In Education Leadership Roles, Ashley Walker Dec 2025

Phenomenological Qualitative Study Exploring The Lived Experiences Of Women With Terminal Degrees Related To The Gender Gap In Education Leadership Roles, Ashley Walker

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to understand the gender gap within education leadership for female teachers with terminal degrees within a Midwestern suburban school district and geographically similar educators recruited via Facebook. The theory that guided this study was Bandura’s theory of self-efficacy as it explains the relationship between self-efficacy and the choice to pursue professional leadership roles. Using purposeful and snowball sampling, 10 women were selected to participate in this study. Nine women who fit the selection criteria were recruited from the XYZ school district, and one participant was recruited via Facebook. Data were collected through …


A Transcendental Phenomenological Study Of The Influence Of Leadership Styles On Teacher Retention In Rural Schools In South Carolina, Kayla Francena Carter Dec 2025

A Transcendental Phenomenological Study Of The Influence Of Leadership Styles On Teacher Retention In Rural Schools In South Carolina, Kayla Francena Carter

Doctoral Dissertations and Projects

This transcendental phenomenological study explored the influence of principal leadership on teacher retention in rural schools in South Carolina. Grounded in the theoretical framework of self-efficacy, the study examined how specific leadership behaviors and practices shape teachers' decisions to remain in or leave their positions. The central research question guiding this study was: How does a principal's leadership style impact teacher retention in rural areas in South Carolina? A purposeful sample of 12 certified elementary, middle, and high school teachers with at least three years of experience working in rural schools participated in the study. Data was collected through open-ended …


From Public To Private: Understanding Parental Perceptions On Middle School Transitions, Joseph P. Peeden Dec 2025

From Public To Private: Understanding Parental Perceptions On Middle School Transitions, Joseph P. Peeden

Ed.D. Dissertations

The purpose of this qualitative study was to explore parents/guardians’ perceptions of their children’s transition from elementary to middle school, focusing on transitions to private middle schools and differences based on prior schooling (private versus public elementary) and gender. In this study, I addressed the lack of understanding regarding how private education transitions impacted students academically, socially, and culturally, including challenges related to social-emotional learning and cultural adjustment. I collected data from 75 parents/guardians using questionnaires and conducted 20 follow-up interviews in the Southeast United States to examine their experiences. I found that students transitioning from public schools to private …


The Effects Of Applying Self-Regulated Learning Prompts On Academic Achievement In A Public Middle-School Science Classroom, Andrew Barham Dec 2025

The Effects Of Applying Self-Regulated Learning Prompts On Academic Achievement In A Public Middle-School Science Classroom, Andrew Barham

Doctoral Dissertations

Student success in science courses is a critical focus for K–12 educators, particularly during the transition period of middle-school, where students face increasing academic and social demands. Self-regulated learning (SRL) strategies have been shown to enhance academic outcomes by fostering independent learning and metacognitive awareness. However, research on the implementation and effectiveness of SRL interventions in middle school science classrooms, particularly within the constraints of public school settings, remains limited.

This study investigated the effects of an SRL intervention on the academic achievement of eighth-grade students during a six-week astronomy unit. Students from a public middle school in the San …


Expanding Epilepsy Representation: On Education And Awareness, Aliyah Wise Dec 2025

Expanding Epilepsy Representation: On Education And Awareness, Aliyah Wise

Honors Projects

The present-day American public education system has evolved to try to teach young students about more cultures and people of different lifestyles. However, despite these reforms to push for an inclusive education system, there is still minimal effort to teach students about disabilities and the people who live with them. As a student living with epilepsy, I have observed a lack of education or conversation about this disability. The purpose of this research project is to ask: How does miseducation on epilepsy contribute to harmful stereotypes and lead to real issues for people living with this disability? How should neurotypical …


Design With A Purpose: An Introductory Faith-Integrated Graphic Design Textbook For Christian Higher Education, Rosealine Lemette Dec 2025

Design With A Purpose: An Introductory Faith-Integrated Graphic Design Textbook For Christian Higher Education, Rosealine Lemette

Masters Theses

This thesis project addresses the absence of faith-informed graphic design curriculum available to Christian higher education programs creating a curricular gap that limits students’ ability to draw meaningful connections between their profession and Christian identity. The proposed solution in this project is an introductory graphic design textbook that combines foundational design theory, historical context, and hands-on skill building from a Christian worldview. This educational resource will guide students and faculty to view their profession as a divine calling, engaging in the creative process as an act of worship while developing an ethical and spiritually grounded design process. The comprehensive literature …


Exploring The Influence Of A Faith-Based Ngo On The Causal Agency Of Children With Disabilities Living In Informal Settlements Outside Nairobi: A Case Study, Amy M. Silvas Dec 2025

Exploring The Influence Of A Faith-Based Ngo On The Causal Agency Of Children With Disabilities Living In Informal Settlements Outside Nairobi: A Case Study, Amy M. Silvas

Doctoral Dissertations and Projects

The purpose of this case study was to explore the influence of a faith-based non-governmental organization’s (NGO’s) special needs supports on the causal agency of children with disabilities living in an urban settlement outside Nairobi, Kenya. The theory guiding this study was Shogren et al.’s causal agency theory as it looks at the fundamentals of self-determination in interaction with the demands and support available within a specific context. The central research question was: How does interaction with a faith-based NGO’s special education supports influence the ability of children with disabilities and living in an urban informal settlement to be active …


Examining The Influence Of Education On Job Satisfaction Among Georgia Police Officers: A Causal-Comparative Quantitative Analysis, Ebony J. Gammon Dec 2025

Examining The Influence Of Education On Job Satisfaction Among Georgia Police Officers: A Causal-Comparative Quantitative Analysis, Ebony J. Gammon

Doctoral Dissertations and Projects

The purpose of this quantitative causal-comparative study was to determine if a significant difference exists between job satisfaction scores among police officers with varying levels of education. This study is important because it addresses contemporary challenges in law enforcement, will provide valuable insight into informed decision making, has broad implications and applicability, and will contribute to scant policing knowledge that informs the understanding of education level on police actions. More specifically, how higher education or the absence thereof impacts job satisfaction. The sample was composed of 180 sworn Peace Officer Standards and Training (POST) certified, police officers in the state …


Improving Self-Efficacy Among Clinical Instructors: The Impact Of Communication Education On Handling Lateral Violence, Emma Guidry Dec 2025

Improving Self-Efficacy Among Clinical Instructors: The Impact Of Communication Education On Handling Lateral Violence, Emma Guidry

Doctor of Nursing Practice Projects

The quality improvement (QI) project aims to determine if clinical instructors perceive changes in self-efficacy in communication skills specific to lateral violence (LV) situations secondary to an educational intervention. Currently, clinical nurse instructors lack education specifically addressing communication strategies to utilize when LV occurs in the clinical setting. Banduras Social Cognitive Theory, Lewin’s Change Theory and the Plan-Do-Study-Act (PDSA) were employed as frameworks in the development of this project. Methods used in this quasi-experimental design project include administration of the Self Efficacy to Address Disruptive Behaviors Scale (SADBS) survey to project participants, nursing clinical instructors. The evidence-based practice (EBP) intervention …


Be Yourself: Life History Of Gay K-12 Educators In Kentucky And Their Lived Experiences., Kevin L. Garner Dec 2025

Be Yourself: Life History Of Gay K-12 Educators In Kentucky And Their Lived Experiences., Kevin L. Garner

Electronic Theses and Dissertations

This qualitative life history study explored the lived experiences of gay male educators navigating authenticity, visibility, and advocacy in K–12 schools across Kentucky. Using Queer Theory as the primary framework, complemented by Queer Pedagogy, Culturally Relevant Pedagogy, and Minority Stress Theory, the research examines how social, institutional, and political contexts shape the professional lives and identity expression of gay men working in educational settings. Semi-structured, in-depth interviews were conducted with ten participants, each sharing life narratives that illuminated the intersection between personal authenticity and professional identity within politically and religiously conservative environments. Through reductive analysis and thematic …


Promoting Self-Reflection And Implicit Bias Awareness In Nursing: A Mixed-Method Study Advancing Practice And Fostering Healthcare Equality, Diane S. Kramer, Victoria Y. Mccue, Anshul Saxena, Jeanette B. Deniz, Nicole Burks, Patricia Russell Dec 2025

Promoting Self-Reflection And Implicit Bias Awareness In Nursing: A Mixed-Method Study Advancing Practice And Fostering Healthcare Equality, Diane S. Kramer, Victoria Y. Mccue, Anshul Saxena, Jeanette B. Deniz, Nicole Burks, Patricia Russell

Nursing & Health Sciences Research Journal

Background: Implicit biases influence how nurses perceive and interact with patients and shape clinical practice. Awareness is crucial because implicit biases are difficult to detect. Our study evaluated how educational sessions impacted awareness and understanding of implicit bias. In our study, we sought to mitigate effects of these biases on patient care to promote equitable healthcare outcomes.

Methods: The research involved registered nurses from all levels employed at nine hospitals. Data were collected anonymously through voluntary participation to ensure confidentiality. A mixed-methods approach with a quasi-experimental prepost design was utilized to measure the effectiveness of the educational session. Descriptive statistics …


Teaching Literacy Foundations (2nd Edition), Debra D. Murphy Dec 2025

Teaching Literacy Foundations (2nd Edition), Debra D. Murphy

ATU Faculty OER Books and Materials

Goals and Objectives of the Textbook

This textbook aims to equip educators with the knowledge, skills, and tools necessary to create rich and inclusive literacy learning environments for all students. The specific objectives of the textbook are:

1. To present a historical and theoretical framework for understanding literacy development and instruction.

2. To explore the essential components of literacy instruction, including phonemic awareness, phonics, vocabulary development, reading fluency, reading comprehension, and writing instruction.

3. To provide practical strategies and activities for teaching and assessing literacy skills.

4. To discuss differentiated instruction and inclusive practices that address the diverse needs of …


The Loss Of The Moral Principal: How The Attitude Of School Discipline Changed From The 1950s Through The 1980s, Brendan Webster Dec 2025

The Loss Of The Moral Principal: How The Attitude Of School Discipline Changed From The 1950s Through The 1980s, Brendan Webster

Honors Projects

This comparative historical analysis examines the profound ideological transformation of student discipline in American secondary schools between 1950 and 1989. Utilizing a comparative textual analysis of primary source documents published in The High School Journal. This study investigates how administrative philosophy, professional concern, and disciplinary practice responded to the sociological and geopolitical views in the respective decades.

The research identifies a core continuity in the school's role as an agent of social control, but documents a fundamental divergence in the mechanisms used to achieve it. The 1950s view, shaped by mental hygiene and democratic idealism, framed discipline as a developmental …


Aku Research 2025, Office Of Research And Graduate Studies Dec 2025

Aku Research 2025, Office Of Research And Graduate Studies

Office of Research and Graduate Studies

  • With dementia surging, BMI seeks tools for prevention
  • The past, present and future of teaching in Pakistan
  • Transforming educations with evidence
  • Research influences national teacher development programme
  • Redefining the migrant experience
  • Study finds women are underrepresented in East Africa’s media
  • Study identifies targets for treating drug-resistant tuberculosis
  • Addressing extreme heat’s impacts on the vulnerable
  • Colorectal cancer detection gets an AI boost
  • Addressing the quiet crisis of women’s mental health
  • The pandemic was especially hard for female health workers
  • Advancing reproductive health in Pakistan
  • A push for advanced practice nursing and midwifery
  • Major study yields essential data on maternal health
  • Saving …


All Rivers Reach The Sea: Can We Improve Ocean Conservation Through Improving Public Understanding Of The Connections Between Marine And Terrestrial Systems?, Lauren Hind Dec 2025

All Rivers Reach The Sea: Can We Improve Ocean Conservation Through Improving Public Understanding Of The Connections Between Marine And Terrestrial Systems?, Lauren Hind

The Plymouth Student Scientist

With marine environments facing growing threats and their connections to terrestrial environments often disregarded, understanding public perceptions of these connections is crucial for effective ocean conservation. This study aimed to assess public understanding of the interconnectedness of marine and terrestrial environments and its influence on ocean conservation efforts. To achieve this, two questionnaires (N=560) were distributed among over 18’s (N=301) and under 18’s (N=259) evaluating their knowledge on the connections between marine and terrestrial environments, engagement with conservation and views on education and responsibility. The results indicated a limited understanding and awareness of marine-terrestrial connections, particularly among under 18’s. Current …


Disproportionately Disadvantaged: A Narrative Literature Review Into How External Stressors And Stigmas Impact And Affect A Lgbtq+ High School And College Student's Mental Health And Education, Amaya Perkins Dec 2025

Disproportionately Disadvantaged: A Narrative Literature Review Into How External Stressors And Stigmas Impact And Affect A Lgbtq+ High School And College Student's Mental Health And Education, Amaya Perkins

Open Access Theses & Dissertations

The LGBTQ+ community faces many stressors in educational, societal, and professional contexts. It is important to understand the factors that affect the lives of LGBTQ+ high school and college students, as they can impact their educational quality. This thesis will explore and identify the structures in place that affect the mental health of LGBTQ+ students which range from a lack of medical support to how stigmatization and violence impact mental health. This is a narrative literature review that aims to review, critique, and synthesize the literature of 26 academic journal articles. This thesis found that LGBTQ+ students were scared to …


The Kangaroo Care Project: Implementation Of Skin-To-Skin (Sts) In Sutter Medical Center, Sacramento, Neonatal Intensive Care Unit, Bianca Wong, Katherine Do, Martha Calero, Lydia Nambala Dec 2025

The Kangaroo Care Project: Implementation Of Skin-To-Skin (Sts) In Sutter Medical Center, Sacramento, Neonatal Intensive Care Unit, Bianca Wong, Katherine Do, Martha Calero, Lydia Nambala

ELMSN E-Portfolio. A collection of Scholarly and Creative Works

Background: Skin-to-skin contact, also known as kangaroo care or kangaroo mother care, is an intervention typically done after birth to promote physiologic stability, bonding, and breastfeeding.

Aim: The Kangaroo Care project aimed to increase the incidence of skin-to-skin contact in the neonatal intensive care unit at Sutter Medical Center, Sacramento.

Methods: A pre-survey was conducted to assess staff comfort with skin to skin. Interventions to increase skin-to-skin rates included staff e-learning, unplanned extubation mock codes, nurse champions, and a policy change to Sutter Medical Center, Sacramento’s handbook.

Results: TBD. Preliminary results indicated use of STS in the NICU and post-results …


Sharing Hope Series, Sharon A. Smith Dec 2025

Sharing Hope Series, Sharon A. Smith

Capstone Projects and Master's Theses

Stigma surrounding mental illness in communities of color creates significant barriers to seeking mental healthcare, leaving many individuals and families without the support they need. This capstone project was implemented through the National Alliance on Mental Illness (NAMI) and its Sharing Hope Series, a program designed to provide culturally responsive mental health education and resources. The initiative serves communities of color where stigma, cultural beliefs, myths, and historical mistrust often create barriers for those needing to seek services. The purpose of the project is to reduce stigma and increase awareness through open dialogue, education, and resource sharing. Implemented as a …


Grounded & Connected: Enhancing Mental Health Literacy And Resilience Among Transfer College Students, Alyson Morgan Dec 2025

Grounded & Connected: Enhancing Mental Health Literacy And Resilience Among Transfer College Students, Alyson Morgan

Capstone Projects and Master's Theses

Many college transfer students experience poor mental health, including anxiety, depression, panic attacks, and suicidal ideation. Recent findings show that transfer students face unique stressors related to adjusting to a new campus environment and often struggle to access support services (Center on Transition Innovations, 2023). Although many students recognize the signs of deteriorating mental health in themselves, they may not know how to seek help or use healthy coping strategies. To address this need, I created an 80-minute workshop for transfer students at Modesto Junior College to address the lack of awareness of mental health struggles, the different stressors of …


Enhancing Emotional Regulation Skills In Kindergarteners, Erica C. Ayers Dec 2025

Enhancing Emotional Regulation Skills In Kindergarteners, Erica C. Ayers

Capstone Projects and Master's Theses

Kindergarten-aged children often have trouble regulating their emotions because emotional regulation is a complex process to comprehend and manage. The development of emotional regulation is crucial in this developmental stage because it sets the child up for academic, career, and social success in life (Schlesier et al., 2019). Failing to learn successful regulation can have negative effects on mental well-being and social behaviors. Therefore, it is essential to teach kindergarteners emotional regulation. For this purpose, I developed two workshops that promoted self-awareness, cognitive reappraisal, and versatility among kindergarteners (4 to 5 years old) at Brookside Christian Little Learners in San …


Chatgpt In Teaching English As A Foreign Language: Teacher And Learner Perspectives, Sameiha Alhussain N Khawaji Dec 2025

Chatgpt In Teaching English As A Foreign Language: Teacher And Learner Perspectives, Sameiha Alhussain N Khawaji

University of Tabuk Journal for Humanities and Social Sciences

This study investigates ChatGPT as a supplementary tool in English as a Foreign Language (EFL) education through surveys of 150 teachers and 350 learners in Asia, Europe and Latin America. Results show that ChatGPT improves language proficiency by providing personalized feedback, conversational fluency (72% of users reported improvement), writing scores by 22% and vocabulary through contextualized practice. Teachers found it useful for lesson planning and administrative tasks. However, challenges such as plagiarism risks (15% of cases), occasional inaccuracies and cultural insensitivities especially in idiomatic and formal language use require ethical guidelines and human oversight. For example, Asian participants noted mismatches …


Historical Context In Mathematics Education: Improving Student Engagement And Achievement, Colette Chilton-Carr Nov 2025

Historical Context In Mathematics Education: Improving Student Engagement And Achievement, Colette Chilton-Carr

Electronic Theses and Dissertations 2020 - Present

There are many informational gaps in contemporary mathematics education. Students see the mathematical topics they are being taught as facts and procedures unrelated to each other or to themselves as mathematicians. Many ancient developments in the realm of mathematics are still relevant today, showcasing the needs that motivated their longstanding evolution. By including the stories behind the formulas in mathematics classrooms, students from diverse backgrounds can feel seen and connected to their education. The inclusion of the holistic background of mathematics cannot be nurtured in the classroom without buy-in on the parts of both students and instructors, as well as …


Assessing The Impact Of Cultural Competence Training For Providers Serving Native Americans, Chinazo Obi Nov 2025

Assessing The Impact Of Cultural Competence Training For Providers Serving Native Americans, Chinazo Obi

Doctor of Nursing Practice Projects

The United States is a culturally diverse nation, yet many healthcare providers report challenges in delivering care that respects cultural values and traditions. Within mental health settings, this gap is especially concerning for Native American populations, who experience disproportionately high rates of mental health conditions and face barriers to culturally responsive care. The purpose of this quality improvement project was to assess the impact of a cultural competence education and training intervention on mental health providers’ knowledge and self-efficacy in delivering culturally competent care to Native American patients. Guided by Leininger’s Culture Care Theory of Diversity and Universality and the …


Exploring Student And Faculty Perceptions Of Website Credibility, Mark J. Viner Dr., Elizabeth S. Stewart Dr. Nov 2025

Exploring Student And Faculty Perceptions Of Website Credibility, Mark J. Viner Dr., Elizabeth S. Stewart Dr.

Intersections: Critical Issues in Education

This research investigation delves into the multifaceted realm of internet searches and online web pages, aiming to explore thoughts and opinions held by undergraduate students, graduate students, and faculty. Understanding how individuals navigate and interpret information online is crucial as the digital landscape evolves.

The study investigates the factors concerning users' choices in searching for information online and search results' perceived accuracy or validity. Additionally, it delves into users' perceptions of online content, examining their practices, credibility, and the sharing of information online with others.

By collecting and analyzing responses from undergraduate students, graduate students, and faculty, the research identifies …


Sustaining Momentum While Dissertating: The Journey Of Two Women Scholars, Tasha Egalite, Kristin L. Kew Nov 2025

Sustaining Momentum While Dissertating: The Journey Of Two Women Scholars, Tasha Egalite, Kristin L. Kew

Intersections: Critical Issues in Education

This paper is a narrative reflection on some reasons for earning a doctorate and writing a dissertation. We are two scholars interested in sustaining educational change and dedicated to better understanding and supporting the process and growth of students in doctoral programs. In our pláticas, we share and reflect on our own doctoral journeys, the critical issues we encountered, and the hoops we jumped through while completing our dissertations.


Satisfaction And Barriers To Online Learning Among Omani Undergraduate Nursing Students: A Cross-Sectional Study, Jansirani Natarajan, Mickael A. Joseph, Dooa S. Al Jabri, Juhaina N. Al Shabibi, Sheikha H. Al Quwaiti, Bushra K. Al Bahri Nov 2025

Satisfaction And Barriers To Online Learning Among Omani Undergraduate Nursing Students: A Cross-Sectional Study, Jansirani Natarajan, Mickael A. Joseph, Dooa S. Al Jabri, Juhaina N. Al Shabibi, Sheikha H. Al Quwaiti, Bushra K. Al Bahri

Sultan Qaboos University Medical Journal

Objectives: This study aimed to assess Omani nursing students’ satisfaction with online learning and perceived barriers that may hinder the seamless integration of online theory courses into the nursing curriculum. Methods: This descriptive cross-sectional study was administered to nursing students at Sultan Qaboos University, Muscat, Oman, in the Spring 2024 semester. The 34-item Distance Education Learning Environment Survey and the 22-item Barriers to Online Learning Scale were used. Descriptive statistics and t-tests/ANOVA examined associations. Results: A total of 155 respondents were included (response rate = 73.1%); most respondents were female (n = 126, 81.3%), aged 18– 22 years (n = …