Digital Commons Network^™

Using Wellbys To Demonstrate The Social Value Of Social Prescribing At A National Level: Evidence From Green Social Prescribing In England, C Dayson, Ian Wilson, D Leather, A Foster, R Jaques, A Haywood, R Garside, C Harris, H Hunt, E Holding, Kerryn Husk, Rebecca Lovell, Katie Shearn, J Dobson, J Thompson

Peninsula Medical School

Social prescribing is a health policy initiative that aims to create closer links betweenhealth services and community activities. Despite its rapid adoption there are concernsabout efficacy and value for money. We used a WELLBY (Wellbeing Adjusted Life Year)approach to identify the social value created through a national mental health-focussedgreen social prescribing (GSP) programme in England (2021-23). We found that GSP canlead to significant wellbeing benefits for people experiencing mental ill-health, with asocial return on investment (SROI) of between £2.38-£5.90. However, we argue that theWELLBY approach should not be used uncritically. In our study WELLBYs proved to be aneffective social value …

Predictive Models Of Student Mental Health: The Correlation Between Academic Burnout And Depression In The Higher Education Environment, Hyejoon Song

Masters Theses

Importance: Over 80% of U.S. college students report significant emotional difficulties, and 58% endorse academic burnout as a persistent concern, yet institution-specific data at faith-integrated universities such as Liberty University remain scarce, limiting evidence-based programmatic response.

Objective: To examine the correlation between academic burnout and depressive symptomatology at Liberty University, identify the most predictive individual burnout item via Random Forest machine learning, and characterize distinct student risk profiles via KMeans clustering. Design, Setting, Participants: Cross-sectional survey (IRB-FY24-25-1491, Exempt) of 236 Liberty University students (mean age 36.9 ± 14.3 years; 84.0% female; 61.0% graduate-level), 2025–2026 academic year.

Main Outcome and Measures: …

Returning To The Third Place: For Mental And Spiritual Well-Being, Angela M. Creason

Masters Theses

This study investigates the impact of Generation Z’s (Gen Z’s) digital immersion and post-COVID lifestyle patterns on their interpersonal relationships. The literature shows that anxiety, continuous online connectivity, and pseudo-relationships developed through social media hinder their ability to form and maintain face-to-face connections. Using case studies, visual analyses, and research-grounded graphic design, the project examines how Gen Z utilizes coffee shops as a hybrid space for work and selective social interaction. The analysis shows that this generation is open to in-person engagement when environments feel convenient, low-pressure, and aligned with their values. These findings inform the development of Percolate, a …

Spiritual Fortitude And Foster Care, Alesha R. Leonard

Doctoral Dissertations and Projects

In 2022, over 200,000 American children exited foster care settings, with many reporting feeling underprepared to face the demands of adulthood (Children’s Bureau, 2023; Haggman-Laitila et al., 2018). Adults with foster care backgrounds are more prone to struggle with cognitive, emotional, and behavioral development, which may hinder brain development throughout emerging adulthood years (Avery & Freundlich, 2009). This study introduced spiritual fortitude as a potential protective factor against poor transitions to adulthood and against mental health struggles among adults with foster care backgrounds. Spiritual fortitude involves development and practice of spiritual coping mechanisms to build resilience (Van Tongeren et al., …

Canine And Equine Behaviors In Therapy: An Exploratory Multiple Case Study, Sarah E. Montano

Doctoral Dissertations and Projects

Animal-assisted therapy (AAT) utilizes animals in the treatment of clients with mental health disorders. Dogs and horses are often used in this modality, but studies have not explored the use of these two types of animals in AAT to discover if there are similarities and differences in the behaviors the animals display during therapeutic sessions. The present study utilized interviews with clinicians providing canine-assisted therapy or equine-assisted therapy to investigate similarities and differences. The interviews were audio and video recorded and transcribed verbatim. Thematic analysis was used to identify key themes regarding the behaviors of the animals. The analysis showed …

Bridging The Gap: Teacher's Perspectives On Trauma-Informed Care And It's Implementation In Schools, Alyssa Erika Jimenez

Doctoral Dissertations and Projects

Childhood trauma exposure is a profound public health concern with significant impacts on overall development and long-term physical and mental health. However, a critical gap remains in understanding how these experiences manifest in school settings. The purpose of this qualitative phenomenological study was to gain an understanding of teacher perspectives on trauma and trauma-informed care approaches in school settings and level of competence and support by administration when encountering potential trauma-induced behaviors in the classroom. Data were collected utilizing semi-structured audio-recorded interviews and open-ended questionnaires from four educators who had some form of experience with trauma-informed care practices. Thematic analysis …

Perceptions Of The Effects Of Launch Control Center Environmental Exposures And Alert Schedules Among Missile Operations Officers: A Mixed Methods Phenomenological Study, Dawnie Rae Ramie

Doctoral Dissertations and Projects

This mixed methods hermeneutic phenomenological study focused on an investigation of the perceptions of missile operations alert duty and the effects on health and sleep hygiene among Air Force missile operations officers. Questionnaires, interviews, and surveys were all used to gather data on subjects’ experiences and perspectives, including methods to mitigate the effects of poor sleep. Driving questions of research included how missile alert schedules affect sleep habits, as well as how missileers perceived alert duties may impact their health. Data was collected through a web-based Qualtrics Likert questionnaire (N=139), open-ended interviews with purposively selected subjects (N=17), and web-based Qualtrics …

Using Weekly Guided Meditation To Develop Community, Connection And Improved Overall Experience And Wellbeing At Work, Mary Patterson Friedmeyer

InnovateHER Meeting 2026

The majority (99%) of respondents rated the Weekly Guided Meditation (via zoom) as being both impactful and valuable in their lives. The majority (82%) of respondents reported finding more balance in the workday and improvement in overall well-being. The majority (63%) of respondents were neutral on building community, with just over one third (36%) of respondents responding positively to community building.

Baseline Moderators Of A Transdiagnostic Adolescent Sleep And Circadian Health Intervention's Effectiveness At Improving Circadian Sleep Health: A Pilot Investigation, Jamon M. Jex

Theses and Dissertations

The current study examined whether baseline demographic and clinical characteristics moderate the effectiveness of the Transdiagnostic Sleep and Circadian (TSC) intervention in improving adolescent circadian sleep health. Using an integrative data analysis approach, data from three independent adolescent samples (N = 134; ages 10-18) were pooled to evaluate changes across multidimensional sleep outcomes defined by the RU-SATED model of sleep, including regularity, satisfaction, alertness, timing, efficiency, and duration. Linear mixed-effects models were used to assess pre-to-post intervention changes and test moderation by age, sex, family income, and clinical status. Results indicated significant improvements in sleep satisfaction following TSC, with greater …

Gender And Stress: Challenges Faced By Women Principal Operators In Agriculture In The United States, Bernadette Marson, Roxanne Bruce

Journal of International Women's Studies

Working in agriculture is demanding and complex, which can lead to stress-induced health and mental health problems, including suicide. There is limited scholarly literature on the topic of women and stress in the agricultural industry, so this research study aims to fill this gap by reporting on the challenging lived experiences of women working in agriculture—a frequently overlooked population. We used a phenomenological design to perform semi-structured interviews exclusively with women (at least eighteen years old) who work in agriculture as principal operators—the primary decision-makers of their enterprise. A thematic analysis was conducted with the data from the twenty-five women …

What Shapes Maternal Well-Being? A Feminist Conceptualization Using Walker And Avant’S (2019) Concept Analysis Framework, Huyen Thi-Thanh Nguyen, Van H. Le, Keiichi Ogawa, Manh T. Ta

Journal of International Women's Studies

Despite extensive scholarship on maternal well-being, the concept remains theoretically underdeveloped and lacks a coherent interdisciplinary definition. This study uses Walker and Avant’s (2019) concept analysis framework to clarify maternal well-being as a feminist, role-anchored construct. We conducted a systematic review of literature in PubMed, Web of Science, and Google Scholar from 2005 to 2025, focusing on studies of married mothers who had given birth to and were raising at least one child. Through content analysis, we identified three defining attributes: (1) vitality and positive affect; (2) life satisfaction and meaning grounded in autonomy and competence within the maternal role; …

Evaluating An Educational Intervention On Screen-Time And Behavior Change: A Pilot Study, Kayla L. Sweeney

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Excessive screen time among adolescents has been associated with negative health outcomes, including sleep disturbances, anxiety, and depression. Despite growing awareness, many parents lack sufficient understanding of these risks and their impact on adolescent well-being. This project evaluated whether a brief educational intervention improved parents’ knowledge of the health effects of excessive screen time. Methods: A pre-and post-survey design was used to assess changes in parents’ understanding following an educational video intervention. The educational intervention consisted of evidence-based content highlighting the impact of screen time on mental health and sleep. The survey measured knowledge, beliefs, behavioral intentions, and strategies …

Barriers And Bridges: Exploring Factors That Shape Mental Health Service Utilization In Rural America, Margaret Wiwuga

Educational Specialist, 2020-current

Despite disproportionately higher suicide mortality rates and comparable prevalence of mental illness across urban and rural communities in the United States, rural populations across the nation experience significantly lower access to and utilization of mental health services, naturally leading to worse comprehensive outcomes. This literature review examines multifaceted factors shaping mental health service use in rural America, taking note of both barrier and enabling factors that impede or enable these unique populations’ willingness and ability to access and use mental health services. Ten articles published prior to September 9, 2025, were selected from the James Madison University Libraries’ Psychology and …

From Exploitation To Healing: Mental Health And Resilience Among Native American Survivors Of Sex Trafficking, Katelin A. Stoebner

Honors Thesis

The mental health impacts of sex trafficking on Native American survivors and pathways to resilience are important to understanding healing. Native Americans are disproportionately affected by sex trafficking due to systemic inequities, historical trauma, and socioeconomic vulnerability. Using interviews with 47 Native survivors conducted as part of a larger Office on Violence Against Women project, this study analyzes the mental health challenges and recovery strategies identified by participants. Findings reveal that survivors commonly experience significant psychological effects, including post-traumatic stress disorder (PTSD), depression, and anxiety. Among participants, PTSD emerged as the most frequently reported condition, followed by depression and anxiety, …

Mental Health Screening For The Military Spouse: Prevention In Practice, Lura Allison Mcgrath

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Abstract

In recent years, a focus on mental health has moved to the forefront of healthcare. This is especially true when caring for United States military service members. The military spouses of these service members also struggle and suffer from mental health disorders. However, the mental health needs of military spouses often receive insufficient attention. Research shows military spouses are at an increased risk of developing mental health disorders and/or suffering from mental illness. A large contributor is the impact of the military lifestyle and its challenges for these spouses. However, research also reveals there has been minimal effort put …

Posttraumatic Symptoms As Predictors Of Engagement With A Mobile App For Coping After Military Sexual Trauma: Public Usage Data Analysis Study, Shilpa Hampole, Shannon Mccaslin-Rodrigo, Valerie Carr, David Schuster, Sofia Reyes, Sarah Senti, Kelly M. Ramsey, Jason E. Owen, W. Christopher Skidmore, Amy E. Street, Katherine Taylor, Margaret Anne Mackintosh

Faculty Research, Scholarly, and Creative Activity

Background: Military sexual trauma (MST) can have significant adverse effects on mental health and well-being, often leading to posttraumatic stress disorder (PTSD) symptoms and maladaptive beliefs. Although effective psychotherapies exist, stigma, confidentiality concerns, and systemic barriers often hinder help-seeking among service members and veterans. Mobile mental health apps offer an accessible and anonymous support alternative, potentially addressing such barriers. However, app effectiveness depends on user engagement and emerging evidence suggests that engagement may be shaped by symptom severity. Objective: This retrospective observational study aimed to explore the relationship between posttraumatic symptom severity and user engagement with Beyond MST (US Department …

Effect Of Pcos Treatment On Mental Health Outcomes, Audriti Mazumder, Aubrey Olson

Rowan-Virtua Research Day

Abstract (250 words)

Polycystic ovary syndrome (PCOS) is a common endocrine disorder associated with a range of physical symptoms, including hirsutism, acne, weight gain, insulin resistance, and infertility. While its metabolic and reproductive manifestations are well characterized, the impact of PCOS on mental health remains underexplored. This study aims to evaluate the relationship between PCOS and mental health outcomes, with a particular focus on changes in symptoms following treatment and the influence of demographic factors.

A survey-based study was conducted using a Qualtrics questionnaire distributed via QR code and social media platforms. Questions were modeled after validated screening tools, including …

Behind The Self-Report: Cognitive Symptoms And Moderating Variables During Covid-19 Quarantine, Ashley H. Jo

Student Scholar Symposium Abstracts and Posters

A lesser-known impact of the SARS-CoV-2 (COVID-19) pandemic is the impairment of cognitive functioning among seemingly unsusceptible, healthy, and young populations. Research suggests that the circumstances of extreme social isolation, incited by the pandemic, have had significantly negative effects across various social, cognitive, and psychological dimensions, with a specific focus on adolescents who are at a unique and more extreme risk than adults and children. By applying the cognitive load theory (CLT) to the COVID-19 quarantine landscape, this study measured the effects of the COVID-19 quarantine on cognitive functioning among those who were adolescents and young adults at the time …

Beyond Coping In High School: An Emergent Mindfulness Practice Towards Embodied Wisdom, Mel A.V. Voulgaris

Journal of Contemplative and Holistic Education

Mindfulness practice is trending in schools. Within secondary education, it is oftentimes introduced as meditation for present-moment awareness of the self to support academic concerns. However, mindfulness practice in its original conception is a holistic way of cultivating human well-being towards flourishing. It is a practice that aims for awareness to the entirety of human subjective and intersubjective experiencing as it is emerging. In doing so, mindfulness evolves from a coping tool into a rich contemplative practice. This paper will make the case that mindulness as a contemplative practice facilitates the cultivation of embodied wisdom and that such a practice …

The Role Of Paraprofessionals In The Mental Health Structure Of India, Amy Abraham, Kimberly D. Becker, Wendy Chu

Caravel Undergraduate Research Journal

The mental health treatment gap in India is part of a growing public health crisis, with over 95% of those in need of services never receiving them. Over 197 million Indians suffer from at least one diagnosable mental health disorder, and this number continues to grow given the treatment gap. The treatment gap is a result of four major factors: lack of government support, stigma, limited treatment facilities, and dearth of professionals able to provide treatment. The current study aimed to analyze several factors of paraprofessional-led mental health interventions including setting, treatments delivered, treatment models, and client outcomes. A narrative …

Connected Pastors: The Importance Of Having Safe Support Systems In Ministry, Karin A. Hines

Senior Honors Theses

Pastors minister to broken people, but sometimes they need help themselves. Many pastors do not seek help or do not have anyone safe to go to, often for fear of losing their influence or job. This thesis argues that sharing one’s life with safe people is essential, especially for those who are in high-stress professions. It explores pastoral support systems, examines comparable stigmas against seeking help in other fields, analyzes the science of sharing and isolation and their effects on the brain and body, and considers the Bible’s instructions on living in community for one’s personal well-being. Pastors require intentional, …

How Nutrition And Physical Activity Shape Your Well-Being, Stacy Phillips

EFNEP

This publication will explore the link among nutrition, physical activity, physical health, and mental health and how it impacts whole-body well-being. Understanding how multiple aspects of a person's lifestyle can affect an individual's overall well-being is essential to providing better education on how to make better choices to improve their well-being.

The Intersection Between Adolescent Pregnancy, Mental Health Concerns, Stigma, And Sex Education, Madelon Cox

Honors Program: Senior Projects (Public)

This thesis discusses research from the past two decades focused on factors contributing to an increased risk of adolescent pregnancy and the lasting impact of that pregnancy. The consequences of being a pregnant adolescent can be compounded by race, gender, socioeconomic class, and access to education. Adolescent pregnancy also carries significant physical and mental health risk for the adolescent and the child. Awareness and various interventions can help pregnant adolescents or those who may be at risk for adolescent pregnancy to support them, prevent isolation, and reduce further negative mental health conditions, such as depression and anxiety.

Purgatory, Kat Mccormick

Bachelor of Fine Arts Theses

Artist Statement:

Purgatory is my exhibition of paintings and sculptures investigating the complex relationships between the self, the psyche, and the process of healing. Living with long-term and recurring mental health issues can breed despondency toward treatment when trial and error lead nowhere. Enduring instability seems no more difficult than endlessly trying to hold onto stability. I represent the stagnancy of this limbo between healing and devolving by painting in limited color. I create contrast through juxtaposing textures such as soft and sharp, and leaning into the differing intensities of phthalo green and tints mimicking raw canvas. Using self-portraiture in …

The Lived Experiences Of African American Youth With The Juvenile Justice System, Marion D. Rogers

Theses, Dissertations and Culminating Projects

This qualitative case study examined the lived experiences of African American youth in the juvenile justice system using Bronfenbrenner’s Ecological Systems Theory and Intersectionality Theory as guiding frameworks. Three participants engaged in three rounds of in-depth interviews, and the data were analyzed using open, axial, and selective coding, with findings presented at the within-case and cross-case levels. Results revealed how family dynamics, school exclusion, community survival strategies, and systemic surveillance shaped participants’ pathways through the justice system, while experiences of resilience coexisted with mistrust, invisibility, and ambivalence toward counselors and authority figures. The study highlights the importance of culturally responsive …

Addressing College Students Stress Through Coping Strategies, Daisy Valdez Martinez

Capstone Projects and Master's Theses

College students often experience stress due to time management, responsibilities, and finances. This stress can negatively impact them by leading to mental health issues and affecting their academic performance. This capstone focuses on creating a plan in which students are able to handle stressful situations and have greater awareness of stress. The workshop taught students about common stress factors, the impact they have on students, how to manage negative thoughts, and coping strategies. Participants completed activities such as creating their own stress bubbles, a negative and helpful thought worksheet, and a Kahoot quiz on coping skills. Results showed that students …

The Role Of Family Dynamics In Adolescents Mental Health, Victoria Tinajero

Capstone Projects and Master's Theses

This capstone project focuses on the role of family dynamics in adolescent mental health. Teens who lack strong family support often develop mental health problems such as stress, anxiety, and depression. When families struggle with communication and have little emotional connection, teens may feel alone, misunderstood, or unsupported, which can lead to poor overall performance and emotional difficulties. When parents of teens learn family communication skills and techniques for providing emotional support, they are better able to reduce conflict and help manage issues like emotional withdrawal. To address this issue, I created a one-day workshop to educate them about mental …

Exploring Exercise Motivation And Mental Well-Being In College Students, Elaine M. Lindesmith, Anqi Deng Dr

Health, Human Performance and Recreation Undergraduate Honors Theses

This study examined the relationship between physical activity, exercise motivation, and mental well-being among 48 undergraduate students at the University of Arkansas. Guided by Self-Determination Theory, the study used survey data to measure depression, anxiety, physical activity, and open-ended exercise motivation responses. Motivation responses were coded as autonomous or controlled.

Results showed that physical activity was weakly and negatively related to depression and anxiety, but these relationships were not statistically significant. There were also no significant differences in mental health between autonomous and controlled motivation groups, and motivation did not significantly predict mental health outcomes in regression analyses. Overall, the …

The Impacts Of Doomscrolling On Adolescent Development, Neyssa Birotte

Education

Current research indicates that doomscrolling on social media negatively impacts one’s mental health and emotional well-being. The term “doomscrolling” refers to the act of scrolling excessively through distressing content on social media, often leading the individual down a rabbit hole of bad news. Doomscrolling can be associated with any type of distressing or traumatic event, such as school shootings or the COVID-19 pandemic. Being exposed to such negative content on a daily basis can be destructive to adolescents’ mental health. As a result, this can influence their ability to manage their own emotions in a healthy manner. Additionally, doomscrolling is …

Air Pollution And Self-Reported Health Outcomes In The United States, Alina Dervisevic

Theses and Dissertations

This study examines the relationship between short-term PM2.5 exposure and self-reported health outcomes among U.S. adults using BRFSS data from 2000 to 2012 linked to county-level pollution and weather data. Results show that PM2.5 exposure is associated with worse mental health and gender specific behavioral responses.