Digital Commons Network^™

Colorado Mental Health Professionals’ Personal And Professional Perspectives Of Nutrition: A Phenomenological Study, Tanya M. Tyrrell

Doctoral Dissertations and Projects

Growing evidence supports the relationship between nutrition and mental health. However, little is known about how mental health professionals (MHPs) experience nutrition, perceive its role in relation to mental health, or integrate nutrition into psychotherapy. The purpose of this hermeneutic phenomenological study was to explore Colorado MHPs’ lived experiences with nutrition and examine how those experiences informed their professional perspectives of nutrition. Guided by constructivist epistemology, semi-structured interviews were conducted with 11 MHPs practicing in Colorado, and data were analyzed using reflexive thematic analysis. Analysis generated eight themes. Findings revealed that 1) MHPs experienced nutrition as a lifelong developmental process …

The Exploration Of Nutrition And Mental Health Among Retired Female Sergeant Majors, Renee Michelle Mcmillan

Doctoral Dissertations and Projects

This qualitative study investigated the nutrition and mental health of seven retired female United States Army Command Sergeant Majors (CSM) and four retired United States Army Sergeant Majors (SGMs). Transcendental phenomenology was used in this study along with George Engel’s Biopsychosocial Theory (BPST). The study examined how dietary food choices converged with cognitive behavior, body image, restrictive eating, and the stress accompanied with transitioning from military to civilian life. Four themes and 11 subthemes emerged from this study. The findings indicated an integration with nutritional interventions, mental health services, family-focus education, and faith-based programs. These findings may help retired female …

Nutritional Genetics: Future Of Therapeutic Nutrition—A Mini-Review, Walaa Sabri Raheem

Hilla University College Journal For Medical Science

This review explores the evolving concepts of nutrition, therapeutic nutrition, and the burgeoning field of nutritional genomics. Nutrition is defined as the science explaining how nutrients and other food substances interact with an organism's growth, reproduction, health, and disease states, encompassing processes such as ingestion, absorption, biosynthesis, catabolism, and excretion. Therapeutic nutrition, or Medical Nutrition Therapy (MNT), is a clinical approach utilizing specific dietary regimens to manage medical conditions and their associated symptoms. Nutritional genomics, a multidisciplinary field, investigates the complex relationship between the human genome, nutrition, and health. It is divided into two primary branches: nutrigenomics, which examines the …

Understanding The Lived Experiences Of Autistic Students As They Navigate Nutrition In Higher Education: A Hermeneutic Study, Amanda Beeman

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study is to interpret how adult students with ASD in higher education navigate nutritional choices. This study was guided by Bronfenbrenner’s ecological systems theory, which explains the relationship between environmental factors and individual health and well-being. A hermeneutic phenomenological approach was used to examine how students with ASD experienced nutrition within the higher education environment. The central research question asked how adult higher education students with ASD experienced and navigated nutrition in the context of college life. The sample included 10 adult participants with ASD enrolled in a higher education institution. Data were collected …

Meeting The Needs Of Individuals With Avoidant/Restrictive Food Intake Disorder Through Occupational Therapy, Tianna Matthews

Occupational Therapy Doctoral Capstones

Avoidant/Restrictive Food Intake Disorder (ARFID) is a relatively new and complex disorder that results in a significant impact on one’s overall health, well-being, and quality of life. The research study was designed to address practitioner knowledge and confidence gaps as they relate to ARFID care by assessing whether an educational in-service could increase pediatric healthcare practitioners’ knowledge of ARFID, confidence with treating ARFID, and their understanding of OT’s role on an interdisciplinary ARFID team.

Nourish And Flourish: Building Confidence In Healthy Food Selection Among Older Adults In An Independent Living Facility, Emily Nguyen

Master's Projects and Capstones

The nutrition education program aims to increase confidence in selecting and maintaining healthier food choices and dietary habits for chronic conditions through weekly workshops. This quality improvement project was conducted in an independent senior living facility in Richmond, CA serving the elderly population ages 65 and up. To address the concern of low confidence levels and management of dietary patterns and chronic health conditions pertaining to nutrition, a comprehensive nutrition education program was developed with pre- and post-intervention assessment surveys to compare baseline confidence levels. The weekly workshops for this nutrition education program aims to increase confidence levels of the …

Disability-Related Educational Content In Nutrition And Dietetic Programs: An Exploratory Study, Wendy Medunick, Allison Gomes, Joachim Sackey, Laura Byham-Gray, Jane Ziegler

Journal of Dietetic Education

Background: Health disparities experienced by people with disabilities (PWD) are partly attributed to inadequate knowledge, training, confidence and competence regarding disabilities among health professionals. While registered dietitian nutritionists (RDNs) are key members of the healthcare team, it is unclear how pre-professional nutrition and dietetics (ND) programs prepare future RDNs to care for PWD. This study examined the status of disability-related education within ND programs in the United States. Methods: A descriptive cross-sectional electronic survey was distributed to 570 directors of accredited ND programs. The survey, which adapted questions from a previously validated instrument and published studies, included questions assessing disability-related …

Assessing And Addressing Cultural Competence And Cultural Humility In Dietetic Education, Zoe Duran, Nicholas Slagel, Lisa Caldwell, Katie Kage

Journal of Dietetic Education

Limited theory-informed, dietetic-specific resources are available to guide the development, evaluation, and refinement of culturally competent (CC) curricula. This pilot study used a mixed-methods, theory-informed approach to evaluate CC integration within an undergraduate dietetics curriculum and examine the applicability of existing CC self-assessment tools for dietetic students. A senior-level undergraduate community nutrition curriculum was evaluated using the Tool for Assessing Cultural Competence Training (TACCT), guided by the Campinha-Bacote Model of Cultural Competence in Healthcare Delivery. James Banks’ Model of Multicultural Curriculum Reform was then applied to refine curricular content and learning activities. In addition, 74 students enrolled in a didactic …

Virtual Reality: The Future Of Didactic And Experiential Education For Nutrition And Dietetics, Michael Holik, Dexter Richardson

Journal of Dietetic Education

The integration of virtual reality (VR) into nutrition and dietetics education provides an innovative answer to challenges in accessing experiential learning. This study examined student perceptions of immersive VR experiences designed to simulate hospital foodservice operations and nutrition counseling sessions, guided by the Diffusion of Innovation Theory (DOI). A quasi-experimental design involved 55 participants who engaged with 360° VR modules featuring interactive elements, avatars representing key healthcare roles, and embedded critical-thinking questions. Results demonstrated strong support for VR’s educational value across DOI’s five key attributes: relative advantage, compatibility, complexity, trialability, and observability. Participants reported enhanced understanding of registered dietitian roles, …

Nutrition Considerations In Youth With Type 2 Diabetes Using Glucagon-Like Peptide-1 Receptor Agonists: A Commentary, Maria E Diaz, Grace Kim, Mili Vakharia

Faculty, Staff and Students Publications

No abstract provided.

A Cooking Skills Intervention For Long-Term Weight Loss In Young Adults With Intellectual Disabilities: Rationale And Design For A Randomized Trial., Lauren T. Ptomey, Jessica C. Danon, Delwyn Catley, Richard A. Washburn, Amy Bodde, Francisco J. Diaz, Brian C. Helsel, Anna M. Rice, Joseph R. Sherman, Madison Koester, Walker S. Mckinney Ph.D., Joseph E. Donnelly

Manuscripts, Articles, Book Chapters and Other Papers

Young adults with intellectual disability (ID) are an underserved population with a high prevalence of obesity, obesity-related health conditions, and reduced ability to complete instrumental and basic activities of daily living (I/ADLs). After leaving the structured environment of public school, many young adults with ID spend more time at home or in day programs, begin living more independently, or enter the workforce. These transitions may increase reliance on fast or processed foods and reduce opportunities for physical activity, contributing to accelerated weight gain. Previous research has demonstrated clinically meaningful short- and long-term weight loss (18-24 months) in adults with mild-to-moderate …

Dnp Final Report: Improving Diabetes Self-Efficacy Through Nutrition Education: A Quality Improvement Project, Lakimberely S. Wooten

DNP Final Reports

Diabetes affects 12.7% of residents in Northeast Texas and is the 7th leading cause of death. Internal evidence indicates low health literacy and a heavy disease burden in the service area, underscoring the need for a standardized, low-cost, and feasible approach to nutrition education. This quality improvement project evaluated the feasibility of implementing an instructor-led nutrition education session. Guided by the Johns Hopkins Evidence-Based Practice Framework and the ADKAR behavioral change model, adult participants with Type 2 diabetes received instruction on the Plate Method. Participants enrolled in a 4-week, instructor-led diabetes education class completed a 1-hour, nutrition education session using …

Exploring Adherence Barriers To Nutrition Intervention: A Qualitative Study Of The Pro-Heart Trial, Andrew Thomas Reyes, Angelina Nguyen, Alona D. Angosta, Rebecca Meraz, Kelly L. Wierenga, Jennifer Kawi, Lorraine S. Evangelista

International Nursing Research Congress (INRC)

Altering the dietary habits of individuals with obesity, heart failure, and cardiometabolic comorbidities can enhance their health outcomes (Gjermeni et al., 2025). Adhering to these interventions remains challenging, leading to higher dropout and lower retention rates in clinical nutrition trials (Chao et al., 2021). To develop enduring, patient-focused interventions, it is essential to understand participants' experiences. Therefore, this qualitative sub-study explored participant-reported barriers to dietary adherence within the Pro-HEART randomized controlled trial, which evaluated the effects of high-protein versus standard-protein diets in individuals with heart failure and metabolic syndrome or Type 2 diabetes mellitus. The intervention in the Pro-HEART trial …

Integrating Nutrition And Stress Into Life History Stages Of Wild Free-Ranging Female Pronghorn, Cole A. Bleke, Eric M. Gese, Juan J. Villalba, Shane B. Roberts, Susannah S. French

Wildland Resources Student Research

Studies addressing seasonal changes in diet quality and hormones are important for understanding the interactions between ecology and physiology. We collected fecal samples from free-ranging adult female pronghorn (Antilocapra americana) to examine the relationships between indicators of nutrition and glucocorticoid activity. This occurred during three population-level, life-history-correlated sampling periods across five subpopulations. We evaluated nutrition via fecal nitrogen, fecal 2,6-diaminopimelic acid (DAPA), and assessed glucocorticoid activity using fecal glucocorticoid metabolites (FGM). We found positive relationships between fecal nitrogen and DAPA, whereas DAPA and fecal nitrogen with FGM varied in influence and strength, depending upon life history stage. Generally, …

Evaluating The Impact Of A Community-Based Prenatal Education Program On Maternal Knowledge And Intentions In Utah, Aaron T. Hunt, Jenna Dyckman, Kaylee Cox

Journal of Human Sciences and Extension

Maternal and infant health in the U.S. has worsened, with rising rates of maternal mortality, gestational diabetes, postpartum depression, and infant mortality. Prenatal education is a proven strategy to improve outcomes, yet many expecting parents rely on unvetted information or lack access to reliable resources. To address this gap, a pilot prenatal education program was implemented through Utah State University Extension to improve knowledge, attitudes, and intentions related to breastfeeding, nutrition, mental health, and other key topics. The program consisted of 3 1-hour, evidence-based workshops incorporating lectures and interactive activities. A retrospective pre-post survey was completed by 28 pregnant participants …

Understanding Delays In Human Milk Fortification Timing And Impact On Growth Outcomes In Very Low Birthweight Preterm Infants, Maria Poblete, Sepideh Saroukhani, Manouchehr Hessabi Md, Mph, Amirali Tahanan Ms, Lindsay F Holzapfel

Summer Research Program Abstracts

No abstract provided.

Nutrition And Wellbeing In Construction: Exploring Dietary Practices For Safer Healthier Workforces, Emmanuel Aboagye-Nimo, Charlie Roberts, Lewis Gough

CIB Conferences

Construction workplaces significant physical and cognitive demands on workers, yet the role of nutrition in supporting energy, concentration and safety is seldom addressed in industry discourse. This study explores how construction workers understand and manage their daily eating habits, and how these habits influence performance, wellbeing and risk. The research forms part of an ongoing qualitative inquiry, using semi‑structured interviews with workers from a range of roles including bricklayers, plasterers, waste management teams and site managers. Early findings indicate considerable variation in nutritional practices, shaped by time pressures, cost, convenience and site routines. While some workers rely heavily on fast …

The Palm Farm Next-Door: Land Concessions, Livelihoods, And Nutrition In Plantation-Adjacent Communities, Julia Entwistle

Electronic Theses and Dissertations

Large-scale land concessions have reshaped agrarian landscapes globally, yet their implications for community land tenure, livelihoods, and nutrition remain unevenly understood. This dissertation examines how plantation agriculture and foreign investment have transformed land access, labor relations, and food systems in Liberia, a country with one of the highest proportions of land under concession globally. Guided by a political ecology framework, the study employs a mixed-methods design integrating policy analysis, in-depth interviews, and household surveys across two palm oil concession sites. The findings show that ambiguous land policies historically facilitated dispossession, while recent legal reforms have enabled communities to strategically mobilize …

The Gut Microbiome, The Gut-Brain Axis, And College Student Well-Being, Idi Mckay

University Honors Theses

This literature review examines how diet, stress, environmental exposure, and food accessibility may influence college students' mental health and academic performance through the gut microbiome and the Gut-Brain Axis (GBA). Current microbiome research often focuses on early childhood development, clinical disease populations, or older adults, while overlooking college-age students who experience significant social, environmental, and biological transitions. College students frequently face food insecurity, irregular eating patterns, chronic stress, inconsistent sleep schedules, and reduced access to nutrient-dense foods, all of which may influence microbial diversity and overall gut health.

This thesis explores how modern campus environments and lifestyle factors may contribute …

Round Baling From Field Practices Through Storage And Feeding, W L. Kjelgaard, P M. Anderson, L D. Hoffman, L L. Wilson, H W. Harpster

IGC Proceedings (1977-2023)

A model analysis compared labor and fuel requirements for round and rectangular bale systems. Round baling reduced harvesting, transport, and handling labor by one-half but increased fuel use by a factor of 1.6. When data from field studies of all dry matter (DM) losses were included, round baling required 80 % as much labor and 200 % as much fuel as did rectangular bal­ing. Baling losses for round balers and stackers averaged 10 % compared with 3 % for rectangular balers. ·Dry-matter losses from mowing through feeding of field-cured round bales, including 6 months of outdoor storage, totaled 41 % …

Exploring Capacity For Future Sustainability Of Healthy Eating Policy, Systems, And Environmental Change Strategies Previously Implemented Through Snap-Ed Programming, Carrie L. Draper, Nicholas Younginer Ph.D.

Faculty Publications

Objective

Design

Setting

Participants

Phenomenon of Interest

Analysis

Results

Protective Potential Of Minimally Processed, Plant-Derived Foods Against Steatotic Liver Disease In Early Adulthood, Yasmina Tashkent, Jocelyn M. Choo, Steven L. Taylor, Therese A. O'Sullivan, Dujinthan Jayabalan, Sophie J. Miller, Richard Woodman, Luis Calzadilla-Bertot, Oyekoya T. Ayonrinde, Lawrence J. Beilin, Trevor A. Mori, John K. Olynyk, Alan J. Wigg, Kate R. Muller, Leon A. Adams, Geraint B. Rogers

Research outputs 2022 to 2026

Background & aims: The incidence of steatotic liver disease (SLD) among younger adults is increasing globally. While poor diet is a recognised risk factor, the impact of specific dietary components is unclear. We investigated associations between dietary patterns and SLD markers in younger adults. Methods: Analysis involved 887 members of the Raine Study Generation 2 cohort, assessed at age 27. SLD was defined using a validated MRI volumetric liver fat fraction equation. Dietary intake, assessed by food frequency questionnaires, was summarised using a modified Overall Diet Score (ODS) that classified foods as “healthy” or “unhealthy.” Associations between diet and SLD …

The Effect Of Boosting Dietary Lactobacillus And Phytochemical Rich Foods On Biomarkers Of Longevity—A Phase Ii Randomised Placebo Controlled Trial, Robert J. Thomas, Madeleine Williams, Jeffrey W.F. Aldous, Stacey A. Kenfield, Robert U. Newton

Research outputs 2022 to 2026

As men age, systemic inflammation increases, whereas grip strength (GS) and testosterone levels tend to fall. This rate of decline is known to be influenced by gut microbial health, lifestyle and diet but the role for interventions to slow this decline are less well established. This double-blind randomised controlled trial evaluated the impact, and explored the synergistic potential, of boosting phytochemical rich foods and Lactobacillus probiotics on these physical and biological markers. Two hundred and eight men with untreated early prostate cancer managed with observation only (average age 74 years) received a phytochemical rich supplement (PRS) containing concentrated broccoli, green …

Associations Among Pork Intake, Weight-Loss, And Diet Quality Outcomes In A Commercial Weight-Management Program, Ana M Palacios, Grace Anderson, Beate Henschel, Alexandra M Lee, Kelli M Richardson, Chelsie Parker, Stephanie L Dickinson, Jing X Kersey, David B Allison, Gary D Foster, Michelle I Cardel

Faculty, Staff and Students Publications

Background: Pork is a common source of high-quality protein. However, it is typically recommended in moderation due to its saturated fat content, especially as its role in weight management, weight-loss (WL) programs, and overall diet quality is not well understood. This study aimed to identify associations among pork intake, WL, and diet quality among adults with overweight or obesity participating in a weight management program (WMP).

Methods: This secondary analysis used data from a 6-month randomized controlled trial (NCT05648344) evaluating the effectiveness of a WMP on diet quality. Data were collected through online surveys and the Automated Self-Administered …

Food Insecurity And Mental Health Among High School Students: Evidence From National And Virginia Youth Risk Behavior Surveillance Data, Nigel C. James, Asef Raiyan Hoque, Jada Pedersen, Huong Doan, Liam Hayes, Leah Suggs

Health Studies Faculty Publications

Background

Youth mental health problems are rising nationally. Virginia ranks among the lowest states in youth mental health access and has concentrated pockets of food insecurity (FI), underscoring the urgency of policy responses. FI is a known risk factor, yet surveillance often relies on single-item measures. We introduce a multidimensional Food Insecurity Index (FII) to examine associations with adolescent mental health.

Methods

We analyzed 2023 Youth Risk Behavior Surveillance System data from Virginia (n = 1866) and the United States (n = 10,724). The FII combined five indicators capturing acute scarcity and chronic dietary compromise. Survey-weighted logistic regression …

Linking Fishery Productivity To Child Health In The Coastal Tropics, Francisco Flores-Mejia

Master's Theses

Fish are a primary source of calories, macronutrients, and income for coastal communities around the world, but overfishing and environmental changes have dramatically reduced productivity in the majority of small-scale fisheries. The social costs of these losses are believed to be large, particularly in poorer communities, but most estimates of fishery productivity effects on households are contextual and difficult to generalize. We combine a remote sensing measure of pelagic fishery productivity with geolocated child health and growth data from 34 countries in the coastal tropics. We estimate that the difference between sustainedly good versus bad fishing conditions corresponds up to …

Exploring Lifestyle Habits Between Gamers And Non-Gamers: A Survey-Based Approach, Janavi Sathappan

UNLV Theses, Dissertations, Professional Papers, and Capstones

Video gaming is a prevalent and meaningful occupation for a growing number of young adults, yet its relationship to health behaviors is inconsistent and unclear in literature. This cross-sectional survey-based study examined the differences in nutritional pattens, sleep hygiene, and physical activity between self-identified gamers and non-gamers in a sample of young adults aged 18-34. Recruitment occurred primarily through the University of Nevada, Las Vegas and associated networks. Participants were asked to complete the Mini Eating Assessment Tool, Sleep Hygiene Index, and the International Physical Activity- Short Form. Data was analyzed using Mann-Whitney U tests and Pearson’s chi-square tests, and …

How National Trends Impact Accounting, Greyson Antes

Honors Theses

The following thesis contains eight accounting case studies performed throughout the 2024 academic year concerning a multitude of topics like the “Make America Healthy Again” movement and other related themes impacting the accounting industry. During these projects, students were randomly assigned to different groups to work on case studies. There were five miscellaneous cases covering different accounting topics that ultimately culminated into the final topic in the spring semester. This final topic contained three large case studies, all with the same group, investigating how the “Make America Healthy Again” (MAHA) movement would impact the audit plan for Kellanova, a snack …

Nutrilog: Design And Development Of A Full-Stack Web Application For Holistic Health Tracking, Jaromir J. Saloni

Honors Theses

NutriLog is a web-based fitness and nutrition tracking application designed to help users record, organize, and interpret personal health data in one centralized platform. Many existing applications focus primarily on either nutrition tracking or exercise performance, which can make it difficult for users to understand how food intake and physical activity interact. NutriLog addresses this gap by combining food logging, exercise logging, calorie adjustment, nutrition summaries, and historical tracking into a single dashboard-based interface.

The application was developed using React and TypeScript for the frontend and Supabase for authentication, database storage, and user-specific data management. Nutrition data is supported through …

A Survey-Based Analysis Of The Use Of Lifestyle Medicine In Clinical Practices Of South Jersey, Zehra Jaffri

Rowan-Virtua Research Day

Chronic diseases are the leading cause of death and disability in the United States and are largely driven by modifiable lifestyle factors. Lifestyle Medicine (LM) is an evidence-based medical specialty that uses therapeutic lifestyle interventions—including nutrition, physical activity, stress management, sleep, substance use reduction, and healthy relationships—to prevent, treat, and reverse many chronic conditions. Despite strong evidence supporting lifestyle interventions, LM use in routine primary care remains inconsistent due to barriers such as limited visit time, inadequate clinician training, lack of reimbursement, and difficulty sustaining behavioral change. This study evaluates how often lifestyle counseling is discussed in South Jersey primary …