Digital Commons Network^™

A Phenomenological Study Exploring How African American Adult Sons Describe Caring For A Parent With Dementia, Donald Eric German

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to understand the coping strategies of African American adult sons who are the primary caregivers to a parent with dementia. The participants were only African American adult sons who are the primary caregivers to an aging parent. This researcher conducted semi-structured interviews and followed a systematical data collection process during the interview process; close attention was paid to analyzing and uncovering significant themes that emerged from the participants’ experiences. The findings show that African American adult sons feel a strong sense of duty that grows from obligation into a Christ-centered commitment to honor …

The Influence Of Epistemological Beliefs, Research Self-Efficacy, And Affective States On Doctoral Students’ Research Methodological Selections, Caroline Suzanne Vaile

Doctoral Dissertations and Projects

This quantitative, cross-sectional, correlational study examines the extent to which epistemological beliefs predict research methodology choice and whether this relationship is mediated by mentorship experiences or research self-efficacy and moderated by statistics anxiety. The study is grounded in Hofer and Pintrich’s Epistemological Beliefs Theory, Bandura’s Self-Efficacy Theory, and Kram’s Mentor Role Theory. Data were collected using self-report measures via an online survey hosted by Qualtrics. Participants included current CES doctoral students and graduates within the past five years (N=47). The study utilized binary logistic regression and PROCESS mediation and moderated mediation analyses, indicating that epistemological beliefs did not significantly influence …

Exploring Factors Influencing Autistic Children And Young People’S Access To Dental Care In Southwest England: A Qualitative Study Of Children, Parents, And Dental Professionals, Jo Erwin, Sarah Neill, Tara Vassallo, Robert Witton, Louise Peters, Isaac Vassallo, Abigail Nelder, Martha Paisi

Peninsula Dental School

Background: Autistic children and young people (CYP) experience inequalities in oral health. They are at higher risk of dental caries and periodontal disease and are more likely to have teeth extracted under general anaesthetic than their non-autistic peers. Poor oral health among autistic CYP results from multiple factors, including sensory sensitivities, communication differences, and difficulties accessing appropriate dental care. This qualitative study explored factors influencing autistic CYP’s access to dental care from the perspective of CYP, parents/carers, and dental health professionals (DHPs). Methods: A qualitative design using semi-structured interviews was adopted. Purposive sampling was used to recruit autistic CYP, parents/carers, …

Philosophy Of Friendship, The Philosophical Discussion Group

The Philosopher's Stone

• Philosophy of Friendship

Comparative Evaluation Of Orthodontic Measurements Using Two Intraoral Scanners Versus Conventional Plaster Models: An In Vivo Study, Pranoy Nair, Achint Juneja, Monis Raza, Prashant Shahi, Ridhi Kothari, Deepthi Raj

International Arab Journal of Dentistry

Introduction: This study evaluated and compared the accuracy and reliability of two intraoral scanners, iTero Element 1 and Panda P2, with conventional plaster models for essential orthodontic measurements.

Methods: Thirty subjects were evaluated using three methods: plaster casts, iTero Element 1, and Panda P2. Inter-canine distance, inter-molar distance, overjet, overbite, and Bolton’s ratios were measured. Data was analysed using one-way ANOVA and Tukey’s post-hoc test after confirming normality (Shapiro–Wilk). Intra-operator reliability was assessed using Dahlberg’s formula and ICC.

Results: No statistically significant differences were observed among the three methods (p > 0.05). Both scanners demonstrated high repeatability and minimal measurement error, …

Widening Participation In Dentistry: A Quantitative Study Of Changing Demographics At A South West Uk Dental School (2014-2021)., Sally Hanks, Ian Mills, Marie Bryce, Daniel Zahra, Rebecca Glanville

Peninsula Dental School

Introduction: Access to National Health Service (NHS) dental care in the UK, particularly in rural and coastal regions such as the South West, remains a significant concern. Increasing socio-economic diversity in the dental workforce has previously been reported to improve access to care in underserved areas. Widening Participation (WP) initiatives aim to address this by encouraging applications from underrepresented groups. Methods: This study analysed admissions data from the University of Plymouth's Bachelor of Dental Surgery (BDS) programme for cohorts between 2014 and 2021. Metrics included entry qualifications, age, gender, ethnicity, disability and socio-economic markers. Statistical analyses included chi-squared tests and …

The Evolving Landscape Of Social Education In The Uk: The Legacy Of Neoliberalism Affecting Uk Children And Those Who Support Them, And The Considerable Value Of Its Potential Counterbalance — Social Pedagogy, Robyn Kemp

Journal of Social Care

This paper examines the erosion of concern for the social and relational in the United Kingdom through four decades of neoliberal policy, and argues for social pedagogy as a principled and urgently needed counterbalance. Drawing on a career spanning public, charitable, and academic practice primarily with children in and on the edges of care, it traces how the introduction of neoliberalism under Thatcher in the 1980s — and its institutionalisation through New Public Management in the 1990s — systematically dismantled the relational, ethical, and communal foundations of work with children. The consequences are documented in stark statistical terms: rising school …

Youth Care Under Pressure: Addressing Complex Cases Of Youth Homelessness Through Cross‑Sectoral Collaboration And Reflective Practice., Gwendy Moentjens

Journal of Social Care

Young adults (18–25 years) constitute about a quarter of the homeless population in Flanders and often experience difficulties transitioning to adulthood. Research conducted at KU Leuven shows elevated rates of mental health issues (23%), intellectual disabilities (14%), and addiction-related challenges (17.7%) within this demographic, with many individuals having a history in youth care services (Hermans & Italiano, 2021).

Due to the combination of these complex factors, these young adults frequently fall between the cracks of existing service provision. Previous literature argues that addressing youth homelessness effectively requires a specialised, integrated and intensive approach (Hermans & Italiano, 2021).

Drawing on experiences …

A Practice-Based Implementation Strategy Bundle For Integrating Behavioral Health In Primary Care: A Matrixed Multiple Case Study, Gretchen Buchanan, Kelley Mccall, Lorella Palazzo, Michelle Bagwell, Shivani Patel, Shravya Allena, Byron J Powell

2020-Current year OA Pubs

BACKGROUND: Integrated behavioral health (IBH) is an evidence-based approach to addressing mental health in primary care settings. It typically involves augmenting a primary care team with a behavioral health professional (e.g., psychologist, licensed clinical social worker) who sees patients for brief, focused concerns; can function as a bridge to specialty care; and provides medical providers with support and education about patient behavioral health concerns. IBH has slowly begun to disseminate across the United States, but practices encounter significant implementation barriers. How IBH is implemented has not been systematically studied outside of trials, yet this study could provide a rich foundation …

2026-03-10 University Graduate Committee - Course Proposal For Soc 631, Morehead State University. Faculty Senate., University Graduate Committee.

Faculty Senate Records

Course proposal for SOC 631 Health Structures and Behavior submitted to the University Graduate Committee on February 6, 2026 and approved on March 10, 2026.

Virtual Reality For The Management Of Postoperative Pain And Anxiety In Children And Adolescents Undergoing Nuss Repair Of Pectus Excavatum: Randomized Controlled Trial, Charlotte M. Walter, Dillon Froass, Nora Bell, Lauren Haack, Chloe Boehmer, Claudia Bruguera Torres, Rachel Spivak, Max Chou, Kristie Geisler, Keith O'Conor, Sara E. Williams, Lili Ding, Christopher D. King, Vanessa A. Olbrecht

Department of Medicine Faculty Papers

BACKGROUND: Virtual reality (VR) is a novel technology with implications for pain and sensory processing. VR may serve as a novel, scalable method to deliver clinically validated therapy for pain management as an alternative or adjunct to opioids for acute pain. Given that psychological factors and pain perception are both components of postoperative pain, it may also be beneficial to incorporate modalities that decrease anxiety, such as active relaxation and guided meditation with VR. Unfortunately, these therapies are not widely available due to multiple barriers. VR has the potential to deliver pain-reducing, psychologically based therapy to children, thereby enhancing multimodal …

A Transcendental Phenomenological Study Of Cognitive Overload In Manufacturing Engineers During Online Training In An Industrial Environment, Sarah J. May

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to explore experiences of cognitive overload among engineers in manufacturing during digital training in industrial environments. Engineers in manufacturing manage substantial physical and cognitive demands in order to maintain safe and efficient industrial environments. In addition to these responsibilities, engineers are often expected to engage in digital training within active work settings, frequently without physical or cognitive separation from job-related tasks. A qualitative research design was employed, with data collected from 10 participants and analyzed through triangulation and thematic coding. Data collection methods included a qualitative questionnaire, individual interviews, and a letter-writing …

A Multimethod Study Of The Barriers Of Women In The General Schedule 15 Grade And Senior Executive Staff Experience In Promotion At The Department Of Veterans Affairs, Terry Michael Acie

Doctoral Dissertations and Projects

The purpose of this research study was to discover why the female executive employee population is experiencing a gap in representation in senior management at the Department of Veterans Affairs (VA). The scholarly literature addressing federal disparities across the gender demographic identified several issues such as underrepresentation, social equity, pay equity, turnover intention, job satisfaction, and diversity as primary barrier drivers preventing or slowing female promotion. The issues are rarely investigated in an intersecting manner which plausibly could create several hurdles women must navigate to obtain a promotion and decrease their representation in executive service. The theoretical approach used is …

The Exploration Of Parental Involvement On Student Academic Achievement From The Perspective Of The Educator: A Phenomenological Study, Kwame Vladamir Hennagan

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to explore the lived experiences of educators regarding parental involvement in a rural South Carolina school district. Guided by Vygotsky's Sociocultural Theory and Epstein's Parental Involvement Theory frameworks, the study examined how teachers perceive, promote, and experience parental engagement, and what barriers influence effective collaboration between school and home. The Central Research Question answered in the study is: What are the lived experiences of educators with students with low parental involvement at a local school district in South Carolina? The methodology of this manuscript begins with the phenomenological research design.The sample size included …

Student Anxiety And Lassitude In A Foreign Language Learning Classroom: A Qualitative Phenomenological Study, Mcgraham Anyanwu

Doctoral Dissertations and Projects

The problem is that university students studying French in Nigerian schools as a foreign language experience anxiety because of communication apprehension, test anxiety, and fear of negative evaluation. The purpose of this qualitative transcendental phenomenological study is to explore how university students studying French as a foreign language describe experiences of anxiety and lassitude with French language learning at University Alpha in Nigeria. The central research question guiding this study is: How do university students studying French in Nigeria describe their experiences of anxiety and lassitude in a foreign language learning classroom? The theory guiding this study is Krashen’s theory …

Encouraging Ethical And Practical Local Government Managers: How The Icma Code Of Ethics Promotes Servant Leadership, Steven Vaughn-Lewis

Doctoral Dissertations and Projects

This study empirically examined the association between the adoption of ethical codes and servant leadership in local government organizations. Analyzing survey data from the International City/County Management Association (ICMA) from 2012-2018, along with the U.S. Census Bureau’s Community Engagement and Volunteering Supplement (CEVS) to the 2021 Current Population Survey (CPS), this study explored how the associations between adoption, scope, and enforcement mechanism of ethical codes impacted seven categories of servant leadership: relationships with elected officials, policy collaboration, information exchange, innovation, performance effectiveness, service delivery, and public/community engagement. This study also explored the relationship between ethics training and these seven dimensions …

Navigating Fear: Exploring The Influence Of Media And Other Factors On Perceptions Of Terrorism, Malachi-Chaim A. Robinson

Doctoral Dissertations and Projects

This dissertation examined factors influencing the fear of terrorism among U.S. adults in the post-9/11 context, where frequent media coverage impacts public perception. The central research question asked: To what extent is the fear of terrorism influenced by news consumption, ethnic intolerance, religion, gender, education, race and ethnicity, political affiliation, age, previous victimization of violent crime, and trust in government institutions? A quantitative, cross-sectional survey was conducted in 2025 using Zoho Survey, collecting 408 responses through stratified random sampling to approximate national representation. Chi-square tests revealed significant bivariate relationships for nine predictors: perceived credibility of terrorism-related news, perceived risk of …

A Qualitative Case Study Of Teachers’ Responses And Adaptation To How They Transitioned From Traditional Classrooms To Partial Or Full Virtual Learning Environments Post Covid-19, Kaprice L. Smith

Doctoral Dissertations and Projects

The purpose of this qualitative case study was to understand the responses and adaptation process for public school teachers in a southern state that transitioned from traditional classrooms to full or partial online learning environments post-COVID-19. The theory that guided this study was the Theory of Adaptation of Educators Teaching Technology-Based Courses, which theorizes that educators experience phases of transformation visioning, learning, rationalizing and doing, and modernizing that foster resilience and adaptability within evolving educational landscapes (Pinatil & Ramos, 2023). Guided by the social constructivist paradigm, the study examined how teachers adjusted instructional strategies, demonstrated emotional resilience, and integrated technology …

The Benefits Of A Holistic Biblical Approach To Adolescent Substance Use Treatment And Prevention, Amberlin D. Salas

Doctoral Dissertations and Projects

Adolescent addiction is increasingly problematic in the United States, including substance use and other addictive behaviors that carry a risk of continued adult addiction if not resolved effectively. Current treatment models are primarily limited to meeting the mental, emotional, and physical needs, but have gaps in treating areas such as spirituality and healthy parental relationships. From a biblical standpoint, Christian principles are relevant to all areas of need in the addicted individual, and considering a holistic biblical approach to address all areas of life could fill the gaps left by conventional addiction interventions. To understand the possible implications of a …

Health Disparities Resulted From The Relationships Between Vulnerable Patients And Providers, Matthew Maurice Bradley

Doctoral Dissertations and Projects

The study's purpose was to understand patterns of mistrust between providers and patients in vulnerable and underserved populations. The theories guiding this study were the critical theory and the critical race theory created by Max Horkheimer as it explains how people can collaborate and actively participate in rebuilding trust. The intention is to rebuild trust and reduce health disparities in the United States. The general problem is the lack of provisional resources for underserved and vulnerable communities, resulting in the population lacking trust in healthcare administration. Speicher and Francis (2022) examined how increasing physician turnover, burnout, depression, and dissatisfaction affect …

The Shared Experiences Of High Functioning Autistic Adults Receiving Mental Health Care In The Texas Metroplex: A Phenomenological Study, Katherine Ivey Marie Vaughan

Doctoral Dissertations and Projects

The purpose of the study is to describe the lived experiences of high functioning autistic adults who have engaged in mental health services in mental health services in Texas. Individuals with autism often face unique challenges, such as heightened sensory intake and cognitive inflexibility, which may complicate traditional therapeutic interventions. The theories that guided the study were the biopsychosocial model, social cognitive theory, the neurodiversity paradigm, and cognitive-behavioral theory, all exploring how cognitive processes influence emotions and behaviors in neurodiverse populations. Using a qualitative phenomenological design, semi-structured interviews were done with adults with high functioning autistic adults. Analysis of the …

Exploring The Duality Of Intelligence Quotient And Emotional Intelligence In Leadership, Michael J. Shepherd

Doctoral Dissertations and Projects

Leadership effectiveness is a critical factor in organizational success, yet there is no clear consensus on what specific qualities and behaviors constitute effective leadership. Despite the litany of research studies on intelligence quotient and emotional intelligence, there has been limited, if any, research specifically focused on understanding the processes used by organizations to determine how these two characteristics work in conjunction with one another to create effective leadership. The following research study and literature review included exploring the fundamentals of the issue, and the methods and procedures used by organizations to determine leadership effectiveness or select new leaders. Understanding the …

The Psychometric Use Of Word Embeddings, Thomas Benjamin Lyle Wasden

Doctoral Dissertations and Projects

This quantitative study examined the feasibility of categorizing individuals by English-language competency using word embeddings derived from language samples obtained from these individuals and by viewing word embeddings as a psycholinguistic construct. Word embeddings have been shown to be a versatile tool for performing a large number of important natural language processing (NLP) tasks, as well as a plausible model for some processes in the human mind, including processes within the domain of psycholinguistics. This research seeks to build upon previous research by showing that word embeddings may shed light on the underlying neural representation of semantic entities being acquired …

Predicting Income Satisfaction From Artists’ Annual Income And Collegiate Embedded Entrepreneurial Knowledge And Skills, Joy Albert Quarmout

Doctoral Dissertations and Projects

The purpose of this quantitative, predictive correlational study was to determine how accurately income satisfaction could be predicted from a linear combination of annual income and inclusion of entrepreneurial knowledge and skills curricula in liberal arts education programs among public college graduates within the past ten years. A purposive sample of 87 graduates was drawn from universities with established art programs who graduated one to ten years ago. The planned behavior theory formed the logic model that guided the thought process, attitude, and reasoning behind this study. The research instrument, The Strategic National Arts Alumni Project: Survey Questionnaire, served as …

"Hoch Der Kaiser, Der Kaiser Killed A Cat." An Examination Of Anti-German Sentiment In Print In The British Empire During The Great War: Australia And New Zealand, 1914-1918, Grace A. Bailey

Doctoral Dissertations and Projects

The unprecedented rise in anti-German sentiment across the British Empire during World War I, 1914-1918, was intensified by an “us vs. them” mentality that was reflected daily in the newspapers of the Empire. However, the intense hatred expressed in Antipodean newspapers surpassed that of the rest of the Empire. This dissertation examines the explicit role newspapers in Australia and New Zealand played in inciting Germanophobia among the public and the societal consequences that followed. Ultimately, the hatred led to the internment of those with German heritage, despite their naturalized status. Along the way, however, German Australians changed their last names, …

Not All Ei Dimensions Are Created Equal: Differential Effects Of Perceived Leader Emotional Intelligence On Lmx Quality And Employee Engagement, Michael Frommack

Doctoral Dissertations and Projects

This quantitative study examined the pathways through which employees’ perceptions of their leaders’ emotional intelligence influenced employee engagement, with leader-member exchange (LMX) quality as a mediating mechanism. Using structural equation modeling with data from 368 full-time employees, the study investigated whether the four dimensions of leader emotional intelligence differentially predicted the three dimensions of employee engagement. Results demonstrated that leader EQ strongly predicted LMX quality (β = .80, p < .001, R² = .64), and that leader emotional intelligence and LMX quality significantly predicted employee engagement in bivariate analyses (β = .43, p < .001, R² = .19; β = .47, p < .001, R² = .22, respectively). However, LMX quality completely mediated this relationship. The indirect effect was significant (β = .26, p = .002), while the direct effect was nonsignificant after accounting for LMX (β = .17, p = .108), indicating full mediation. No dimension-specific pathways emerged after controlling for relationship quality. Supplementary analyses revealed that others’ emotion appraisal (OEA) demonstrated almost twice the predictive strength of the other emotional intelligence dimensions for predicting LMX quality (β = .45, p < .001). These findings provide empirical support for Social Exchange Theory and demonstrate that leader emotional intelligence is statistically accounted for by relationship quality mechanisms. Practical implications suggest that organizations should prioritize relationship building competencies in leadership development and selection. Theoretical implications challenge assumptions about dimensional equivalence in emotional intelligence frameworks and establish LMX quality as the complete mediator for leadership influence on employee engagement.

Nascar's Transformation From Regional Pastime To National Spectacle, 1990 To 2004, Brett James

Doctoral Dissertations and Projects

NASCAR, the National Association for Stock Car Auto Racing, experienced a rapid rise in popularity during the 1990s and early 2000s. Although the sport originated in the postwar southeastern United States and initially drew a largely regional fan base, by the late-1990s it enjoyed a national following and expanded its race schedule across the country. During this period, NASCAR underwent significant changes that affected nearly every aspect of the sport, including its drivers, manufacturers, and the format determining the season champion. Led by the France family, the sport’s owners since its inception in 1948, the industry pursued these changes in …

Counseling Satisfaction In Lgbtq Clients: The Roles Of Perceived Counselor Religiosity And Perceived Discrimination, Karen Cain Culbertson

Doctoral Dissertations and Projects

LGBTQ individuals experience mental health issues more frequently than the heterosexual population (Benz et al., 2019; Hinton et al., 2024; Nakamura & Logie, 2020). It appears that they often face unique challenges when seeking mental health care (Makadon et al., 2015). These may become complex when working with Christian counselors when there are conflicting beliefs between their religious views and their counseling standards (Lane, 2021). Although previous research has identified barriers to care for the LGBTQ community and the psychological impact of non-affirming religious settings, there is little research on how these dynamics unfold specifically within a Christian counseling relationship …

A Phenomenology Of Sexual Assaults On College Campuses, Karon R. Williams

Doctoral Dissertations and Projects

The rate of sexual assaults for women, lesbian, gay, bisexual, and transgender (LGBT) individuals on college campuses is reported at a higher rate compared to males and is continuing to rise at a staggering rate, causing this to become a national issue. The purpose of this phenomenological study is to understand the subjective experience, campus culture, psychological disorders, and changes in students' religious beliefs after a sexual assault. Victims’ perceptions and campus norms reporting sexual violence and assault incidents help to explain institutional support systems, the afterlife, and long-term outcomes of victims, prevention programs, and services. The frameworks for this …

Cultural Influences On Mental Health Help-Seeking: A Comparative Study Of Haiti And The United States, Luther-King Jean-Baptiste

Doctoral Dissertations and Projects

Mental health stigma and help-seeking behaviors vary across cultural contexts and are shaped by shared beliefs, values, and social expectations. This qualitative study examined how cultural meaning systems influenced mental health help-seeking behaviors in Haiti and the United States. Using surveys and semi-structured interviews, data were collected from 30 participants (15 from each country) who reported a history of psychological distress or mental health challenges. Findings indicated that help-seeking behaviors were not determined solely by symptom severity but were embedded within cultural, relational, spiritual, and structural frameworks. In Haiti, help-seeking was largely collective and shaped by family validation, community norms, …