Digital Commons Network^™

Ai Privacy And Security In Healthcare: A Systematic Literature Review, Diane Dolezel, Karima Lalani, Valerie Watzlaf, Kerryn Butler-Henderson, Elise V Z Lambert, Mary Morton, Jamie Sand, David Gibbs, Susan Fenton

Faculty, Staff and Student Publications

Background: Artificial intelligence is expanding into telemedicine and telerehabilitation, yet significant privacy and security concerns persist.

Scope: To synthesize empirical evidence on privacy and security approaches in health care, particularly those relevant to distributed home care.

Methodology: A systematic review identified 80 studies (2019 to 2025), and Latent Dirichlet Allocation (LDA) topic modeling characterized the privacy and security themes.

Results: Sixty-six studies addressed privacy, only seventeen addressed security, and three studies addressed both. LDA identified four themes: patient data privacy, federated learning for medical imaging, encrypted training and secure computation, and healthcare data governance. Most studies emphasized privacy-preserving approaches, like …

Simple Guide To Research Integrity For Undergraduate Researchers, Julie Simpson

Integrity in Research and Scholarship

Involving undergraduates in research is valuable for their education and important for their career development, vital for science, and rewarding for supervisors. Instilling the importance of research integrity as fundamental to the advancement of knowledge may be challenging, particularly for first time trainees, as they learn the research process and their attendant responsibilities. This simple guide was developed to assist researchers who oversee the work of undergraduate trainees address basic concepts and topics. After the core values which establish the basis for the integrity of research and scholarship broadly, the ordering of concepts/topics does not represent a hierarchy; the sequence …

A Simple Guide For Researchers And Institutional Review Boards (Irbs) To Protect Data Integrity In Online Human Subjects Survey Research, Julie Simpson

Integrity in Research and Scholarship

Researchers have used the internet to collect data for over two decades. More recently, however, online research has become a target for fraudulent respondents, particularly when researchers offer monetary incentives for participation in a study. This guide will briefly outline the evolution of internet-based human subjects research, explore the current environment for online data collection from human participants, outline strategies for researchers and Institutional Review Boards (IRBs) to help minimize and identify fraudulent responses and protect data integrity in online surveys, and discuss the challenges of balancing data integrity with research participant welfare.

A Simple Guide To Responsible Authorship And Publication, Julie Simpson, Patricia B. Condon, Bonnie Brown, William C. Clyde, James J. Connell, Ramonda Kindle, Nathan A. Schwadron, John E. Sparrow, Xueting Sun, Engin Taze, May-Win Thein, Anita R. Tucker, Karen T. Van Gundy, James Wible

Integrity in Research and Scholarship

This guide examines the following aspects of responsible authorship and publication practices:

1. The significance and goals of publication
2. Publication mechanisms and responsible practices
3. The importance and guiding principles of authorship
4. The definition and responsibilities of an author
5. Responsible writing practices

Please note that throughout this document there are links to examples of concepts/issues within certain disciplines for illustrative purposes. The examples may not be relevant to all disciplines so check guidance specific to the applicable discipline before proceeding. This guide was adapted from an online training module that was part of the University of New …

Food Delivery Services For Enhancing Participation In The Special Supplemental Nutrition Program For Women, Infants, And Children (Wic) In The United States: Bridging The Wic-Eligible Access Gap, Jingjing Gao, Muinat Abolore Idris, Lilian O Ademu, Bryan Colby Griffin, Yue Zhang, Yun Hang, Gabriela A Gallegos

Faculty, Staff and Student Publications

Background: Diet-related health disparities among U.S. children persist despite the availability of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) benefits to eligible women, infants, and children. Participation remains suboptimal: only 51.2% of eligible individuals were enrolled in 2021. Transportation and food-environment constraints pose salient barriers, especially for caregivers of infants in food deserts. Emerging online ordering and delivery options may reduce access frictions, but grocery delivery coverage is limited, and fees are often not covered by benefits.

Methods: We linked USDA Food and Nutrition Service state-level WIC participation data (November 2024 vs. September 2025) with demographic, …

“I Can’T Just Talk It. I Have To Live It”: The Roles, Needs, And Recruitment Of Recovery Home House Managers, I Niles Zoschke, Kathryn R Gallardo, Hannah L N Stewart, Serena A Rodriguez, Danielle Gillespie, Sheryl A Mccurdy, J Michael Wilkerson

Faculty, Staff and Student Publications

Introduction: Recovery homes are an increasingly important recovery support service for people with substance use disorders, yet limited research has examined the roles of house managers or how individuals are recruited into these positions. This study examines how house managers understand and enact their roles, how recovery home operators recruit for these positions, and how the demands and sustainability of the role are perceived in practice.

Methods: We conducted a qualitative thematic analysis of interviews with 29 operators and staff working in 10 Level II and Level III recovery homes across five Texas cities.

Results: Findings indicate that house managers …

Building The Infection Prevention Workforce: Development, Implementation And Evaluation Of Texas Epidemic Public Health Institute Infection Prevention And Control 300 Series, Kayla E Ruch, Janelle Rios

Faculty, Staff and Student Publications

Background: The Texas Epidemic Public Health Institute (TEPHI) was established to strengthen infectious disease preparedness across Texas. The Infection Prevention and Control (IPC) 300 Series represents the third year of a multi-tiered educational initiative designed to provide free, accessible, evidence-based IPC training and continuing education credits for the healthcare workforce.

Methods: Registration and attendance data were collected through Zoom™ and Microsoft Teams™. Knowledge assessments, post-module surveys, and mid- and end-of-series evaluations were administered through QuestionPro™. Module content was informed by guidance from APIC, CDC, CMS, and OSHA. Descriptive statistics and the Kirkpatrick Model of Training Evaluation were used to assess …

Feasibility And Preliminary Outcomes Of A Remotely-Delivered Exercise Training Intervention For English-Speaking Hispanics/Latinos With Multiple Sclerosis: Results From The Ferla Ms Study, Victoria A Flores, Stephanie L Silveira, David X Marquez, Dominique Kinnett-Hopkins, Augusto Miravalle, Fabian Sierra-Morales, Robert W Motl

Faculty, Staff and Student Publications

Background: There is limited evidence on the feasibility of remotely delivered exercise interventions for English-speaking Hispanics/Latinos with MS.

Objectives: To evaluate the feasibility and exploratory efficacy of a remotely-delivered, home-based exercise program for English-speaking Hispanics/Latinos with MS and to explore associations among feasibility metrics, outcomes, and social determinants of health (SDOH).

Results: Of 340 individuals contacted, 112 were eligible (33%), 33 enrolled (9.7%), 30 randomized, and 26 completed (87% retention). Adherence averaged 81% (exercise) and 89% (control). No serious adverse events occurred. Exploratory within-group improvements were observed in the exercise group for physical activity (p = 0.03, d = …

Understanding Practices Of Lactation And Infant Feeding Together With Women With Hiv: The Uplift Observational Study Protocol, Christiana Smith, Emily Anne Barr, Karen Hampanda, Mark Trumbull, Hulin Wu, Jennifer Mckinney, Sarah Buisson, Carly Hoffmann, Ciarra Brown, Angela B Hutchinson, K Rivet Amico, Ifeyinwa V Asiodu, Elizabeth J Mcfarland, Margaret A Lampe, Preetam A Cholli, Olga Varechtchouk, Allahna Esber, Athena P Kourtis, Lisa Abuogi

Faculty, Staff and Student Publications

Introduction: There is a limited understanding of infant feeding decisions, practices, and outcomes for women living with HIV (WLHIV) and their infants since U.S. guidelines were updated in 2023 to support breastfeeding for virally suppressed women on antiretroviral treatment.

Methods and analysis: The Understanding Practices of Lactation and Infant Feeding Together with women with HIV (UPLIFT) study is a convergent mixed-methods, multisite, observational study designed to address key knowledge gaps. Twelve US sites will begin enrollment in early 2026 to accomplish three core activities (CA). In CA1, we explore infant feeding decision-making and experiences via in-depth interviews with pregnant/postpartum WLHIV …

Evaluating Differences In Nonsyndromic Orofacial Clefts By Infant Sex: National Birth Defects Prevention Study, 1997-2011, Victoria A Salinas, Natalie P Archer, Layla R Lustri, Katherine L Ludorf, Timothy Ihongbe, Wei Yang, Eva M Williford, Marilyn L Browne, Adrian M Michalski, Lindsay A Williams, Wendy Nembhard, Eirini Nestoridi, Gary M Shaw, Andrew F Olshan, A J Agopian, National Birth Defects Prevention Study

Faculty, Staff and Student Publications

Objective: To investigate nongenetic factors that may contribute to observed differences in nonsyndromic orofacial clefts by infant sex.

Study design: Using data for 1997-2011 deliveries from the National Birth Defects Prevention Study, a case-control study, we separately examined associations between 23 maternal factors and cleft lip with or without cleft palate (CL/P) and cleft palate alone (CP) using multivariable logistic regression stratified by infant sex.

Results: We compared 2986 infants with CL/P and 1557 with CP to 11 271 control infants without birth defects. After adjusting for maternal age at conception and education, lower odds of nonsyndromic orofacial clefts were …

Enhancing Data Compatibility In An Evolving Landscape: Medical Cannabis And Polysubstance Use Protocols In The Phenx Toolkit, Anne Buu, Johannes Thrul, Amanda Bunting, Tamara Haegerich, Wayne Huggins, Christian Hopfer, Denise Vidot, Cataia Ives, Ryan Mcneil, Sarah Zemore, Corrie Vilsaint, Elizabeth Fallon, Christine Hill, Carol Hamilton, John Kelly

Faculty, Staff and Student Publications

Introduction: With increasing legalization of medical cannabis and prevalence of polysubstance use in the United States comes the need for standard psychometrically validated measures to study these substances' health effects in the population. The PhenX (consensus measures for Phenotypes and eXposures) Toolkit (www.phenxtoolkit.org) is a freely accessible catalog of recommended measurement protocols to promote data compatibility across studies, but this extensive catalog did not include measures in these important areas.

Methods: In 2024, a PhenX Working Group of experts followed a well-established consensus process to identify and recommend measurement protocols suitable for inclusion in studies on medical cannabis and polysubstance …

Impact Of Early Intervention On Developmental Outcomes In Young Children With Autism In Rural Communities, Libier Burgara

IdeaFest 2026

This poster examines the impact of early intervention on developmental outcomes in young children with autism in rural communities, with a focus on care delivered through a community based rural clinic and a rural federally qualified health center. Delays in diagnosis and limited access to specialized services contribute to poorer developmental trajectories in these settings.  This project highlights the importance of early screening, timely referral, and coordinated, family centered care.  Key concepts include reducing disparities, improving access to evidence based interventions, and strengthening interdisciplinary collaboration.  Outcomes demonstrate that early, consistent intervention is associated with improved communication, social functioning, and overall …

The Politicization Of Performance: How Rome Turned Ancient Greek Ritualistic Entertainment Into Political Propaganda, Ava Henderson

IdeaFest 2026

In this poster the topic of how Ancient Greek ritualistic theater was changed to fit the bloody and politically inclined ideals of Ancient Rome was discussed. It explores different theoretical frameworks such as the Ritual Theory, the Spectacle and Power Theory, and the Performance Theory. It also uses many different methodologies including comparative archaeological analysis, textual analysis, and socio-political contextualization. Using these different methods the poster is able to explore how Rome used both their spectacles and their architecture to promote their idealization of war while Greece used their performances and architecture to honor their Gods, specifically Dionysus who was …

The Boys And Girls Club Of The Redwoods Pacific Union, Kyle Sabio

IdeaFest 2026

As a College Corps Fellow, I served at the Boys and Girls Club of The Redwoods (BGCR) at Pacific Union Elementary School as a Youth Development Associate. Working with youth has developed my conflict resolution skills as well as communication skills in this field. I was grateful to be able to work with kids from TK-8th grade and act as a role model for them. BGCR operates an afterschool program on the campus of Pacific Union. The program facilitates care for members TK-8th grade and currently enrolls over half of the school population (approx. 296 members). With the sheer number …

Superintendent Accountability In High Achieving School Districts: A Qualitative Multiple Case Study In The State Of Washington, Kristin Lind Jacobs

Graduate Student Theses, Dissertations, & Professional Papers

The primary goal of a school district is to promote and support student academic achievement. Superintendents of public school districts across the United States should therefore be held accountable for student performance within their districts. Establishing a successful public school district requires interconnected relationships among the superintendent, the school board, accountability structures, and evaluation processes.

The purpose of this qualitative multiple case study was to understand how superintendent accountability, in regard to student achievement, was conducted and accomplished by school boards who believe they hold the superintendent accountable for student learning. This study focused on school boards governing high-achieving school …

Winding Roads: A Qualitative Phenomenological Study Of Female Educational Leadership, Nicole Casper

Graduate Student Theses, Dissertations, & Professional Papers

The experiences of female superintendents were examined in this study to provide insight into the commonalities in their leadership journeys within public school organizations. A phenomenological, qualitative approach, aligned with Moustakas’s (1994) framework, was used to explore participants’ shared experiences. Comprehensive interviews were conducted with 17 female superintendents serving during the 2022–2023, 2023–2024, and/or 2024–2025 academic years in the states of Idaho, Montana, Oregon, and Washington. Through phenomenological reduction, three overarching commonalities emerged: (a) barriers, (b) challenges, and (c) supporting factors. The findings illuminate how organizational, societal, and gendered influences interact to shape female leadership advancement toward assistant superintendent or …

Beyond Words: The Horse-Human Encounter In Equine-Assisted Psychotherapy For Residential Substance Use Treatment, Leah Finch Lungren

Graduate Student Theses, Dissertations, & Professional Papers

Equine-assisted psychotherapy (EAP) has emerged as a promising experiential therapeutic intervention, yet the lived experience of adults participating in EAP within residential substance use disorder (SUD) treatment settings remains underexplored. This hermeneutic phenomenological study examined the lived experience of 12 adults who participated in EAP groups during residential SUD treatment across three treatment facilities in the United States. The primary research question was: What is the lived experience of participating in EAP for adults in residential SUD treatment? Data was collected through semi-structured interviews and analyzed through iterative hermeneutic interpretation guided by van Manen’s (1990) existential framework.

Six themes emerged …

Integrating Hippotherapy Into Interprofessional Aphasia Rehabilitation: A Feasibility Pilot Study, Bethany H. Wenger

Graduate Student Theses, Dissertations, & Professional Papers

Background and Significance: Stroke remains a leading cause of disability in the United States, affecting over 2.5 million individuals annually. Stroke-related motor and communication deficits often co-occur, increasing challenges for recovery, increasing social isolation, depression, and dependency. Hippotherapy has emerged as a novel treatment approach for neurorehabilitation; however, its application within interprofessional models for individuals with stroke-related motor and communication impairments remains underexplored. This study examines the feasibility, fidelity, and acceptability of an interprofessional intervention using hippotherapy for adults with chronic post-stroke aphasia, the purpose of which is to generate methodological guidance for future controlled trials.

Methods: A non-randomized, single-group …

Instructor Created Video: Differences In Perception Of Administrative Support In Respiratory Care, Brian Daniel Cayko

Graduate Student Theses, Dissertations, & Professional Papers

Background: The recent proliferation of online education has highlighted the need to reduce transactional distance and increase the community of inquiry presence between the instructor and students and between students. This quantitative non-experimental study examined the differences in perception of administrative support for instructor-created video (ICV) between faculty and administrators within Commission on Accreditation of Respiratory Care (CoARC) higher education programs of Respiratory Care. Methodology: The Difference in Perception of Administrative Support (DPAS) survey was utilized to collect data from 93 valid participants through a snowball sampling method. Analysis was performed using an independent samples t test and Cohen's d …

Most Effective Methods For Educating Three Population Demographics At Risk Of Large-Scale Lahars Originating From Mt. Rainier, Bodhi Merrill

IdeaFest 2026

In this study I focus on the most effective ways to communicate response plans for lahars originating from Mt. Rainier to three socioeconomic groups: residents, employees, and tourists. Wood and Soulard (2009) identified these three populations in the communities surrounding Mt. Rainier as largest and most at risk to a potential large-scale lahar. I will utilize lahar hazard maps published by the United States Geological Survey in combination with peer-reviewed journal articles focusing on the most successful methods of educating specific population demographics. This work will help guide emergency planners, management agencies, and individuals to better understand what measures still …

Improving Early Mobility And Family Engagement For Patients In A Rural Intensive Care Unit, Erin Sullivan

IdeaFest 2026

Early mobility and family engagement interventions for mechanically ventilated patients in the intensive care unit are key components of the ICU liberation bundle (A-F). It strives to reduce patient complications, such as delirium, PTSD, progressive weakness, lengthy hospital stays, and mortality. This quality improvement project in a rural ICU employs a multidisciplinary approach to expanding early mobility interventions, educating the care team, patients, and families, addressing barriers, encouraging family participation, and developing an early mobility standard of care protocol. Key outcomes include consistent use of ICU liberation documentation tools by caregivers, enhanced family participation and education, and increased mobilization of …

An Exploratory Analysis Of The Role Of Sex In Load Carriage, Rachel E. Perez, Dustin R. Slivka, Brent C. Ruby

Graduate Student Theses, Dissertations, & Professional Papers

Axially loaded weight may impose a metabolic demand equivalent to that of fat mass (FM) during load carriage. Males (M) typically have a lower body fat percentage than females (F), resulting in metabolic demand differences during load carriage that may be mitigated by accounting for FM in pack loads. PURPOSE: To determine whether normalizing pack load to FM equalizes metabolic cost across sexes during load carriage. METHODS: Twenty-eight participants (14M, 23 ± 5 y, 1.81 ± 0.07 m, 78.7 ± 10.0 kg, 12.7 ± 5.4% body fat, VO₂peak 4.18 ± 0.54 L·min^-1; 14F, 22 ± 4 …

Career Development Through College Corps, Gia Gruenhagen

IdeaFest 2026

As a College Corps Fellow, I served at Coastal Grove for three years. I have assisted in the handwork class for all three years. While working there I have learned many new skills like knitting, and leather work. I have also got to hone my skills in crocheting and sewing. I had the opportunity to work with the second grade class for my final year, and before that worked, with the previous second grade class as well. From this I have learned the basic office skills like printing, and organization. I have gained a compassion for teachers, and admire their …

Curtains Up On A Future Teacher! My College Corps Fellow Experience, Evan Pierce

IdeaFest 2026

As a College Corps fellow, I worked with Arcata High School, particularly the theatre strand of the Arcata Arts Institute. In this program, I have been supporting students in the classroom and in the theatre productions. Looking to become a high school theatre teacher myself, working with Melanie Zapper has been truly a wonderful and incredibly meaningful experience. Theatre programs provide students with a fun, creative outlet while also preparing them with real-life skills such as time management, collaboration, flexibility, and public speaking. I am so grateful to have gotten an opportunity to use my passion and experience to support …

An Ecology Of Small Sorrows: Small Animals And The Fragile Ecosystems Inside Us, Haley H. Yarborough

Graduate Student Theses, Dissertations, & Professional Papers

In An Ecology of Small Sorrows, Haley Yarborough uses a series of personal essays to explore how encounters with small life shape her understanding of herself. This collection is inspired by many talented writers — Lucy Cooke’s insights into animal biology, Andy Weir’s humor and knack for explaining complicated topics, Ben Goldfarb’s insightful exploration of the overlooked, and Sabrina Embler’s beautiful, poetic reflections on the natural world.

These essays touch on how small animals serve as mirrors for us, through our experiences with illness, loss, insecurity, and survival. While a lot of modern media emphasize larger, charismatic species to tell …

Wicked Problems Through An Interdisciplinary Framework, Sarah Peters Gonzalez

IdeaFest 2026

Wicked problems are complex issues that resist straightforward solutions due to their interconnected nature, uncertainty, and ambiguity. These problems defy simple solutions, are shaped by countless variables and often lack clear boundaries. No single discipline holds the key to addressing them. By integrating diverse perspectives, knowledge, and methodologies, students in the Individualized Degree Program (IDP) explored a range of wicked problems, examining them from multiple disciplinary angles, drawing on insights from various fields: science, humanities, and more. The aim of the project is to showcase the power of interdisciplinary approaches in addressing the challenges of our time.

Paternal Stress As A Contributor To Neuropsychiatric Disease Risk In Offspring, Chris Roberds

IdeaFest 2026

Chronic stress is increasingly common and may have consequences across generations. Paternal chronic stress has been shown to alter sperm small RNAs and influence offspring neurodevelopment and psychiatric disease risk. However, how stress signals from the brain reach the germline and how offspring respond to stress remains unclear. This study examines epigenetic inheritance of paternal stress and its effects on offspring stress responses. We compared offspring of chronically stressed and non-stressed sires and measured corticosterone following an acute stressor. Offspring of stressed fathers exhibited reduced corticosterone responses, with evidence of sex-specific differences in stress regulation.

From Mandate To Implementation: A Qualitative Content Analysis Of Early Childhood Coursework In Educational Leadership Preparation Programs, Anna Louise Puryear

Graduate Student Theses, Dissertations, & Professional Papers

Research on principal leadership in the P-3 continuum is limited, even though leadership is second only to teaching in its impact on student outcomes. Most leadership preparation programs emphasize K–12 content, with little focus on early childhood education. Illinois is the only state to codify legislation requiring early childhood content in educational leadership programs, offering a unique case to examine how such mandates are implemented. This study employed qualitative content analysis to investigate how institutions of higher education represent mandated early childhood content in graduate-level coursework. Data sources included program-level documents from 22 Illinois leadership preparation programs and course-level materials …

Promoting Hope And Resilience: Measuring The Psychological Effects Of An Undergraduate Climate Change Education Course, Clare Bridgett Maguire

Graduate Student Theses, Dissertations, & Professional Papers

The psychological effects of climate change are increasing, which has led to an increase in advocacy to research these effects. Current literature has included a focus on categorizing and understanding the psychological impacts, creating psychometrically sound instruments to measure the effects, and education as a tool to enhance coping strategies. However, limited research exists on measuring the emotional outcomes for students who engage in climate change education at the post-graduate level.

This dissertation explores the effects of an undergraduate-level climate change course on participants’ experiences of eco-anxiety, ecological grief, resilience, and hope to better understand the psychological effects of climate …

Professional Development On A Personal Level With Trinidad Coastal Land Trust, Ronica Reyes

IdeaFest 2026

As a college corp fellow I served at Trinidad Coastal Land Trust focusing on increasing coastal access in the form of stewardship workdays, trail maintenance, community outreach, and day-to-day operations. This work matters to all who come in contact with the Trinidad coast no matter the species. Through this experience I've made meaningful impacts and connections to place and people.