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Motivational Interviewing For Weight Loss: A Review Of Evidence-Based Outcomes In Overweight And Obese Adults, Marian Dover

Dissertations

Obesity is a significant clinical problem affecting 41.9% of adults in the United States, with profound implications for individual health and healthcare economics. Standard weight loss interventions, often limited to pharmacological treatments and dietary guidance, frequently fail to achieve sustained adherence and meaningful longterm outcomes. This quality improvement (QI) project evaluated the integration of motivational interviewing (MI), a patient-centered counseling strategy, into routine clinical practice at Innovafusion, a medically supervised weight loss clinic in Aubrey, Texas. The aim was to enhance adherence to lifestyle modifications, promote intrinsic motivation, and improve weight loss outcomes among adults aged 18–65. Using a retrospective …

Implementation Of Mindfulness-Based Interventions And Weekly Visits To Reduce Loneliness In Older Adults, Victoria E. Cobb

Dissertations

Implementation of Mindfulness-Based Interventions and Weekly Visits to Reduce Loneliness in Older Adults

Abstract:

Problem: Social isolation and loneliness have emerged as a significant public health issue for the older adult population. Loneliness has been linked to both physical and mental health effects. According to current literature, there is no standard intervention to treat loneliness in the older adult population.

Methods: This quality improvement (QI) project utilized a descriptive cohort design and the Visit-A-Bit screening assessment instrument. Undergraduate nursing students implemented mindfulness interventions during weekly visits over an eight-week period at an independent living facility located in the Midwest. Descriptive …

Implementing Behavioral Management And Social Skills Training For Pediatric Patients With Adhd And Their Caregivers, Meagan A. Conwell

Dissertations

Problem: Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder that affects 11.4% of children in the United States. Patients diagnosed with ADHD struggle with focus, hyperactivity, and impulsivity, resulting in executive and emotional dysfunction, poor social skills and quality of relationships, and poor school performance.

The American Academy of Pediatrics guidelines recommend that school-age children diagnosed with ADHD should receive both medication management and behavioral management training (BMT) for the best treatment outcomes. Research over the last decade has found that combining social skills training (SST) with BMT results in even better outcomes for these patients. Less than half of pediatric …

Improving Hpv Vaccination Decision-Making For Adolescents And Their Caregiver, Mary E. Hohman

Dissertations

Abstract

Problem: Human papillomavirus (HPV) is a viral infection associated with the development of certain cancers and is the most common sexually transmitted infection in the United States (U.S.) (Centers for Disease Control and Prevention [CDC], 2023). The CDC (2021) asserts that more than 90% of cancers caused by HPV infections could be prevented through the HPV vaccination. The CDC recommends the HPV vaccine series for children ages 11 or 12 years; however, this organization further submits that the HPV series could be initiated as early as 9 years of age through 26 years of age (CDC, 2024). Despite CDC …

Implementing A Turn Team Process To Reduce Hospital-Acquired Pressure Injuries On A Telemetry Unit At A Hospital In The Midwest, Sally Wang

Dissertations

Problem: Pressure injuries (PI) are localized wounds to the skin and soft tissues that typically result from sustained pressure on specific areas of the body (Zaidi & Sharma, 2024). Hospital-acquired pressure injury (HAPI) refers to pressure injuries that develop while a patient is in the hospital (Rondinelli et al., 2018). PI can cause patients to experience pain, decreased feelings of dignity, increased feelings of depression and anxiety, reduced levels of social activity, difficulty sleeping, and impaired cognitive function (Roussou et al., 2023). The Advanced Cardiac Care Unit (ACCU) at Missouri Baptist Medical Center experienced an increase in HAPI cases: …

Depression Screening In The Adult Inpatient Oncology Population, Erica Bizub

Dissertations

Routinely screening oncology patients for depression is recommended due to the higher rates of depression in this population as well as the negative impact of untreated depression. The goal of this QI project is to implement a standard depression screening protocol for patients admitted to this hospital, where there is currently no standard screening protocol. There were 110 patients included in this study, and 67 (60.91%) of patients received a PHQ-9 screening. Of the patients who completed the PHQ-9, 21 (19.09%) had a positive screening, which was a score of seven or higher. While there were high rates of provider …

A Program Evaluation: Insomnia In Adults With Major Depression Disorder With Cognitive Behavioral Therapy For Insomnia (Cbt-I), Taylor E. Wilson

Dissertations

Abstract

Problem: In 2023, Compass Health Network (CHN) data analysts found that 91% of CHN patients in the United States who have died by suicide reported problems with sleep, which was the highest risk factor for suicide. The objective of this program evaluation project is to evaluate CHN CBT-I effectiveness on patients ‘suicidality by improving their insomnia.

Methods: CHN quality improvement (QI) project used a quantitative method pre/post score design. Quantitative aggregate data was collected on the participants who met the inclusion criteria via retrospective and prospective chart review prior to CHN implementing the intervention. CBT-I clinicians collected PHQ-9, Columbia-Suicide …

Care Coordination In Pediatric Primary Care, Alyssa K. Durzo

Dissertations

No central documentation of care plans exists for children with special healthcare needs (CSHCN) in the electronic health record (EHR). Providers of a large pediatric primary care office in St. Louis Missouri were asked to identify CSHCN in the practice. Clinic nurses completed a comprehensive chart review of the patients identified and constructed care coordination documents using a pre-established smart-text phrase. Subsequently, these were documented centrally in the EHR under the Problem List.

Likert score data was obtained from providers on the acceptability, appropriateness, and feasibility of the intervention through the verified tools: Acceptability of Intervention Measure (AIM), Intervention Appropriateness …

Screen Foundations: How Pediatric Nurse Practitioners Can Implement ‘Family Media Use Plans’ In Primary Care To Reduce Pediatric Behavior Concerns, Katie Anderson

Dissertations

Abstract for:

Screen Foundations: How Pediatric Nurse Practitioners Can Implement ‘Family Media Use Plans’ in Primary Care to Reduce Pediatric Behavior Concerns

Problem: Parents of children 2-5 years-old increasingly reach out to PCPs for escalating behavior concerns, including when the child doesn’t listen well, is inattentive, having tantrums, meltdowns, hitting, yelling, etc. Referrals to psychiatry and/or play therapy result in long waits, or referrals not accepted. Coincidingly, toddler and preschool aged children continue to exceed daily screen time recommendations. This results in a gap of care for families with young children and externalizing behavior.

Methods: This quality improvement project addressed …

Best Practice Toolkit For Burnout Prevention In Emergency Department Nurses, Moises A. De Oleo

Student Scholarly Projects

Practice Problem: Burnout Syndrome (BS) is a serious problem in emergency department (ED) nurses and is associated with higher nurse turnover rates. A burnout prevention toolkit is needed.

PICOT: The project was guided by the following PICO question: "For emergency department nurses (P), how does the development of the best practice burnout prevention toolkit (I), compared to the absence of a structured intervention (C), support the establishment of nurse burnout best practices when evaluated using the CDC Program Evaluation Framework? (O)".

Evidence: The analysis of the literature supported the implementation of active interventions in the form of workshops.

Intervention: A …

Research Progress In Thermo-Reversible Polysaccharide Gels, Dongxin Zhou, Ziao Zhang, Su Chen, Weimin Yang, Jiajun Sun, Shengzu Han, Anning Xie, Xiaoxiao Li, Yuxiang Bai

Journal of Food Science and Biotechnology

Thermo-reversible gels are widely applied in the processing of baking,meat,and snack products including cakes,candies,jelly,aspic,and steamed custard buns.Currently,the most effective thermo-reversible gel is gelatin,which can combine with water to form a transparent gel that melts when it is close to the temperature of the human oral cavity.However,gelatin is expensive.Therefore,researchers have turned their attention to polysaccharide gels,hoping to obtain more thermo-reversible food raw materials with different properties.The author reviews thermo-reversible polysaccharide gels from natural sources such as plants,algae,and microorganisms and those modified by physical,chemical,and enzymatic methods and summarizes the sources,structures,gelatinization mechanisms,and product applications of polysaccharide gels.It is expected to provide a reference …

High School Teachers’ Perceptions On Implementing Curriculum-Based Standards For Students With Autism Spectrum Disorder, Kevin Keogh Iacoboni

Walden Dissertations and Doctoral Studies

The problem addressed through this study was that special education (SPED) teachers struggle to implement curriculum-based standards into their instruction of high school students with autism spectrum disorder (ASD) in a Mid-Atlantic state’s system of nonpublic schools. Guided by Billingsley’s schematic representation and Vygotsky’s zone of proximal development, the purpose of this qualitative study was to explore high school teachers’ perceptions on their successes, challenges, and resources provided for implementing the state-mandated curriculum-based standards for students with ASD in the Mid-Atlantic state’s nonpublic schools. For this basic qualitative design, semistructured interviews were conducted with 10 high school SPED teachers from …

Better Together: Collaborative Approaches To Teaching Primary Source & Information Literacy, Rebecca Fitzsimmons

Faculty and Staff Publications – Milner Library

Special collections librarians and their research & instruction colleagues discuss collaborative approaches to primary source and information literacy instruction in the university classroom. Through presentations and panel discussion they cover the types of classes where they collaborate, including a representative example class; how they work with teaching faculty; their favorite learning objectives; and how their partnerships have made them better teachers.

Panelists represent public universities in Arkansas, Illinois, and Maine, and a private college in Ohio.

Effects Of Political Predispositions, Media Use, And Media Evaluation On Policy Malaise Among Indonesian And German People, Irma Garnesia

JURNAL KOMUNIKASI INDONESIA

This study explores a comparative analysis of Germany and Indonesia in the context of the Covid-19 pandemic, emphasizing the importance of addressing cross-cultural dimensions in global health crises—a field that remains underexplored. By enhancing preparedness for future emergencies, the research critically examines whether theoretical assumptions developed in Global North contexts can be meaningfully extended to Global South settings. Specifically, this study hypothesizes that political predispositions, media use, and media evaluation are associated with policy malaise, and investigates these associations in light of cross-cultural differences. Using data from Germany (n = 1,458) and Indonesia (n = 1,043), the findings reveal significant …

Dysphonia In Division I Collegiate Sideline Cheerleaders, Anna Riley Reed

Student Theses and Dissertations

Many research studies have focused on voice disorders in occupational voice users (i.e., teachers, singers, coaches). However, there is limited research on voice disorders in cheerleaders. Therefore, this study investigated the presence of dysphonia in division I collegiate sideline cheerleaders before and after the 2023 football season. Participants included twenty-six collegiate sideline cheerleaders at a division I university. Participants completed a demographic survey and the Voice Handicap Index (VHI). In addition, their modal, high, and low pitch frequencies were measured, and voices were assessed using the Consensual Auditory-Perceptual Evaluation of Voice. This study found significant results regarding the alteration subjective …

Design & Development Of Efficient Biometric Authentication And Key Agreement Schemes For Wireless Body Area Network, Aarthi S

Theses and Dissertations

Wireless Body Area Networks (WBANs) play a vital role in continuous health monitoring, where sensitive biometric and physiological data must be protected from privacy breaches and emerging quantum-based threats. Conventional security mechanisms are often inadequate due to resource constraints, scalability issues, and vulnerability to advanced attacks. To address these challenges, this research proposes a lightweight, scalable, and future-proof security framework tailored for WBAN applications, focusing on secure communication, privacy preservation, and quantum resilience.

An anonymous Certificate-Based Signcryption–Mutual Authentication and Key Agreement (CBS-MAKE) protocol is introduced to secure extra-body communications while ensuring patient anonymity. The protocol integrates Elliptic Curve Cryptography with …

Officials Cut Ribbon On Oxford Nursing School Facility, Annie Oeth

University of Mississippi News

OXFORD, Miss. – The next generation of registered nurses is being educated by the University of Mississippi School of Nursing in newly renovated classrooms and labs at the South Oxford Center, which school officials hope will boost the number of nurses in north Mississippi.

Online Citizen Science In Higher Education Courses, Stacy Cotey, Amy K. Dunbar-Wallis, Yaela N. Golumbic, Pankaj Mehrotra, David A. Beamer, Heather D. Vance-Chalcraft

Michigan Tech Publications

Climate change and biodiversity loss require us to engage the next generation of scientists in addressing global ecological issues. Introducing undergraduate students to citizen science allows them to learn scientific processes and content while contributing to real-world applications. We conducted a systematic review of literature to (1) identify what types of undergraduate courses and institutions use citizen science, (2) list the projects and platforms that have been implemented in online courses in undergraduate education, (3) examine how students participated in the projects through online courses, and (4) summarize learning objectives and reported benefits of student participation. In all, 44 studies …

The Role Of Emotional Intelligence In Enhancing Organizational Resilience: Examining The Moderating Impact Of Transformational Leadership, Abdallah Q. Bataineh, Mohammad Alhur, Dhia Qasim, Ahmed Shuhaiber

All Works

In an era of persistent economic uncertainty and supply chain disruptions, organizational resilience has emerged as a critical determinant of long-term sustainability, particularly in rapidly evolving industries such as food manufacturing. Emotional intelligence (EI) has been identified as a key driver of resilience, enabling individuals and organizations to better adapt, recover, and grow in the face of challenges. This study aims to investigate the impact of EI on organizational resilience and to assess the moderating role of transformational leadership in this relationship within the context of Jordan’s yogurt industry. A quantitative research design was employed, and data were collected in …

Promoting Pre-Exposure Prophylaxis (Prep) Regimen Adherence Through A Multifaceted Approach To Increase Adherence: A Quality Improvement Project, Queen C. Ezenwome

Doctor of Nursing Practice Final Project Abstract

Purpose

The purpose of this scholarly project was to implement the use of daily text message reminders to promote PrEP medication regimen adherence, thereby reducing the risk of HIV acquisition in an at-risk population. Patient interviews and surveys were also conducted to obtain valuable information regarding barriers and facilitators to PrEP regimen adherence.

Background

The project was implemented at a homeless shelter in Harris County, Houston, Texas, that houses homeless youth ages 18-24 while also providing medical, educational, and financial services or assistance. Due to risky behaviors prevalent in this population, coupled with living in the Houston area, these patients …

Experiences Of Supervisees Developing Culturally Responsive Skills Through Clinical Supervision, Jaime Lyn Parker

Walden Dissertations and Doctoral Studies

Culturally responsive supervision has been shown to be beneficial to supervisees (Adams et al., 2023). A research gap exists in culturally responsive clinical supervision through the lens of supervisees’ experiences; as a result, supervisors are ill-equipped to offer culturally responsive clinical supervision. The purpose of this narrative inquiry study was to explore supervisees’ culturally responsive experiences in clinical supervision. Grounded in critical race theory, this study highlights the narratives of marginalized voices as they share their stories of developing culturally responsive skills through clinical supervision. That is, the research question explored the experiences of counseling supervisees as they develop culturally …

Baseline Characteristics Of Newly Registered Diabetic Patients In Primary Care Settings In Oman, Fathiya Al-Shariqi, Shaima Al-Mazoori, Zaher Al-Kharusi, Mohammed Al-Hinai, Samira Al-Maimani

Sultan Qaboos University Medical Journal

Objectives: This study aimed to identify the baseline demographic characteristics, clinical profile and cardiovascular risk factors of newly registered diabetic patients in Muscat Governorate, Oman, in 2022. Methods: This cross-sectional study included newly registered diabetic patients attending all primary care centres in Muscat Governorate in 2022. Data regarding sociodemographic characteristics and clinical and laboratory parameters were collected from the national diabetic registry and Al-Shifa health information system. Results: A total of 1,309 patients were included and their data analysed, of which 51% were male and the mean age was 53.89 ± 12.47 years. Approximately 50% of the participants were obese …

Everyday Life In The U.S.: An Intersectional Approach To A North Korean Refugee Woman’S Identities, And Experiences, Lyounghee Kim

Communication ETDs

This dissertation examines everyday experiences of a North Korean refugee woman in the U.S., centering her narratives as sites of critique, resistance, and meaning-making. Grounded in Critical Refugee Studies, Asian American Studies, and Critical Intercultural Communication and framed by intersectionality, it explores how interlocking structures of power shape and are shaped by her life. Rather than focusing solely on trauma or assimilation, this study highlights her digital storytelling, faith, and mutual aid practices as acts of survival, dignity, and moral agency. Using a qualitative, narrative inquiry approach grounded in critical reflexivity, it thematically analyzes her stories to reveal how she …

Wildlife Science Education For Grades 3–12, Natalie J. Carroll, Theodore Leuenberger, Katherine Leuenberger

Purdue University Press Books

Wildlife Science Education for Grades 3–12 guides and encourages youth to learn about the wildlife around them. The first section introduces the basic wildlife groups to youth in upper elementary school using hands-on and other activity-based learning techniques. Young learners will understand the similarities and differences between mammals, birds, fish, and herptiles. The activities for middle schoolers expand the study to interactions within and between them. The lessons for high school students are based on topics of importance to homeowners, residents of a watershed, food and fiber producers (farmers), mayors, teachers, and policy makers. This section delves deeper into the …

The Influence Of Family Literacy Playgroups On Early Childhood Development And Parent Efficacy In Hispanic Families: A Qualitative Phenomenological Case Study, Karen R. Loper

Graduate Theses, Dissertations, and Capstones

This qualitative phenomenological case study is focused on the engagement of Hispanic children between 18 and 36 months of age and their parents in a family literacy program. Participation in a family literacy program was associated with changes in the cognitive, social, and emotional development of children, as well as the self-efficacy of their parents in parenting skills. Grounded in the social theories of Vygotsky, Bandura, and Bronfenbrenner, this study relates the importance of language acquisition, literacy skills, and self-efficacy to a community setting where conversation is encouraged and reading engagement is modeled. The Hispanic population is underrepresented in the …

Correction: Bid-Induced Release Of Aif/Endog From Mitochondria Causes Apoptosis Of Macrophages During Infection With Leptospira Interrogans (Frontiers In Cellular And Infection Microbiology, (2017), 7, (471), 10.3389/Fcimb.2017.00471), Wei-Lin Hu, Hai-Yan Dong, Yang Li, David M. Ojcius, Shi-Jun Li, Jie Yan

Pacific Faculty Work

In the published article, there was an error in Figure 1E as published. The representative flow dot plots were misplaced. The corrected Figure 1 appears below. Apoptosis, pathological changes, and MMP decrease in leptospire-infected macrophages. (A) Apoptosis of macrophages infected with L. interrogans strain Lai at the optimal apoptosis-causing time for different MOIs. J774A.1 and THP-1 cells were infected with leptospires at 4 h. Bars show the mean ± SD of three independent experiments. Five thousand cells were analyzed in each specimen. *p < 0.05 vs. apoptotic ratios in leptospire-infected macrophages with an MOI of 10, 50, 100, or 500. (B) Apoptosis of macrophages infected with L. interrogans strain Lai at the optimal apoptosis-causing MOI for different times. J774A.1 and THP-1 cells were infected at an MOI of 100. Bars show the mean ± SD of three independent experiments. Five thousand cells were analyzed in each specimen. *p < 0.05 vs. apoptotic ratios in each macrophage type before infection. (C) The representative pathological changes in the nucleus and mitochondria in macrophages infected with L. interrogans strain Lai (MOI 100) for 4 h. a: healthly cells showed normal cellular morphology, b: chromatin margination in leptospire-infected macrophages crescent, c: mitochondrial shape in healthly macrophages, d: disappearance of mitochondrial cristae in leptospire-infected macrophages. (D) The representative MMP changes in macrophages during infection with L. interrogans strain Lai for the indicated times determined by fluorescence microscopy. The red cells have a high MMP while the green cells have a low MMP. (E) The representative MMP changes in macrophages during infection with L. interrogans strain Lai for the indicated times determined by flow cytometry. The FL2 channel indicates high MMP (red) while the FL1 channel shows low MMP (green). (F) Statistical summary of MMP changes by flow cytometry in leptospire-infected macrophages. Statistical data from experiments such as shown in (E). Bars show the mean ± SD of three independent experiments. The values at “0” h show the MMP values before infection. Five thousand cells were analyzed in each specimen. *p < 0.05 vs. MMP value of the macrophages before infection. (G) CSA blockage of the apoptosis in macrophages infected with L. interrogans strain Lai. Bars show the mean ± SD of three independent experiments. Five thousand cells were analyzed in each specimen. *p < 0.05 vs. apoptotic ratios in each macrophage type unpretreated with CSA infected with the spirochetes. The authors apologize for this error and state that this does not change the scientific conclusions of the article in any way. The original article has been updated.

Joint Disclosure Statement

Catholic Dioceses in Bankruptcy

No abstract provided.

Patient Information Needs During Ambulatory Medication Changes: A Qualitative Study, Elaine Giletta, Vanessa B. Hurley, Yushi Yang, Jessica L. Schwartz, Rabia Jalalzai, Nicole L. Mollenkopf, Raquel Mayne, Samantha I. Pitts

Journal of Patient-Centered Research and Reviews

Purpose: We performed interviews with patients and caregivers to explore whole-person, whole-regimen information needs at times of routine outpatient medication changes. We categorized information needs in this relatively unstudied context and identified which needs were commonly recognized as insufficiently met.

Methods: We explored the content of the semi-structured interviews, which involved nine patients and two caregivers of pediatric patients, all of whom experienced a recent medication change in the outpatient setting of a large urban academic healthcare system. We used inductive thematic analysis to organize information needs into categories to identify key information gaps.

Results: We identified five categories of …

Mechanisms And Intermediate Outcomes Of A Community Translation To Adapt A Whole Family-Inclusive Lifestyle Intervention: A Pilot Evaluation, Megan J. Moran, Kimberly Padilla, Abby Neiser, Nicole Clark, Virginia Jimenez, Natalia Sanchez, Talia Thompson, Ana M. Gutierrez-Colina, Jesse Owen, Chesleigh Keene, Matthew A. Haemer, Lauren B. Shomaker

Journal of Patient-Centered Research and Reviews

Purpose: Involving community members in the process of translating scientific evidence into health messaging and interventions can lead to improved health outcomes and more patient-centered healthcare. Community Translation (CT) is one methodology for fostering collaboration between researchers and community members, and it has been shown to result in locally relevant, acceptable solutions to health challenges. There has been very little research on the direct effects that participation may have on community members who become involved in CT. Understanding the mechanisms of CT and its outcomes on participating community members is essential to maximizing the potential of CT. To address this …

The Hazard Ratio Is Equivalent To An Odds Under The Assumption Of Proportional Hazards, David M. Thompson

Journal of Patient-Centered Research and Reviews

Clinicians routinely interpret statistical findings from medical research to inform patients of treatment benefits. Studies that use the hazard ratio present special challenges. Clinicians should not equate hazard ratios with risk ratios, ie, relative risks. However, clinicians can provide patients with a straightforward interpretation of the hazard ratio as an odds, as long as the ratio was calculated in a study in which the assumption of proportional hazards is justified. In such a case, the hazard ratio is equivalent to the odds that a person, who is randomly chosen from the group represented in the ratio’s numerator, experiences an event …