Digital Commons Network^™

Fentanyl At The Border: A Critical Analysis Of U.S. Customs And Border Protection Strategies Against Synthetic Opioid Smuggling, Patricia Salinas

Doctoral Dissertations and Projects

This dissertation will investigate the efficacy of tactics employed by U.S. Customs and Border Protection (CBP) in detecting and intercepting fentanyl at legal ports of entry along the U.S border during the fiscal years 2022 to 2025. Given that fentanyl continues to be a pivotal element in the ongoing opioid crisis within the United States, it is imperative to understand the mechanisms by which this synthetic opioid is smuggled into the country and to evaluate the efficacy of federal initiatives. These efforts are crucial for protecting public health and enhancing national security. This quantitative study examines fentanyl seizure data from …

The Prevalence Of Moral Injury Among Veterans Diagnosed With Post-Traumatic Stress Disorder (Ptsd): Analyses By Combat Exposure, Gender, Age Group, And Military Service, Carl B. Forkner

Doctoral Dissertations and Projects

The attacks on the United States on September 11, 2001, and the ensuing wars in Afghanistan and Iraq, heralded in a new concept affecting our combat and support military personnel. This concept is known today as moral injury. Military personnel were already familiar with post-traumatic stress disorder (PTSD), whether from personal experience or from reading and training on the subject, but no training addresses the prevalence or effects of moral injury. The term moral injury (MI) was first coined by psychiatrist Jonathan Shay and his colleagues based on feedback from military and veteran patients in 1998; however, it remains that …

A Qualitative Intrinsic Case Study Of How School Staff Members Are Using Collaborative Efforts To Mitigate The Preschool-To-Prison Pipeline, April Y. Brown

Doctoral Dissertations and Projects

The purpose of this qualitative intrinsic case study was to explore the collaborative efforts to mitigate the preschool-to-prison pipeline among stakeholders at one public elementary school in a southern city in Louisiana. The preschool-to-prison pipeline represents a systemic issue in which children, particularly those from marginalized racial and socioeconomic backgrounds, face punitive disciplinary practices in schools, increasing their likelihood of future involvement with the criminal justice system. Guided by critical race theory and the communities of practice framework, this study sought to understand the systemic factors contributing to the pipeline and examined the strategies stakeholders used to address these inequities. …

The Lived Experience Of Inconsistent Legal Recognition: A Phenomenological Study Of Job Burnout And Moral Injury In Florida Correctional Officers, Jeffrey A. Snipes

Doctoral Dissertations and Projects

This qualitative transcendental phenomenological study investigates the lived experiences of Florida correctional officers (FCOs) regarding inconsistent legal recognition and the divergence between functional mandates and legislative definitions. Utilizing Dr. Jonathan Shay’s moral injury framework, this research explores how statutory marginalization functions as a precursor to burnout. A transcendental phenomenological research design was employed; 21 officers were screened using the Maslach Burnout Inventory (MBI-HSS) followed by semi-structured interviews with a nine-participant subsample.

Data analysis followed Creswell’s spiral procedures to identify themes describing the essence of these experiences. Findings suggest that inconsistent recognition as first responders catalyzes moral injury, exacerbating burnout and …

A Phenomenological Study On The Family Dynamics Of African American Heirs' Property Owners In The Southeastern U.S., Yolanda Nanette Robertson-Zellars

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to explore the lived experiences of African American heirs’ property owners in the Southeastern United States. Bowen’s Family Systems Theory (BFST) and the Theory of Resilience and Relational Load (TRRL) are the lens through which these experiences are viewed. Each theory provides applicable concepts that guide the query with the participants as they share their interpretations of the phenomenon. Furthermore, the study seeks to understand the biopsychosocial aspects of the interpersonal relationships that family members confront when addressing issues of co-tenancy as owners of inherited land. This hermeneutic phenomenological study employed a hybrid …

Correctional Leadership And Its Relationship To Psychological Well-Being And Job Satisfaction Among Former Department Of Corrections Staff, Brittaney Brown Kovacs

Doctoral Dissertations and Projects

Correctional institutions represent complex work environments in which leadership may influence employee psychological well-being and job satisfaction. Although prior research has primarily focused on correctional officers, less attention has been paid to the broader workforce within Departments of Corrections (DOCs), including educational, healthcare, and administrative personnel. This retrospective mixed-methods study examined the relationships between employee perceptions of transformational, transactional, and authoritarian leadership styles and employee outcomes among former staff of state-level DOCs in the United States. Participants included 75 former DOC employees from multiple states. Quantitative data were collected using standardized measures of leadership, job satisfaction, and psychological well-being. Multiple …

Use Of Smart Safety Devices And Artificial Intelligence And Its Impact On Workplace Injury Reduction In High-Risk Industries In Cameroon: A Qualitative Exploration Of Worker And Management Perspectives, John Atabong Zifac

Doctoral Dissertations and Projects

Workplace injury has been a significant concern within high-risk industries in Sub-Saharan Africa, especially Cameroon, with weak worker safety standards, poor infrastructure, lack of compliance with regulatory requirements, and a limited level of digital infrastructure contributing to a high risk of worker injury. While artificial intelligence (AI) supported smart safety technologies have revolutionized the way companies conduct workplace safety management in developed nations, little research exists on the perception of these technologies and practicality among low-resource industrial operators in Sub-Saharan Africa. This qualitative phenomenological study investigated management and employee perceptions regarding the use of AI-based smart safety devices to reduce …

Exploring Teacher Experiences And Readiness In Supporting Twice-Exceptional Students: A Transcendental Phenomenological Study, Jennifer D B Melvin

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to describe the perceived preparedness for the responsibility for the educational experiences of twice-exceptional students at public schools in Western Georgia. Twice-exceptional students, who are gifted and have disabilities, face unique challenges in academic achievement and social-emotional well-being due to asynchronous profiles and unmet needs. While evidence-based strategies exist to support twice-exceptional learners, appropriate training for teachers is imperative to ensure these approaches are implemented effectively. The theory guiding this study was Bandura’s social cognitive theory, as it posits that there is a connection between personal factors, behavioral patterns, and the environment …

Reality Tv & Social Media Impact On The Psyche Of Adult Women Who Experience Physical Image Discomfort, Tierra James

Doctoral Dissertations and Projects

This qualitative study employed Interpretative Phenomenological Analysis to examine the perception of adult women regarding the role of reality television and social media in influencing body image, self-worth, and mental health. Semi-structured interviews were conducted on 15 women aged between 18 and 50 years, who lived in the United States and actively used reality TV and social media, and reported body-image distress, which was indicative of body dysmorphic trait. Data interpretation was done in an ideographical manner and followed by pattern analysis across cases. The results suggested that idealized and edited media images were popularly identified by the participants as …

Veteran Reintegration: A Strategic Approach To Success, Stephanie Irene Hennessy

Doctoral Dissertations and Projects

A critical gap exists in non-clinical support programs for military service members transitioning to civilian life, especially in addressing purpose, personal narrative, and community reintegration. This study examined how a reintegration program addressed this gap through a unified conceptual framework—Purpose, Narrative, and Community (PNC)—which guided program design and delivery. The program was delivered through the Surf Brigade Foundation, a veteran initiative specializing in surf immersion located on Florida’s Emerald Coast. Using a quantitative pretest-posttest case study design, this research evaluated changes in well-being, purpose identification, and social connectedness among participants. Outcomes were measured using the Integration of Stressful Life Experiences …

From Hype To Habit? Attractional Youth Ministry Methods And Young Adult Church Involvement, Melanie L. Holbrook

Doctoral Dissertations and Projects

The purpose of this qualitative phenomenological study was to explore the lived experiences of young adults ages 18–22 who previously participated in attractional youth ministry programs and to examine how those experiences relate to their current levels of church involvement. This study addressed a need among church and ministry leaders to better understand how attractional youth ministry approaches shape ongoing church involvement during the transition from adolescence to young adulthood, a period often marked by declining church participation. By using a qualitative phenomenological design, this researcher collected data through semi-structured interviews with 15 participants recruited from churches along Colorado’s Front …

State Government, The Forgotten Cyber Actor, Joshua D. Strubel

Doctoral Dissertations and Projects

Cyber incidents are among the most pervasive threats facing the United States, with the FBI recording over 859,000 reported attacks and an estimated $16.6 billion in losses in 2024 alone. Despite widespread recognition that effective cyber defense requires a whole-nation approach, the existing research literature overwhelmingly focuses on federal policy, leaving state governments as largely overlooked actors. This study addresses that gap by examining the research question: How does state cybersecurity policy affect malicious cyber actors' frequency of operations? Drawing on multilinear regression analysis augmented by Random Forest machine learning models, this study evaluates the relationship between state-level cyber deterrence …

An Analysis Of Human Trafficking In Alabama, Kimberly Abrams

Doctoral Dissertations and Projects

The purpose of this analysis is to gain a thorough understanding of human trafficking in the Alabama. The illegal issue of this analysis is for those who lack a sense of human trafficking, which surrounds the communities where they reside. The theory guiding this study is due to the complexity of the issue globally around the world as it explains the causes of human trafficking amongst victims, which include those who experience poverty, lack of access to job opportunities, natural disasters, and lack of legal protection for immigrants. Additionally, the purpose of this dissertation is to provide insights into the …

Strengthening The Mind: Evaluating Emotional Intelligence As A Tool To Combat Anxiety In Youth Soccer, John P. Hill

Doctoral Dissertations and Projects

Competitive anxiety is a significant challenge for adolescent soccer players, contributing to psychological distress and early sport withdrawal, and approximately 70% of youth athletes quit organized sport by age 14. Emotional intelligence, the capacity to recognize, understand, and regulate emotions, represents a promising and trainable intervention target, yet few studies have examined structured EI programs with youth soccer populations using rigorous experimental designs that include a parallel control group. This quantitative intervention study examined the effect of an emotional intelligence intervention on competitive anxiety among youth soccer players, including whether individual emotional profiles and gender moderated outcomes.

A randomized controlled …

The Black American Women, Mental Health, Self-Stigma, And The Church, Sylvia D. Dorsey

Doctoral Dissertations and Projects

The purpose of this qualitative phenomenological study is to explore the lived experiences of Christian Black American women who underutilize mental health services due to a perceived notion of self-stigma of Christian Black American women seeking mental health services and how the church may play a role. A transformational theory guides this study. In a transformative framework the study focuses on looking at marginalized groups that have power differentials and are viewed as being less important in society and to understand their life experiences. Stigma and self-stigma are the dominating factors that contribute to the underutilization of mental health services …

Beyond The Battlefield: Analyzing Trauma's Impact On Veterans' Holistic Health, Keyanna Mikell-Scott

Doctoral Dissertations and Projects

The study used a mixed-methods approach to examine the multidimensional effects on U.S. veterans' physical, mental, and spiritual health. Two surveys gathered quantitative data from 100 veterans. The surveys included elements of the Life Events Checklist, PTSD screenings, physical health conditions common in the veteran community, and the Spiritual Well-Being Scale. The surveys used five-point Likert scales. Quantitative data were analyzed in SPSS using correlation and regression analyses. Qualitative data comprised 10 semi-structured interviews with 10 of the 100 veteran participants. Interviews were transcribed, and ATLAS.ti was used to conduct a thematic analysis from which themes were extracted. Results showed …

Bridging The Holler: A Case Study Of One Rural Appalachian Music Educator’S Engagement With Grants And Organizations, Kayla Renee Davis

Doctoral Dissertations and Projects

This qualitative case study examines how partnerships with music organizations can support a rural music educator in a West Virginia county. The teacher’s needs were identified through an initial survey, interviews, and follow-up conversations, revealing four primary challenges: limited access to instruments and materials, barriers to recruitment and retention, isolation and constraints associated with itinerant teaching, and a need for culturally relevant curricular resources. Based on these findings, the researcher connected the teacher with organizations whose missions aligned with these areas: the West Virginia Music Educators Association for professional development and project grants; Be Part of the Music for recruitment …

Caregiver Depression And Psychological Distress As Predictors Of Substantiated Maltreatment In Nscaw Ii (Wave 2 Cps Sample): A Quantitative Archival Study, Gloria Forotan

Doctoral Dissertations and Projects

This quantitative archival analysis examined whether caregiver mental health is associated with child maltreatment outcomes through CPS involvement, using the National Survey of Child and Adolescent Well-Being II (NSCAW II), Wave 2. Child maltreatment remains a persistent public health concern with long-term effects on children's emotional, psychological, and physical development. Although caregiver mental health is consistently identified as a significant risk factor for maltreatment, few studies have utilized nationally representative child welfare data with standardized measures to test these associations.

Caregiver mental health variables were operationalized using NSCAW II indicators of major depression and depressive symptoms (DP2), psychological distress (K6 …

Exploring The Effectiveness Of Juvenile Justice Rehabilitation Programs In The State Of Virginia, Edishae L. Harris-Tyler

Doctoral Dissertations and Projects

Juvenile delinquency and criminal offending have become significant problems in society today. Many offenders in the criminal justice system were exposed to violence and criminal activity at a young age. Early harmful exposure has influenced many at-risk youths in the community to commit crimes at a young age and develop into adult offenders. Juveniles in the community considered at-risk may be disadvantaged due to negative peer pressure, poverty, lack of parental involvement, illiteracy, and lack of opportunities for positive change and development. At-risk youth severely need structure, prosocial support, positive mentorship, and direction to prevent criminal activity and reduce recidivism. …

Trading Podiums: Transitioning From Teaching Secondary Band To Teaching Secondary Orchestra In Eastern South Carolina, Troy M. Murray

Doctoral Dissertations and Projects

This qualitative, explanatory case study examined the musical attributes band teachers need to successfully teach string orchestra students in eastern South Carolina. This information is critical due to the high number of orchestra teachers who are non-string instrumentalists in that region of the state. Of the 28 orchestra teachers in South Carolina’s Region 5 orchestra division, 14 of the teachers performed primarily as wind or percussion instrumentalists. This study sought to understand the challenges teachers face when transitioning from teaching secondary band to secondary string orchestra in eastern South Carolina. Despite the parallels in music reading and repertoire selection between …

Toward Defining Vulnerability For The Field Of Communication, Adrian Osman

Doctoral Dissertations and Projects

Vulnerability, a common human experience, is still not well-theorized within the field of communication and lacks a clear, discipline-specific definition. This qualitative study examined how vulnerability shapes interpersonal communication, using general systems theory and social exchange theory as guiding frameworks. Through in-depth interviews with individuals who identify obesity as a lived vulnerability, five central themes emerged: awareness and acceptance of vulnerability, experiencing weight-based dismissal in healthcare, weight-related communication in familial and everyday interactions, avoidance and situational disengagement, and support systems – what works and what does not. Findings show that vulnerability acts as a dynamic communicative force, shaping engagement, withdrawal, …

The Role Of Resilient/Protective Factors In Adolescence As A Buffer Among Adults With A History Of Childhood Trauma And Symptoms Of Depression In Adults, Michaela L. Fox

Doctoral Dissertations and Projects

Childhood trauma includes adverse experiences during early development, such as physical, emotional, sexual, or verbal abuse and neglect, and is associated with negative outcomes, including depressive symptoms in adulthood. This study examined whether protective factors during adolescence are related to adult depressive symptoms among individuals with a history of childhood trauma. Two research questions guided the study: (a) Is there a difference in adult depressive symptoms between individuals with minimal versus significant protective factors during adolescence, and (b) Is there a statistically significant relationship between adolescent spirituality and adult depressive symptoms? A quantitative, correlational design was used with self-report surveys …

Effectiveness And The Music Teacher: A Correlational Study Of Emotional Intelligence In Secondary Music Instruction, Rachel Gonzales

Doctoral Dissertations and Projects

This quantitative correlational study examined the relationship between emotional intelligence and teacher effectiveness among secondary music educators in Texas. Emotional intelligence was measured using the Emotional Intelligence Assessment for Secondary Music Educators (EIASME), a researcher-developed instrument comprised of the four domains of emotional intelligence: self-awareness, self-management, social awareness, and relationship management. Teacher effectiveness was assessed using the Texas Teacher Evaluation and Support System (T TESS) and the University Interscholastic League Concert and Sightreading (UIL C/SR) assessments. Data were collected via a digital Qualtrics survey completed by seventy-five qualifying respondents representing secondary directors in band, choir, and orchestra. Descriptive statistics and …

A Qualitative Study Of Multiracial Individuals Sharing Black And White Racial Identities Within The Southeastern United States, Carissa N. Jackson

Doctoral Dissertations and Projects

Racial identity can be complex, especially when considering those with a biracial or multiracial identity (Holliday, 2019). American society often conceptualizes race through a monoracial lens, leaving individuals with multiracial identities marginalized, sometimes forcing them into an unchosen identity and resulting in a potential loss autonomy (Albuja et al., 2020; Albuja et al., 2019; Harris et al., 2021; Mitchell, 2022; Rozek & Gaither, 2021; Song, 2021). The purpose of this phenomenological study was to better understand social, emotional, mental, and relational impact of living in a monoracially lensed society on individuals with Black and White multiracial identities in the southeastern …

Mental Toughness In Motherhood: A Qualitative Phenomenological Approach To Advancing Developmental Understanding, Mary Kauffman

Doctoral Dissertations and Projects

This qualitative phenomenological study explored how mothers define, experience, and describe mental toughness within the developmental context of motherhood. Mental toughness has been extensively examined in performance-based domains such as sports, education, business and military settings. Limited research has investigated how this construct appears or manifests in caregiving roles. Understanding mental toughness in motherhood may inform how mothers are supported psychologically and contribute to future frameworks, interventions, and systems designed to strengthen maternal well-being, adaptation, and long-term functioning. Guided by Bandura’s self-efficacy theory, which focuses on the perceived ability of individuals to navigate adversity, this study examined mental toughness as …

Design And Development Of Foot Arch Diagnosis Application, Arif Wicaksono, Arta Farmawati, Neni Trilusiana Rahmawati, Herianto Herianto

Folia Medica Indonesiana

The foot is a part of the lower extremity that has several characteristics, namely foot length, width, height, and arch. Foot arch is a characteristic that has not been widely researched in Indonesia, but it plays a crucial role in movement and daily life. A normal foot arch facilitates physical activities, work, and overall human health, whereas an abnormal foot arch can hinder physical activities, work, and negatively affect health. Foot-arch diagnosis is commonly performed using footprint creation and foot-arch determination. Foot arch diagnosis can be established through conventional examinations, which are relatively more time-consuming, and examinations using scanning devices, …

Differences In The Effects Of Multicomponent Vivifrail Training And Senam Lansia On Physical Performance And Fall Risk In Pre-Frail Elderly, Nadia Ovianti, Annisa Susilowati, Endang Ambarwati, Robby Tjandra Kartadinata, Tanti Ajoe Kesoema, Erna Setiawati

Folia Medica Indonesiana

Pre-frailty is a condition where individuals experience early signs of frailty. Frailty is a geriatric syndrome associated with falls and reduced physical performance, which will impact the health and well-being of the elderly population. To mitigate the harmful effects, the WHO recommends Vivifrail, a multicomponent exercise that is effective in preventing frailty. In Indonesia, the most common program for the elderly community is Senam Lansia (elderly exercise). No studies have compared the effects of these two exercises on the pre-frail elderly community. This study aims to assess differences between Vivifrail training and Senam Lansia on physical performance and fall risk, …

Effectiveness Of Cadre Training In Improving Knowledge On The Completion Of The Elderly Health Book In Sidoarjo, Lilik Djuari, Sulistiawati Sulistiawati, Linda Dewanti, Muhammad Izhar Yuliantama, De Farras King, Minarni Wartiningsih

Folia Medica Indonesiana

Primary healthcare in Indonesia faces challenges due to an ageing population since 2021. An elderly health book, published by Ministry of health, is an essential tool for recording, monitoring, and following up elderly health status. However, Health cadres have not yet fully understood how to fill in and use the book, resulting in suboptimal data quality. The objective of this study was to evaluate the effectiveness of cadre training to complete the Elderly Health Book (before and after training) in Sidoarjo Regency. A quasi-experimental study with a one-group pre-test and post-test design was conducted among 50 elderly health cadres which …

Detection, Persistence, And Rising Prevalence Of Oncogenic Viruses Revealed By Wastewater Metagenomics, Harihara Prakash, Ryan K Perez, Matt Ross, Michael Tisza, Sara J Javornik Cregeen, Jennifer Deegan, Joseph F Petrosino, Eric Boerwinkle, Justin R Clark, Anthony W Maresso

Faculty, Staff and Students Publications

Oncogenic viruses cause high-risk cancers in humans and are responsible for nearly 20% of all cancer cases worldwide. Currently, very limited data exist in the realm of wastewater-based viral epidemiology (WBE) for cancer-causing viruses, with existing studies using targeted approaches (i.e., PCR-based approaches) that lack genomic resolution. In this study, we used a hybrid-capture approach to detect, filter, and sequence all known oncogenic virus signals from wastewater samples collected over 3 years (May 2022-May 2025) in 16 Texas cities, covering nearly 25% of the state's population. Once sequenced, we used custom computational tools designed for wastewater metagenomics to assign reads …

Placenta Accreta Spectrum Risk In Endometriosis: A Retrospective Cohort Study With Art Subanalysis, Madeline West, Amir Alsaidi, Michael A Belfort, Hendrik A Lombaard, Yamely H Mendez, Christina C Reed, Amir A Shamshirsaz, Jessian L Munoz

Faculty, Staff and Students Publications

No abstract provided.