Digital Commons Network^™

The Effects Of Transcranial Direct Current Stimulation During Extended Reality Exercises For Cortical, Neuromuscular, And Clinical Recovery Of Stroke Survivors, Cassio V.M. Ruas, Bruna M. Carlos, Saulo Feitosa, Márcio Vinícius Silva, Pedro Vazquez, Larissa L. Pontes, Jayne Silvestre, Sara R.M. Almeida, Alexandre F. Brandão, Gabriela Castellano

Research outputs 2022 to 2026

Background: Rehabilitation methods that include anodal transcranial direct current stimulation (atDCS) and extended reality (XR) exercises have been used to enhance neural networks and improve functional performance in stroke patients, but the neuromuscular and neurophysiological mechanisms underlying these improvements are not fully understood. The purpose of this study was to examine the effects of atDCS during XR rehabilitation exercises on cortical, neuromuscular, and clinical outcomes of stroke survivors. Methods: Nineteen chronic stroke survivors were placed into either a transcranial direct current stimulation (tDCS) or a Sham group, without significant (p > 0.73) differences in the baseline levels of disability between groups. …

Sailing Stormy Waters: Leadership And Advocacy In Uncertain Times, Janine Galeski

Faculty Scholarship

In times of uncertainty and rapid change, health care leaders face unique challenges. This article explores best practices for leadership and advocacy in healthcare across five spheres of leadership influence: personal, interpersonal, organization, community, and society. Leaders can reduce the adverse effects of uncertainty by operating within the intersection of evidence-based practice, legal compliance, and ethical decision-making. This article explores practical applications and real-world examples in all 5 spheres of leadership influence.

The Impact Of Data Privacy Concerns On User Trust In Tiktok : A Comparative Study Between The Eu And The Us., Tamta Gachechiladze

Business ETD Collections

This study investigates how data privacy concerns influence user trust in TikTok across two major regions: the European Union (EU) and the United States (US). With over one billion active users worldwide, TikTok has faced intense scrutiny due to its Chinese ownership and concerns over data governance. Using the privacy calculus theory and the Stimulus–Organism–Response (SOR) model as theoretical foundations, the research explores the relationship between privacy concerns, trust, and continued use of TikTok. A mixed-methods approach was applied, combining a literature review with primary survey data collected from 55 valid respondents aged 18–35 across different countries. Findings reveal moderate …

Scrupulosity: A Comprehensive Review Of The Research, Julie M. Painley

Antioch University Dissertations & Theses

This dissertation presents a comprehensive analysis of the current research on scrupulosity, a subtype of obsessive–compulsive disorder (OCD) characterized by intrusive thoughts and compulsive behaviors related to religious and moral concerns. The dissertation identifies key similarities and differences from OCD, and directs focus to thematically related yet unsubstantiated theoretical work in psychology that helps elucidate the core features and etiological factors of scrupulosity as differentiated from other OCD subtypes. The study addresses the critical dearth of research on scrupulosity, aiming to fill significant gaps in the literature regarding its historical context, varied presentation and prevalence in different cultural contexts, and …

Unmasking The Nexus Of Race, Ethnicity, And Health: An Intersectional Analysis Of The Epistemology Of Race In Medicine, Medical Curricula, And Health Disparities, Antoinette Leonard-Jean Charles

Antioch University Dissertations & Theses

The persistent health disparities faced by Black, Indigenous, and People of Color (BIPOC) in the United States are deeply rooted in systemic racism embedded within medical education and clinical practice. Historical acceptance of racial supremacy in the United States has shaped both the foundations and continued practices of medical education, leading to entrenched biases that affect healthcare delivery and patient outcomes. This dissertation critically examines the intersection of race, education, and health by analyzing how historical and contemporary understandings of race and ethnicity shape medical curricula, healthcare practices, and patient care. Through the integration of Critical Race Theory (CRT), Social …

Shaping Leadership: An Autoethnographic Exploration Of Inspirational Moments, Sabine Mathilde Maiberger

Antioch University Dissertations & Theses

Leadership is a complex construct shaped by the interplay of theoretical knowledge and meaningful personal experiences that define us as people. This autoethnographic exploration investigates the question: How have inspirational moments shaped the leader I am today? Understanding how personal experiences influence leaders’ development is critical to leadership studies. To address this, nine of my pivotal life moments were selected and validated through personal artifacts, such as journals and letters, ensuring analytical depth. These moments were analyzed through servant, justice-oriented, and transformational leadership theoretical lenses. The findings revealed eight key lessons: embracing vulnerability, reflective practice, trust-based leadership, advocacy, curiosity, adaptability, …

The Lived Experiences Of Trauma In Autistic Adults: A Thematic Analysis, Briana Trageser

Antioch University Dissertations & Theses

A qualitative research study focused on Autistic adults explored the lived experiences of trauma. Participants included Autistic adults who have either been professionally diagnosed with Autism Spectrum Disorder or who self-identify as Autistic. Data was collected through a survey with 12 open-ended questions. A thematic analysis revealed six themes: (a) adverse childhood experiences, (b) exposure to violence and loss, (c) difficulty relating to others, (d) complex mind and sensory experiences, (e) medical and mental health challenges, and (f) autistic identity. The themes revealed instances of Autistic people experiencing trauma in ways that differ and vary in clinical presentation from their …

Weaving Threads Of Identity: A Qualitative Study On Reconnecting Indigenous Folx, Rachael L. Fuller

Antioch University Dissertations & Theses

This research is a qualitative phenomenological inquiry into reconnecting Indigenous participants’ experiences in how they navigate and integrate their cultural heritage, identity, and intergenerational experiences to shape their present and future lives. Previous literature examines characterizing Indigeneity, navigating multiple spaces, and culture as wellness. Rooted in Tribal Critical Race Theory, semi-structured interviews were conducted with nine participants who self-identified as Indigenous. A thematic analysis highlighted six themes of reconnection: a) oppression, b) ancestors, c) belonging, d) barriers to reconnection, e) learning, and f) connection with community. This research makes a contribution to the growing Indigenous identity literature by providing an …

Mental Heath Experiences Of Transracial Adoptees Of The Global Majority (Black, Indigenous, And People Of Color - Bipoc)., Phebe Brako

Antioch University Dissertations & Theses

This qualitative hermeneutic phenomenological study explores the lived experiences of transracial adoptees of the global majority (BIPOC), focusing on their bicultural identity integration and its impact on mental health. During semi-structured interviews, nine participants shared their stories of navigating cultural and racial dynamics as adoptees in predominantly White adoptive families and communities. The findings revealed six core themes: (1) the Quest for Bicultural Identity Formation, (2) Cultural Integration and Adaptation, (3) Navigating Racial and Cultural Tensions, (4) the Role of Family in Cultural Integration, (5) the Importance of Community and Support Systems, and (6) Mental Health and Therapeutic Experiences, addressing …

A Program Evaluation Of Restorative Storytelling As Professional Development For Waldorf Teachers, David Earl Sewell Mccann

Antioch University Dissertations & Theses

Storytelling, when using the National Storytelling Network’s definition, “the interactive art of using words and actions to reveal the elements and images of a story while encouraging the listener’s imagination,” can be found in most classrooms around the world. If we agree with Walter Fisher and see stories as content with “coherence” and “fidelity” (Fisher, 1987), then much of the communication in classrooms could be considered a form of storytelling. A real question then becomes apparent: why aren’t teachers given extensive training and tools to strengthen their storytelling skills? Restorative Storytelling, a practice I developed out of my years as …

Loving-Learning-Leading-Living: A Scholarly Personal Narrative Of A Black Gay Father, Russell E. Thornhill

Antioch University Dissertations & Theses

This dissertation examines the roles, challenges, and contributions of a Black Gay father, a demographic largely absent from academic discourse. While literature explores themes of the church, LGBTQ+ identities, and social justice, there remains a critical gap addressing the lived experiences of a Black Gay father. This study fills that void by elevating narratives as community activists, family leaders, and clergy members, acknowledging their transformative impact within familial and societal structures. The methodology used is the Scholarly Personal Narrative (SPN). It allows for in-depth, reflective engagement with personal experiences in conversation with scholars while situating them within broader sociocultural, theological, …

Understanding Detroit’S Local Food And Urban Agricultural Policy Subsystem Using The Advocacy Coalition Framework, Joann Marie Hennessey Ph.D.

Antioch University Dissertations & Theses

This explanatory qualitative case study applied the Advocacy Coalition Framework (ACF) to study Detroit’s local food policy changes from 2000 to 2022. The research question and sub-questions were framed using three ACF hypotheses that addressed advocacy coalitions, collective action, and policy change. My research showed how actors in the policy subsystem worked to promote policy change during the study period. Using this Advocacy Coalition Framework approach, I explored local food policy change in the context of community resilience and system changes. Since 2000, the local food movement in Detroit attempted system changes by experimenting with ways to provide local residents …

Professional Development Needs In Educational Support For The Waldorf Teacher, Leah M. Mrozinski

Antioch University Dissertations & Theses

In the past few years of immersion into the Waldorf world through both my work and my educational pursuits, I have recognized that there is an absence of basic special education knowledge in the practice of Waldorf education. My research sought to answer the question: What topics of educational support are most relevant and needed for Waldorf teachers and trainees today? My literature review explored best practices in special education and Waldorf education and connections with polyvagal theory. More specifically, it includes a basic review of special education law, best practices in special education, how a Waldorf education meets the …

Post-Migration Living Distress And Suicidal Behavior In Refugee Populations Resettled In Vermont, Phoebe K. Lewis

Antioch University Dissertations & Theses

The study of refugee psychology and suicidal distress is a comparatively nascent field when compared with the body of research concerning non-refugee populations. Over the past fifty years, however, the post-migration refugee experience has been the subject of growing clinical interest. In particular, the construct of post-migration living distress (PMLD) has been identified as a salient factor contributing to psychological distress in refugee populations. This dissertation explores the relationship between PMLD and suicidality in a sample of refugees resettled in a New England city. Guided by the Interpersonal Theory of Suicide (IPTS), this dissertation considers how elements of the post-migration …

Creating A General Psychology Curriculum That Embeds Humane Education, Kristina Marie Pham

Antioch University Dissertations & Theses

Academic freedom is under attack in the United States, hindering the ability of educators to develop critical thinking skills in students to prepare them for their roles as participating members of a democracy. The inquiry that informed the curriculum development is as follows: How to embed Humane Education and Participatory Action Research into a General Psychology class? The theoretical framework of Humane Education was the basis for utilizing the principles of Participatory Action Research in the General Psychology curriculum co-created with rural community college students. The Backward Design Model was chosen because the curriculum was created using an existing General …

Inheriting Power And Pain: An Examination Of Intergenerational Influences In The Stories Of Black Women In Professional Leadership Positions, Angela Banks

Antioch University Dissertations & Theses

This study aimed to explore the stories of Black women in professional leadership roles. Grounded in a Black feminist perspective (Crenshaw, 1989) and informed by historical and intergenerational trauma (Brave Heart, 1999), this study utilized Black storytelling as a methodological framework and employed thematic analysis to examine the narratives of participants. A total of nine Black women in leadership positions across various industries participated in one-on-one interviews. The findings revealed four key themes: (1) What I saw and what others saw in me: Community leadership, (2) Instilled values: The Strong Black Woman Schema, (3) The only one: Sole representation and …

Mental Health In The Post-Deployment Transition Assistance Program: A Qualitative Study Of National Guard Members' Experiences, Alayna L. Collins

Antioch University Dissertations & Theses

Objective: National Guard post-deployment and reintegration processes leave servicemembers with a unique urgency to return to their families, homes, and civilian lives due to the timing and location of the post-deployment Transition Assistance Program (TAP); consequently, National Guard members have reported “checking the boxes” on mental health screeners to prioritize a quick and smooth transition (Salahi, 2023). Although researchers have called for data on the experiences of National Guard members undergoing post-deployment TAP since 2005 (Bascetta), no research to date has answered this call. Method: Eight National Guard members who had been deployed and had undergone post-deployment were individually interviewed …

Exploring The Use Of Somatic Skills And Techniques In Clinical Supervision, Areka D. Foster

Antioch University Dissertations & Theses

This study explores the lived experiences of clinical supervisors who engage in somatically oriented supervision. Informed by relational-cultural theory and polyvagal theory, the research employs a grounded theory methodology to investigate the potential development of a somatic supervision framework. Eleven participants completed semi-structured interviews and data were analyzed using both thematic analysis and grounded theory techniques. Eleven core themes emerged: (a) conceptualizations of somatic supervision, (b) integration of somatic techniques in supervisory practice, (c) theoretical foundations for somatic supervision, (d) attunement to countertransference, (e) the supervisory relationship, (f) trauma-informed approaches, (g) somatic techniques and practices, (h) initiating and structuring somatic …

Outcomes Of Covid-19: Posttraumatic Growth And Emotion-Focused Coping Among U.S. Veterans, Jessica Paige Wilding-Belalcazar

Antioch University Dissertations & Theses

Female veterans are currently the fastest growing population of veterans in the United States (U.S. Department of Veterans Affairs, 2022) and have a higher prevalence of posttraumatic stress disorder (PTSD) than male veterans (Na et al., 2021), yet there has been limited research done on this population. Females have also been found to experience more posttraumatic growth (PTG) than males (Kalaitzaki, 2021; Prieto-Ursa & Jordar, 2020; Yildiz, 2021). Furthermore, women’s use of emotion-focused coping strategies has been shown to play a role in increasing experiences of PTG during the COVID-19 pandemic (Chu-Si & Yunhwan, 2022). Yet, while research has examined …

An Exploration Of Traumatic Experiences In Adults With Adhd, Anna E. Lee

Antioch University Dissertations & Theses

This dissertation explored the lived experiences of psychological trauma in adults diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD). Using an Interpretative Phenomenological Analysis (IPA) methodology, seven participants exhibiting clinically significant symptoms of psychological trauma completed semi-structured interviews to share their personal narratives. Following analysis, data was consolidated into five group experiential themes: (a) patterns of negative relationships, (b) dysfunctional family dynamics, (c) recognition of role in interpersonal conflict, (d) validation through ADHD diagnosis, and (e) ADHD and trauma as intertwined. The identified themes underscore the importance of trauma-informed clinical approaches that address relational difficulties and emotional regulation among this population, while emphasizing …

Why Men Join The Incel Community: A Thematic Analysis, Aishwarya Lonikar

Antioch University Dissertations & Theses

Incels have gained mainstream attention in recent years because of increasing sexism and hatred that have manifested as violent acts committed towards women in the real world. This has led to growing research and discussion on social and political culture. The goal of this study is to understand why men join the incel community, to find ways to mitigate the need for men to join such communities. A theoretical thematic analysis was conducted using a survey to gain a deeper understanding of why men choose to join the incel community. A decolonial feminist interpretive framework was used to analyze the …

Examining The Relationship Between Bicultural Stress And Mental Well-Being Among Second-Generation Filipino Americans Living In The United States, Krista Parker

Antioch University Dissertations & Theses

Research investigating the bicultural and mental health experiences of Filipino Americans, the third largest Asian American group in the United States, are consistently overlooked, with second-generation Filipino Americans (SGFAs) facing greater risk of adverse mental health outcomes. This quantitative study addresses a critical gap in research by examining the relationship between bicultural stress and mental well-being among SGFAs living in the United States. Using a cross-sectional survey design, a multivariate regression analysis examined the relationship between bicultural stress and four mental health constructs (as measured by depression, anxiety, stress, and self-esteem) among 302 SGFA participants. Results from this study strongly …

The Experience Of Psychologists In Providing Unexpected Feedback During Neurodevelopmental Evaluations, Alyssa J. Mayer

Antioch University Dissertations & Theses

The purpose of this study was to describe the experience of licensed psychologists who provided unexpected feedback to assessment clients about not meeting the criteria for neurodevelopmental disorders. Individuals are increasingly seeking formal evaluation for neurodevelopmental disorders based on anecdotal information they come across on the internet. Many people develop strong identity attachments to these diagnostic labels, and it can be incredibly dysregulating to learn that they do not meet the criteria for a diagnosis. Six psychologists participated in semi-structured virtual interviews to share their experiences providing clients with this type of unexpected feedback. Through an interpretive phenomenological analysis framework, …

Frozen: A Grounded Theory Of Transgenerational Trauma Cycles In The Evangelical Slavic Diaspora Of Former Soviet Union Refugees, Yulia Shtareva

Antioch University Dissertations & Theses

This dissertation builds on historical and scientific assertions that Former Soviet Union immigrants survived distinct political traumas, resulting in unique, culturally adaptive behaviors and beliefs. Using constructivist grounded theory, it examined how these behaviors manifest in the evangelical Slavic community (ESC) of former Soviet Union Refugees (FSURs) in the U.S. The researcher asserts that (a) adaptations are generationally preserved in the ESC through a “cycle of authoritarianism,” and (b) survival strategies became maladaptive in new social environments. Narratives from eight young adults raised in the ESC were analyzed alongside a literature review and lived experience. Findings show that coping strategies …

Subthreshold Depression In The National Epidemiologic Survey On Alcohol And Related Conditions Iii (Nesarc-Iii): A Quantitative Analysis Of Prevalence, Characteristics, And Burden In A Nationally Representative Sample, Scott T. Young

Antioch University Dissertations & Theses

While subthreshold depression (subD) is relatively young for a diagnostic concept at a mere half century old, it has burdened individuals and societies for far longer. Research has established that it is a highly prevalent, clinically important entity with clear links to personal distress and impairment (including increased suicidal ideation and behavior), societal burden (e.g., increased reliance on public assistance programs), and economic costs (both personal and public). Research has also demonstrated that it represents a significant risk factor for incident major depression (MD) and that it likely represents both a prodromal and residual state in the normal course of …

My Body My Choice: A Qualitative Study Of Volitional Female Sterilization In The U. S. Latina And Hispanic Female Population, Heather Morris Tuip

Antioch University Dissertations & Theses

This qualitative study, utilizing an interpretative phenomenological analysis methodology, elucidates the experience of Latina and Hispanic women living in the United States who have volitionally undergone sterilization or have sought the procedure out for birth control. Understanding the rich, contextual, lived experience of Latina and Hispanic women through an intersectional framework highlights how cultural influences and contemporary policies on reproductive rights informed their personal choice to undergo a female sterilization procedure. The participants of this study shared how they made meaning of their experiences. Within a homogenous sampling of study participants who share ethnicities and genders, six group experiential themes …

Towards The Improvement Of Literacy Education For English-Speaking Caribbean Immigrants, Patricia Antoinette Daley

Antioch University Dissertations & Theses

This phenomenological study examines the literacy experiences of English-speaking Caribbean (ESC) immigrant students in public schools in New York City, as well as the structural factors surrounding their experiences and the culturally sensitive solutions to these experiences. Although in the English-speaking Caribbean context students often use English, many of them also speak Creole or a dialect. They are linguistic forms, including Jamaican, Trinidadian, Guyanese, among other Creoles, that are frequently misinterpreted or underestimated in formal education systems, resulting in confusion and a lack of appropriate instructional support. This linguistic identity crisis among the Jamaicans through ingrained colonial notions that the …

A Cross-Sectional Survey And Latent Class Analysis Of Knowledge On Peripheral Arterial Disease In Hong Kong, Angel Lai, Guang-Ming Tan, Bryan P. Yan

Journal of the Hong Kong College of Cardiology

BACKGROUND: Peripheral arterial disease (PAD) is prevalent and associated with significant cardiovascular (CV) mortality. However, it remains under-recognized, particularly in Asian countries. This study aims to assess awareness of PAD, its risk factors, and perceived consequences in relation to other CV diseases to inform strategies for improving clinical care.

METHODS: A total of 1,008 adults attending outpatient clinics at a university-affiliated tertiary hospital were recruited between January-August 2020 for a phone questionnaire. Differences between awareness groups were analysed by Pearson’s Chi-square test, predictors of PAD awareness were determined using multivariate logistic regression, and latent class analysis (LCA) was performed to …

Micra Leadless Pacemaker Implantation Via Transjugular Approach, Yuen-Fung Yiu, Ngai-Yin Chan

Journal of the Hong Kong College of Cardiology

Leadless pacemaker implantation offers a safe and effective option for patients with limited venous access or high bleeding risk. The procedure usually necessitates insertion of a large-bore sheath over the femoral vein. We report a case of successful Micra^TM implantation via transjugular approach in a patient with inferior vena cava obstruction.

A Retrospective Review On The Use Of Dapagliflozin And Empagliflozin In Patients With Type 2 Diabetes With Or Without Heart Failure: A Local Hospital Data, Wong Chi Ieong

Journal of the Hong Kong College of Cardiology

Background

This study aims at reviewing the use of the two SGLT2 inhibitors, dapagliflozin and empagliflozin, in a local hospital, Caritas Medical Centre, in terms of efficacy and safety.

Methods

This study was a retrospective, single-centered review carried out in Caritas Medical Centre. 143 adult patients who were prescribed with one of the two SGLT2 inhibitors available in CMC, between 1 Mar 2021 and 1 Mar 2022 were included in the study. The inclusive study duration were 12 months pre- and post- SGLT2 inhibitor initiation.

Results

The mean change in HbA1c level was a 13.25% and 9.04% decrease after the …