Digital Commons Network^™

Health Assessment Of New York, Mukens Renfort

Student Research Design & Innovation Symposium

Chronic disease continues to be a major contributor to illness and death in New York, with heart disease and cancer remaining the top causes of death statewide. New York‚Äôs diverse population faces ongoing disparities linked to poverty, racial inequities and rising substance, all of which contribute to the unequal health outcomes observed in New York. Surveillance data show an increase in chronic disease cases, higher rates of preventable conditions such as hypertension and cancer and continued concerns around opioid related incidences. Data from state surveillance systems and public health databases, including the New York Department of Health Leading Cause of …

Community Needs Assessment- Rhode Island, Joy Ilabija

Student Research Design & Innovation Symposium

Rhode Island (RI) has been significantly impacted by the drug overdose epidemic, recording 3,800 overdose deaths between 2014 and 2024. RI's overdose death rate, 37.5 per 100,000, exceeds the national average (31.3 per 100,000). Social Determinants of Health (SDOH) increase vulnerability to opioid use disorder (OUD) for higher risk groups. The Community Needs Assessment (CNA) examined how SDOH (education, economic stability, healthcare access) influence OUD in RI. Data sources included the Rhode Island Department of Health (RIDOH) Opioid Overdose Integrated Surveillance System, RIDOH's Opioid and Stimulant Use Data Hub, the Behavioral Risk Factor Surveillance System (BRFSS), and ten academic journals. …

Improving Infant Feeding Practices, Ytossie Graves

Student Research Design & Innovation Symposium

This project addressed knowledge gaps and misconceptions related to infant feeding practices among participants in the Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Rhode Island. Infants in this population face increased health risks influenced by socioeconomic disparities, cultural beliefs, and limited access to consistent breastfeeding education. The project aimed to improve maternal understanding of breastfeeding and formula feeding while supporting informed, culturally responsive decision-making. Guided by the Health Belief Model, a bilingual (English and Spanish) educational intervention was developed, consisting of an evidence-based infographic and a structured nutrition education class for expecting and new mothers. A pre-test …

Anorexia Nervosa In Epigenetics, Cassandra Pinkowski

Student Research Design & Innovation Symposium

Anorexia nervosa (AN) is a complex psychiatric disorder characterized by severe restriction of food intake leading to dangerous underweight, intense fear of gaining weight, and a distorted body image. AN symptoms and their related genes, as well as their transcription, can be explained by Epigenetics. AN is associated with nutrient deficiency, which causes hypermethylation of certain genes that cause common symptoms. Melanin-Concentrating hormone (MCH) binds to receptors in the brain that trigger expression of several genes, including both serotonin and oxytocin. When MCH is low, the genes responsible for appetite lowering, causing an individual to feel less hungry. High serotonin …

Healthy Starts: Cooking, Culture & Confidence, Lindsey Plumb

Student Research Design & Innovation Symposium

Healthy Starts: Cooking, Culture, and Confidence for Healthier Families is a culturally tailored nutrition intervention designed for pediatric patients and caregivers served by the Nutrition Teaching Center at Hasbro Children's Hospital in Providence, Rhode Island. The program addresses high rates of childhood overweight and obesity, food insecurity, and low caregiver confidence in meal preparation among racially, ethnically, and socioeconomically diverse families. Grounded in Social Cognitive Theory, Healthy Starts focuses on building practical cooking skills, nutrition knowledge, and self-efficacy through bilingual, hands-on cooking classes, family nutrition workshops, and peer support circles. Sessions emphasize preparing affordable, culturally familiar meals while accommodating religious …

Wic Gestational Diabetes Wellness Program, Anna Tobin

Student Research Design & Innovation Symposium

BACKGROUND: An average of 9% of pregnancies in the United States are affected by gestational diabetes (GDM), with higher rates among individuals with food insecurity, including participants of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Uncontrolled GDM increases the risk for pregnancy complications and health risks for the mother and baby. GDM management requires education and lifestyle interventions. METHODS: First, a needs assessment was conducted for WIC participants to identify health risks and service gaps. Next, a logic model was used to identify resources/inputs, activities, outputs, and outcomes of potential nutrition programs. This information was used …

Oakley Home Access: Changing Homes Changes Lives, Grace Carolonza

Student Research Design & Innovation Symposium

Older adults are challenged to safely remain in their homes, or, "age in place." Multi-level residences and lack of sturdy adaptive equipment can be unsupportive of activities of daily living (ADL) completion. This scoping review examines the effect of home modifications on improving people's quality of life (QoL) and ability to safely live in the community.

Keywords: QoL: an individual's impression of how well their place in life reflects personal goals, expectations, standards, and concerns (Khourieh et al., 2025)

Impact Of Sgm Education On Provider Preparedness, Stephanie Tudela Bs

Student Research Design & Innovation Symposium

Objective: Sexual and gender minority (SGM) populations experience persistent health inequities, often exacerbated by healthcare providers‚Äô lack of preparedness. This scoping review explored whether SGM focused educational interventions improved healthcare students‚Äô preparedness to provide inclusive, affirming care. Ten studies met inclusion criteria and examined multimodal educational interventions targeting students in medicine, nursing, occupational therapy (OT), physical therapy, and physician assistant programs. Findings: Nine of the ten studies reported statistically significant improvements in at least one learner domain, (confidence, communication skills, attitudes, and knowledge) post-intervention. The strongest and most consistent gains were observed in confidence and communication comfort when interacting SGM …

Community Intervention: Cooking And Nutrition Education, Vanessa Mello

Student Research Design & Innovation Symposium

With my intervention, I hope to address the high rate of food insecurity amongst households with children (keiki) in Hawai`i. The target population are Native Hawaiians and marginalized communities that have long-term risk of developing CVD, hypertension, and T2DM (Hawaii Foodbank, 2024). This program will be an extension of the Food 4 Keiki program that distributes food to this population; however, with my program addition, it will promote self-efficacy by hosting community cooking classes and nutrition education events. This intervention incorporates elements of Social Cognitive Theory (SCT) to encourage observational learning that reflects these families‚Äô social and community needs. SCT‚Äôs …

Fall Outcomes Among Older Adults In Rhode Island, Samantha Bruno, Samaria Dalling, Steve Jacob

Student Research Design & Innovation Symposium

Falls are a leading cause of injury, hospitalization, and death among older adults in Rhode Island. This analysis examines the burden of fall-related mortality, hospitalizations, and emergency department visits among adults aged 65 and older, highlighting trends and opportunities for prevention and policy action. Data were obtained from the Rhode Island Department of Health, with population estimates sourced from the CDC WONDER Online Database based on the U.S. Census Bureau‚Äôs Blended Base. Fatal falls among older Rhode Islanders have increased each year, although the rate of increase has slowed. Adults aged 65 and older account for 87.9% of fatal falls, …

Insurance And Mental Health Across Various Groups, Samaria Dalling, Cierra Bradford

Student Research Design & Innovation Symposium

This project examined how health insurance status relates to anxiety, depression, and insomnia among young adults, and whether race/ethnicity and age moderate these relationships. Using data from the 2024 Rhode Island Young Adult Survey (RIYAS), the analysis included 1,008 participants ages 18–25 recruited through online ads, emails, and community flyers. Participants received a $10 gift card for completing the survey. Cross-sectional statistical analyses assessed associations between insurance status and mental health indicators, with moderation tests for race/ethnicity and age. Significance was determined at p< 0.05. The results showed that about one-quarter of the sample lacked health insurance, and most respondents were White, non-Hispanic, and 21 or older. Insurance status was not significantly associated with anxiety, depression, or insomnia overall. However, race/ethnicity significantly moderated the relationship between insomnia and insurance status, with the association becoming significant among individuals identifying as Mixed race or Other (x2=0.529, p=0.015). The project concluded that multiracial and Indigenous young adults may face heightened barriers to obtaining health insurance. These findings suggest the need for policy actions such as Medicaid expansion, strengthened public health programs, and clearer insurance enrollment processes to reduce inequities in access to coverage.

Changes In Gambling Behaviors Among Young Adults, Madalyn Lyons, Shayanne Silva, Jadyn Torres

Student Research Design & Innovation Symposium

Background: Following the repeal of PASPA in 2018, sports betting and mobile gambling have expanded rapidly across the United States. Young adults are particularly vulnerable to gambling-related harms, yet state-level post-legalization surveillance data remain limited.

Methods: Cross-sectional data from the 2022 (n=1,022) and 2024 (n=1,008) Rhode Island Young Adult Surveys were analyzed. Gambling behaviors and problem gambling (Brief Biosocial Gambling Screen) were compared across years. Multivariable logistic and Poisson regression models adjusted for age, race/ethnicity, sexual/gender status, and subjective social status.

Results: Overall gambling participation remained stable (40.6% in 2022 vs. 38.6% in 2024). However, among gamblers (n=803), participation increased …

Pregnancy Status, Depression, And Income Level, Sheriyah Hicks

Student Research Design & Innovation Symposium

Previous research has examined the association between pregnancy status and mental health, with depression being prevalent among those who are pregnant. Similarly, research has also shows that those with lower socioeconomic status are at risk for depressive symptoms. This study fills a gap by examining whether pregnancy status among cis gendered women with low-income levels are at a greater risk for a depression diagnosis. To answer this research question, we utilized data from the 2022 Behavioral Risk Factor Surveillance System (BRFSS) using SPSS statistical software. A population of 235,893 respondents, self-identified as Female, were included in descriptive and chi-square analysis. …

Heart Disease Prevention, Alyssa Bernier

Student Research Design & Innovation Symposium

This intervention was created for the education of low-income youth and families in the prevention of cardiovascular disease and related conditions. Participants received nutrition education on cardiovascular disease, heart healthy food choices, and recipe ideas.

Association Between Living Situation And Social Support, Paulina Zambrana, Julianna Hoyt

Student Research Design & Innovation Symposium

Previous research has shown that living situation can influence perceived social support across different developmental stages. Social support can be defined as assistance provided by other sources like teachers, counselors, family, etc., to help an individual manage diverse circumstances. Particularly in youth, it has been demonstrated that strong perceived social support can be associated with positive outcomes like strong academic and behavioral functioning; however, unstable living environments can often affect the amount of perceived support and, therefore, generate poorer outcomes in young individuals. The purpose of this study is to analyze the association between living situation and social support among …

Adverse Childhood And Disability Status, Abigail Vest, Sarah Chery, Mawlne Kyne

Student Research Design & Innovation Symposium

This study focused on adverse childhood experiences (ACE) and disability status of adult individuals. Research shows that ACE has been seen to increase the risks of disabilities later into adulthood (Morgart, 2021), which may include cognitive, physical, and intellectual disabilities. The purpose of this study was to explore the possible association between ACEs and disability status, which could potentially contribute to prevention and intervention strategies. The study included 1,022 participants who were recruited from flyers, social media, and email and participated in a digital quantitative cross-sectional survey, which was conducted in 2022. The survey focused on the experiences of 18- …

Association Between Tbi And Behavioral Addictions, Siera Creekmore, Amanda Adams, Andrea Trejo, Olivia Castagno

Student Research Design & Innovation Symposium

Traumatic Brain Injury (TBI) encompasses a variety of symptoms that impact cognitive functioning and can result in altered consciousness. Previous research (Herrold et al., 2015; Miller et al., 2013; Davies et al., 2023) has identified a correlation between TBI and addiction-related disorders, including alcohol use disorder, as well as the usage of addiction services. Addiction-related disorders can also include behavioral addictions, which include persistent and recurrent problematic behaviors that result in clinically significant impairments or distress (American Psychological Association, 2013), and additional research findings suggest correlations between TBI and behavioral addictions such as pathological gambling (Bhatti et al., 2018; Regard …

Study Of Chemical Compounds In Herbal Cigarettes, Connor Woitalla

Student Research Design & Innovation Symposium

Herbal cigarettes are tobacco-free and nicotine-free and made from a blend of several herbs rather than tobacco. Currently, due to several reasons, especially their natural ingredients and a limited number of research studies on herbal cigarettes, this type of smoking product is perceived to be less harmful than other tobacco products and has gained its popularity dramatically. Therefore, our research study aims at providing some insights on the chemistry aspect of the herbal cigarettes before and after smoking using Infrared and Mass Spectrometry. The effects of smoking herbal cigarettes on the smoker's health will be also studied. The result of …

Feed The Folk: Soybeans As Snap Inputs, Tymon Childs

Student Research Design & Innovation Symposium

The objective of this study was to explore the possibility of using surplus agricultural commodities as inputs for SNAP or other need-based programs surrounding food access and nutrition. This study specifically explored the possibility of using surplus soybeans based on end stock projections for the year 2025/2026, following the soybean trade conflict between the United States and China. This project details the processing of soybeans from the farm gate to the plate, utilizing pre-existing soybean and food processing infrastructure within the United States.

Effect Of Play Environments On Social, Dory Stefanowicz Ots, Triana Newberg Ots, Makenna Sheehan Ots, Cianna Geni Ots, Aaron Fonseca Ots

Student Research Design & Innovation Symposium

This study is a cross-sectional observational study that examines social participation during indoor and outdoor play among preschool-aged children. Thirty-minute video recordings will be collected three times a week over a four-week period, capturing both indoor and outdoor play of all preschool classroom participants that have signed the consent from one of the classrooms at the CDC. All data collection for the indoor play recordings will occur at the University of Rhode Island's Dr. Pat Feinstein Child Development Center (CDC) in their classrooms' play areas during free play time. For the outdoor play recordings, the classroom will be at their …

Nourish & Grow: Wic Family Cooking Program, Kelly Mccormick Bs

Student Research Design & Innovation Symposium

This project developed a practical nutrition education program for caregivers of infants and young children enrolled in the Women, Infants, and Children (WIC) program. The goal was to increase confidence and skills related to preparing healthy, affordable meals using WIC-approved foods. The intervention focused on hands-on cooking demonstrations, simple meal planning and budgeting strategies, and culturally appropriate recipes designed for families with limited time and resources. The target population included low-income households experiencing food insecurity, diverse cultural backgrounds, and barriers such as limited transportation or access to fresh foods. A logic model was used to guide program planning, and evaluation …

Return To Occupations For Individuals With Sci, Emily Lieberman, Sara Brouillard, Meghan Dinsmore, Carlos Deus

Student Research Design & Innovation Symposium

Individuals with a spinal cord injury (SCI) experience challenges in their ability to participate in meaningful activities. OT researchers investigate interventions that will provide the best care to these individuals, but there is a lack of information on the effects of community-based interventions on their return to work or school. This scoping review aimed to explore the effects of community-based interventions on return to work or school in adults with SCI. A total of 8 articles were analyzed, and the results indicate that community-based interventions that utilize client-centered care, assistive technology, and contextual and client factors can increase positive RTW …

Language Models For Enhanced Patient-Provider Communication: Methods, Measures, And Benchmarks, Joseph Gatto

Dartmouth College Ph.D Dissertations

In recent years, significant efforts have been made to integrate Large Language Models (LLMs) into healthcare. In this study, we explore how to improve patient-provider communication using LLMs --- with explicit focus on asynchronous communication through EHR-integrated web portals. Throughout this thesis, we describe three interconnected studies that allow us to adapt, train, and evaluate LLMs in asynchronous portal communications. The first study focuses on Patient Message Triage, which is the task of determining the medical urgency of patient-authored message content. We introduce a novel benchmark, alongside methods and training strategies producing a state-of-the-art and publicly available triage solution. Our …

University Of Richmond Magazine - Spring 2026

University of Richmond Magazine

No abstract provided.

Brainstem Encoding Of Speech In The Extended High Frequencies And Its Behavioral Correlates, Sajana Aryal, Fan-Yin Cheng, Srikanta K. Mishra, Spencer Smith

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Whether the auditory nervous system can extract and use speech information carried in the extended high-frequency (EHF; >8 kHz) range is an unresolved question in auditory neuroscience. Although EHF sensitivity is increasingly recognized as important for speech perception, it is unclear whether EHF hearing is directly or indirectly involved in real-world listening. This study examined brainstem neural encoding of EHF speech components and the relationship between EHF hearing sensitivity and both neural and perceptual speech processing. Envelope following responses (EFRs) to broadband and high-pass filtered (>4 kHz and >8 kHz) speech stimuli, along with digits-in-noise speech recognition thresholds under …

Understanding The Support And Information Needs Of Family Members After Acquired Brain Injury: A Systematic Review, Craig Andrews, Alyson Norman, Sue Jackson, Mark Holloway

School of Psychology

The aim of this systematic review was to (a) identify the specific information and support needs of family members caring for ABI survivors and (b) assess the effectiveness of current support systems and resources available. A comprehensive search of the literature was carried out, focusing on studies that were published between the years 2000 and 2025. Seventeen studies met the inclusion criteria. The review employed a narrative synthesis approach to collate findings across papers. The analysis identified five key themes: ABI Knowledge, The Strain of Unsupported Transitions, Emotional and Financial Cost, ABI Support Groups, and Supporting Social Connectedness. The findings …

Optimization Of A Group-Based Intervention For People Living With Severe Obesity (Progroup): Understanding Fidelity To Delivery And The Patient Experience, Lily Hawkins, Mark Tarrant, Shokraneh Moghadam, Dawn Swancutt, Rod Sheaff, Laura Hollands, Jonathan Pinkney, Jenny Lloyd

School of Psychology

Objectives: Understanding the fidelity of delivery of complex health behaviour interventions is crucial in determining their effectiveness and identifying aspects needing refinement. PROGROUP is a group-based intervention for people with severe obesity. It aims to promote a shared social identity to support behaviour change. Data from a feasibility randomized controlled trial (fRCT) were used to assess fidelity of intervention delivery and the impact on patient experiences, to optimize the intervention for a main trial. Methods: Data from 18 patient and five facilitator interviews, audio and video data of group sessions, two fidelity checklists, support calls and a group processes questionnaire …

Children And Adults Across 15 Countries Believe In Human Uniqueness Of Mind: A Cross-Cultural Investigation Of Cross-Species Mind Perception, Karri Neldner, Luke Maurits, Magie Junker, Lara Abbas, Nayrouz Abbas, Arianna Abis, Federica Amici, Bernardo Arroyo-Garcia, Negar Asghari, Giovanna Barragán Pardo, Zhen Zhang, Junior Peña Chumacero, Ardain Dzabatou, Dustin Eirdosh, Susan Hanisch, Tom Herrnsdorf, Tom Hovehne, Alicia Junker, Patricia Kanngiesser, Felipe Villa Larens, Safaa Mahmoud, Sandra Masaquiza, Iino Masato, Risma Illa Maulany, Tongtong Meng, Kardelen Mutlu, Putu Oka Ngakan, Ebru Peközer, Ljubica Petrović, Mirella Christy Rehatalanit

School of Psychology

The way humans relate to other animals is fundamentally shaped by whether we perceive ourselves as unique, with feelings and thoughts not shared by other animals. How beliefs about animals’ ability to feel and think develop across cultures remains largely unexplored. We asked children and adolescents (4–17 years, N = 1025) and adults (N = 190) from 33 urban and rural communities across 15 countries whether animals have thoughts or feelings (judgments of presence), and whether those thoughts or feelings are human-like (judgments of similarity). Bayesian analyses revealed that participants generally ascribed non-human animals the ability for thoughts and feelings. …

“The True Me”: Unravelling The Dual Narrative Of Borderline Personality Disorder And Autistic Spectrum Disorder, Robin Iliffe-Lewis, Alison Bacon

School of Psychology

Objectives: There is growing recognition that some individuals who receive a diagnosis of Borderline Personality Disorder (BPD) are later diagnosed with autism. However, existing literature on this topic remains limited. This study aimed to explore the experiences of individuals diagnosed with BPD prior to autism, how they made sense of these diagnoses, navigated clinical systems, and learnt to manage the complex challenges associated with this diagnostic sequence.Methods: Thirteen (6 male, 6 female, 1 non-binary) adult participants took part in semi-structured interviews exploring their diagnostic journeys. Reflexive thematic analysis was used to develop a nuanced understanding of their experiences.Results: Three themes …

International Law Duties Not To Recognize, Not To Assist, And To Cooperate Against Peremptory Norm (Jus Cogens) Violations, Diane A. Desierto

Fordham International Law Journal

Peremptory norms (jus cogens) are the highest norms of international law. When these norms are violated, all States and international organizations have, at a minimum, three international legal duties to discharge while the violation is occurring: (1) the duty of non-recognition, where no State or international organization should recognize the situation caused by the violation; (2) the duty of non-assistance, where no State or international organization should render any aid or assistance to maintain this situation caused by the violation; and (3) the duty of cooperation, where all States and international organizations should cooperate to bring the violation to …