Digital Commons Network^™

Exploring Veterans' Experiences And Perceptions Of Mental Health Support: A Comparative Study Of Va Services Versus Civilian Mental Health Services, Jameelah Johnson

Doctoral Dissertations and Projects

This phenomenological investigation aimed to describe and interpret the experiences of veterans who received mental health care from veterans at Veterans Administration (VA) facilities and civilian healthcare providers in the Mid-Atlantic region. The investigation examined the complex issues veterans encounter when accessing mental healthcare through both VA services and civilian providers. The research investigated veterans' views on essential elements such as trustworthiness, cultural competence within care systems, accessibility to services, and the quality of therapeutic relationships. The framework helped us comprehend how veterans’ attitudes, together with their subjective norms and perceived behavioral control, shape their decisions about using mental health …

A Transcendental Phenomenological Study Of The Effects Of Having A Mentor On The Emotional, Mental, And Spiritual Health Of Bi-Vocational Clergy, Kenneth E. Hall Jr.

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study is to understand the effect of a mentor/mentee relationship on the feelings of isolation and loneliness of bi-vocational clergy. The prevalence of bi-vocational clergy is on the rise across all denominations. Coupled with the number of clergy people leaving the ministry annually, bi-vocational clergy will become even more commonplace within the church structure. As the prevalence of bi-vocational clergy increases and the number of roles that they are expected to fill grows, safeguarding their mental, emotional, and spiritual health needs to be a priority. Bi-vocational clergy are at great risk for burnout and …

What My Church Mother Taught Me: A Phenomenological Exploration Of The Maternal Messages Given To Black Christian Women On How To Cope With Trauma, Melanie Joyce Coates

Doctoral Dissertations and Projects

The purpose of this qualitative phenomenological study was to explore the lived experiences of Black women in Churches of Christ as they perceive and interpret maternal messages about coping with and managing the effects of traumatic experiences. For this study, maternal messages was defined as advice, support, mentorship, or guidance from older Black Christian women to younger Black Christian women. It was important to understand the ways in which older Black women teach younger Black women in navigating mental health challenges within the context of a complex trauma history among African Americans. The first theory that guided this study was …

Treatment Concerning Grief Disorder After Covid-19: Can Spiritual Care Help?, Tamika Marie Johnson

Doctoral Dissertations and Projects

The phenomenological study described the experiences of spiritual care for adults who lost a loved one due to COVID-19 in Texas. The theory guiding the study was Viktor Frankl’s logotherapy, which was humanity’s search for meaning in a finite world governed by spiritual principles (García-Alandete, 2024; Parker, 2022; Seligman & Reichenberg, 2014). Grief was one of the occurrences that grappled with humanity’s understanding of life. Death was a universal phenomenon, and grief occurred as a response to a loss (Fernández & González-González, 2022). Research shows that symptoms of grief dissipate over time. When it was accompanied by prolonged time or …

A Phenomenological Study: The Self-Efficacious Experiences Of Mid-Level Black Female Administrators At Public Colleges And Universities In Virginia, Alexis Bacote Archer Alarcón

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to describe the self-efficacious experiences for mid-level Black female administrators at public colleges and universities in Virginia. Self-efficacious experiences were generally defined as a person’s belief in their ability to perform well in their role as a leader. The theory guiding this study was Bandura’s theory of self-efficacy. Bandura’s theory of self-efficacy served as the theoretical framework for answering the study's central question: What are the self-efficacious experiences of mid-level Black female administrators at public colleges and universities in Virginia? A transcendental phenomenological design using three core processes, epoche ́, transcendental-phenomenological reduction, …

Impact Of A Pandemic On Clinical Research Organization Ethics: A Case Study, Supakan Apiratanapimonchai

Doctoral Dissertations and Projects

The purpose of this research is to examine the post-COVID ethical issues among clinical trials at clinical research organizations (CROs) in the Eastern region. This research is theoretically underpinned by the premise of evaluating the impact of post-COVID on data transparency, ethical guidelines, and protocol compliance. The institutional theory posits that insights gained from this comparative analysis will also contribute to the broader discourse on safeguarding research integrity. According to Yin, case studies are the most beneficial study design to be used, consisting of quantitative approaches (Yin, 2018). The data collected from clinical research associates (CRAs) with experience working with …

A Hermeneutic Phenomenology Study: How Students Affected By Trauma Experience Transformative Learning Through Digital Tools, Anita Sarah Chen

Doctoral Dissertations and Projects

The purpose of this hermeneutical phenomenological study is to explore the lived experiences of adolescent students affected by trauma embarking on the transformative learning process as facilitated by digital learning tools. The theory used to guide the study will be the transformative learning theory by Jack Mezirow. The central research question is: How do students affected by trauma experience transformative learning through digital learning tools? Examining students affected by trauma undergoing the transformative learning process facilitated by digital learning tools will be explored using a hermeneutical qualitative design. Ten participants w selected through purposive sampling based on their experiences in …

Being Intentionally Intergenerational At Empowerment Unlimited Church, Barbara Lynne Muse

Doctoral Dissertations and Projects

Intergenerational interaction is foundational to the ongoing vitality and long-term sustainability of the church community. Theological perspectives underscore the importance of families and individuals from diverse age groups engaging in mutual sharing, learning, and caring. Such intentional interactions foster intergenerational relationships that not only strengthen the sense of community but also address the spiritual needs of all members, regardless of age. This action research project seeks to help the EUC church become more intergenerational, creating opportunities for members to experience meaningful spiritual growth while forming lasting bonds across generations. Instead of centering church life around a single generation, churches must …

The Effects Of Music Participation On Sense Of Belonging Among Elementary Students With Traumatic Experiences, Jamie Lynn Mckoy Hill

Doctoral Dissertations and Projects

The unexpressed perspectives of children have long been dismissed in elementary music education. Daily agendas, curriculum, and administrative expectations direct the day-to-day functions of the classroom and negate the instructor’s assessment of students’ needs. As a result, students who have experienced trauma (various forms) will feel disconnected from the classroom and have a low level of engagement. Music educators must adapt their planning and execution and infuse empathy and flexibility in their teaching to allow all children room to grieve previous traumatic experiences. This historical research investigates the student perspectives on what music participation means effects on elementary students’ sense …

Rural Policing In Northern Wisconsin: Will Small-Town Police Officers Stay At Their Current Agency Until Retirement Based On Age And Community Size, Thomas J. Thompson

Doctoral Dissertations and Projects

This study examined the plans of small-town northern Wisconsin police officers to remain at their current agency until retirement, based on age and community size. The hypothesis was that older officers who had been with an agency for a longer period would stay until retirement, while younger officers would be more likely to leave. Younger officers tend to have less buy-in to the community and possibly fewer ties to a specific community. Officers who are older or have been with an agency for a long time have a greater investment in the agency and the community. The study results showed …

Academic Opportunities: A Phenomenological Study Of The Lived Experiences Of Principals That Foster Academic Achievement Of Students That Attend Secondary Title I Schools, Loretta O'Nita Speller

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study is to explore the lived experiences of principals fostering the academic achievement of students in grades six through twelve who attend public secondary, Title I schools. The theory guiding this study was Maslow’s Hierarchy of needs. Maslow’s theory posits that if a person’s lower-level deficiency needs are not met, ascension to higher levels cannot happen. The central research question is: “What are the lived experiences of principals that lead secondary Title I schools and how do they foster academic achievement of their students?” Purposeful sampling was used in this study, and participants in …

Opening Brief For Plaintiff-Appellant Jacob Julick, Aryssa Harris, Cameron Tong, Madeline H. Meth

Faculty Scholarship

For ten days in the middle of winter, officers at the Kentucky State Penitentiary (KSP) confined Jacob Julick in freezing cells, dressed only in paper boxers, and without access to hygiene products, a shower, cleaning products, bedding, or shoes. The reason? Mistaken retribution in response to a recent assault on an officer in which Julick was not involved.

When Julick reported experiencing suicidal thoughts, Defendant Officer Jason Denny mocked him, telling him to “kill [him]self and do them the favor.” Shortly after, Julick was moved from his first solitary cell to a strip cage where he was handcuffed, shackled, and …

December 4, 2025, The Daily Mississippian

Daily Mississippian (all digitized issues)

No abstract provided.

Do Games Play A Role In Personal Socialization?, Jasmine Reyna Landry

Doctoral Dissertations and Projects

The purpose of this descriptive phenomenological study was to explore how online gamers aged 20 to 40 experience the impact of socialization on self-verification and personal purpose. Semi-structured interviews with eleven participants were conducted, and data were analyzed using Colaizzi’s method to capture the essence of participants lived experiences and the sample population consisted of 12 participants. Findings revealed two overarching themes and in the themes several subthemes that include: Emotional Regulation, Social Presence, Stress Relief, Gaming as Social Connection and Maintenance and lifestyle balance. Participants described gaming as central to sustaining meaningful relationships, regulating stress, exploring identity, and receiving …

Job-Related Factors Affecting Special Education Teachers In The Pk-12 Classrooms Technology Proficiency: A Predictive Correlational Study, Kreshonya Porter

Doctoral Dissertations and Projects

The purpose of this predictive correlational study was to determine if a linear combination of job-related factors could predict special education teachers’ technology proficiency. The study is critical because teachers’ technology proficiency in a special education setting directly impacts students’ inclusivity, engagement, productivity, and achievements in the classroom. This study adds to the literature regarding special education teachers’ technology proficiency by examining specific job-related factors (experience, educational level, amount of technology-related professional development training, frequency of technology use, specialty, and job placement). The participants for this study were drawn from the population of special education teachers employed in pre-K through …

Criminalizing Difference: An Intersectional Analysis Of Disability In The Criminal Justice System, Rowan Eisleman

Student Scholar Symposium Abstracts and Posters

This research addresses the central question: How do individuals with disabilities intersect with the criminal justice system, and what systemic factors contribute to their overrepresentation and victimization? Despite over 61 million Americans having disabilities, there exists a significant gap in comprehensive scholarship examining disability-criminal justice intersections, particularly regarding how people with intellectual and developmental disabilities experience unique vulnerabilities as both offenders and victims. This study contributes to disability studies and criminology by providing a comprehensive intersectional analysis examining how disability compounds with race and gender to create compounded marginalization. This study conducted a comprehensive literature review, analyzing government statistics from …

Unreliable Landmarks Disrupt Egocentric Navigation In Desktop Virtual Environments, Rory Baxter, Alastair Smith

School of Psychology

Navigation relies on the integration of both allocentric (world-centred) and egocentric (navigator-centred) spatial cues. An influential real-world navigational task dissociated allocentric place learning from egocentric path integration, highlighting the decline in allocentric cue use associated with cognitive ageing. This report describes a novel computer-based replication of this task, designed as a remote test of navigational ability, that also addresses potential confounds in the original task, including tighter control of spatial cue competition. In Experiment 1a, participants learned a location signalled either by landmark cues in the absence of a stable starting position (Allocentric), distance and direction from the starting position …

Discovery Of A Small Molecule Tlr3 Agonist Adjuvant, Branden Lee, Danica Dong, Etsuro Nanishi, John Mark Awad, Kimia Abedi, Yoshine Saito, Francesco Borriello, Soumik Barman, Byron Brook, Aisling Kelly, Manisha Menon, Constance Marques-Mourlet, Maansi Gupta, Ida Lister, Chiwoo Oh, Kevin Lyskawa, Morgan Goetz, Kristina Walker, Wing Ki Cheng, Spencer Brightman, Pankaj Sharma, Timothy O'Meara, Katherine Chew, Daniel Vieira, Kevin Ryff, Cali Sweitzer, Sanya Thomas, Simon Van Haren, Matthew Pettengill, Hyuk-Soo Seo, Sirano Dhe-Paganon, Wei Zhang, Ofer Levy, David Dowling

Department of Pathology, Anatomy, and Cell Biology Faculty Papers

Pattern-recognition receptor (PRR) agonists are valuable agents across multiple medical applications, from vaccinology to immune-oncology. However, well-defined and potent small molecule agonists for many PRRs still await discovery and development. Screening of chemical libraries of ~200,000 small molecules for maturation of human monocytic cells by quantifying NF-κB activation and cell adherence was completed. From this screen, we selected a thiazole benzamide derivative, PVP-057, for its robust immunomodulatory properties, low toxicity profile, and concentration-dependent activity. In vitro investigation of pathway and receptor activation reveals that PVP-057 is a Toll-like receptor 3 (TLR3) agonist. As a single-component adjuvant, administered intramuscularly or intradermally …

Psychological Variables That Best Predict Health Related Behaviors In College Students, Arianna Gamaggio

Honors Theses

The present study examined which psychological factors best predicted health behaviors in college students. The psychological factors that were addressed included anxiety, depression, grit, and psychological flexibility. The health behaviors were examined by using a composite variable that included sleep, diet, and exercise. A total of 265 students participated in the study, but only 174 (μ age = 21) met the criteria for inclusion. Participants completed validated self-report measures such as the GAD- 7 (anxiety), PHQ-9 (depression), Short Grit Scale, Psy-Flex-6 (psychological flexibility), as well as health behavior assessments that measured eating behaviors, sleeping, and exercise habits. Correlational analyses indicated …

The Heterogeneity Of Healthcare And Insurance In The Midwest, William Robb

Honors Theses

Background 
Healthcare varies in each state from labor and capital to the laws governing the state and the finances they run under. United States citizens have criticized healthcare and call for change as the United States lacks a universal healthcare system. Even with a universal healthcare system, there are systematic issues and a financial downturn that need to be addressed even if it were to be adopted. Half of the counties in the U.S. see a shortage in labor and hospitals leading to a desert for both cases. Funding through the government is unstable and lacks clear and meaningful payments …

Characteristics Of Unintentional Injuries In Young Children In Low Socioeconomic Status Families, Annabelle Pederson

Honors Theses

Unintentional injuries are the leading cause of death among young children in the United States, with low-income families being at higher risk. This study examined seven weeks of prospective injury data from 89 caregivers of preschool-aged children enrolled in a Head Start program participating in a randomized controlled trial of a modified home safety intervention. Caregivers completed weekly interviews reporting the injury type, location, severity, pain, and caregiver in charge. Slips, trips, and falls were the most common injuries that occurred, with most occurring in the primary caregiver’s home. Mothers were the supervising adults in over half of the incidents. …

Mirrors & Windows: A Phenomenological Study On Narrative Group Therapy With Adults Survivors Of Childhood Interpersonal Trauma, Bethany Walker

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to describe adult survivors of childhood interpersonal trauma's lived experiences with group narrative therapy in Texas. Three theories serve as the base for this study: Terr's childhood trauma theory, Vygotsky's social constructivism, and Fisher's narrative theory. Social constructivism informs the study by suggesting that group therapy fosters meaning making through shared narratives. Narrative theory informs this study with the concept participants of narrative group therapy can not only create, examine, and reauthor their stories but find connection with others and empowerment in sharing their stories. Participants in this study completed an interview and …

A Pilot Study Of Life Model Informed Therapy And Its Efficacy For Reducing Anxiety And Increasing Joy In Adults, William R. Mouer

Doctoral Dissertations and Projects

This pilot study researched Life Model Informed Therapy (LMIT), a modality developed into a six-week treatment targeted to decrease anxiety and increase joy in adults that self-reported as having anxiety. Fourteen participants were recruited by Facebook ads in the Charlotte, North Carolina area. Outcome data were collected using the State Joy Scale (SJS) and Beck Anxiety Inventory (BAI). Participants received the same LMIT treatment for six consecutive, weekly, one-hour sessions. Participants self-reported on their joy and anxiety levels at three periods of time, including a pre-treatment, post-treatment and one month after-treatment test. Two one-way RM-ANOVA tests were conducted. Results of …

The Impact Of Education And Awareness In Influencing Lifestyle Behaviors That Prevent And Treat Sarcopenia In Older Adults: A Mixed-Methods Cross-Sectional Research Study, Alan Lynn Jones

Doctoral Dissertations and Projects

This mixed-methods, cross-sectional study assessed the current level of knowledge and awareness among people aged 50 and older about sarcopenia, as well as their willingness to adopt lifestyle changes that could prevent or reverse the condition as they age. The study aimed to determine whether a lack of awareness and knowledge is linked to current lifestyle behaviors that contribute to or protect against the development of the disease. The population included men and women 50 and older, living independently in the community with no prior diagnosis of sarcopenia. The study used a custom-designed questionnaire and semi-structured interviews. A total of …

Exploring The Clinical Utility Of The Adult Social Care Outcomes Toolkit For Use In Occupational Therapy Practice In Adult Social Care: A Qualitative Study, Rachel Cox, Sarah Reynolds

School of Health Professions

AbstractBackground/Aims Promoting the wellbeing of service users is a core focus in occupational therapy and adult social care. Despite a professional, policy and legal mandate to provide evidence of the effectiveness of occupational therapy interventions in adult social care, few local authority teams in England use standardised outcome measures to assess the impact of interventions on wellbeing. One local authority’s occupational therapy service in England sought to address this by introducing the Adult Social Care Outcomes Toolkit. This study explored the Adult Social Care Outcomes Toolkit’s clinical utility (usefulness) in this setting. As the Adult Social Care Outcomes Toolkit has …

Revealing The Nervous System Requirements Of Alzheimer Disease Risk Genes In Drosophila, Jennifer M Deger, Shabab B Hannan, Mingxue Gu, Colleen E Strohlein, Lindsey D Goodman, Sasidhar Pasupuleti, Zahid Shaik, Liwen Ma, Yarong Li, Jiayang Li, Morgan C Stephens, Michal Tyrlík, Zhandong Liu, Ismael Al-Ramahi, Juan Botas, Chad A Shaw, Oguz Kanca, Hugo J Bellen, Joshua M Shulman

Faculty, Staff and Students Publications

Most Alzheimer disease (AD) susceptibility genes have poorly understood roles in the central nervous system (CNS). To address this gap, we systematically characterized 100 conserved candidate AD risk genes using a cross-species strategy in the fruit fly, Drosophila melanogaster. Genes were prioritized based primarily on human functional genomic evidence. We generated custom loss-of-function alleles for each of the conserved fly orthologs. Most of the genes are expressed in the adult brain, including 24 neuron- and 13 glia-specific expression patterns. Overall, we identify 50 candidate AD risk gene homologs with requirements for CNS structure or function, including 18 whose loss of …

Super-Fast, Super-Early: High-Frequency Oscillations May Be A Prelude To Alzheimer's Dementia In Down Syndrome, Manuel Silva-Pérez, Jeannie Chin

Faculty, Staff and Students Publications

Alzheimer's disease (AD) dementia has near full penetrance in adults with Down syndrome (DS) and is strongly linked to late-onset myoclonic epilepsy in Down syndrome (LOMEDS). However, promising biomarkers of epileptogenicity, such as high-frequency oscillations (HFOs >250 Hz), have not been studied. This study is the first to use wideband polysomnography in DS to investigate if HFOs occurred and preceded AD dementia and LOMEDS. Methods: Wideband (0.1 to 500 Hz, 2048 Hz) polysomnography was performed using the international 10–20 system. HFOs were automatically detected during slow-wave sleep, followed by manual review. Results: Fourteen individuals with DS and five age-matched euploid …

The Clinical Pharmacogenetics Implementation Consortium's Consensus-Based Framework For Assigning Allele Function., Bailey M. Tibben, Andrea Gaedigk, Li Gong, Katrin Sangkuhl, Michelle Whirl-Carrillo, Mary V. Relling, Roseann S. Donnelly, Teri E. Klein, Kelly E. Caudle

Manuscripts, Articles, Book Chapters and Other Papers

The Clinical Pharmacogenetics Implementation Consortium (CPIC) is dedicated to integrating pharmacogenetic testing into clinical practice by developing and disseminating peer-reviewed, evidence-based gene-drug clinical practice guidelines. A critical component of this effort is the assignment of clinical function to pharmacogene alleles, which informs the translation of genetic test results into actionable prescribing decisions. This technology review outlines the standardized procedures and framework used by CPIC to assign allele clinical functional status through the work of Pharmacogene Curation Expert Panels (PCEPs). These panels, comprising multidisciplinary experts, systematically review and evaluate evidence to assign functional status to pharmacogenetic haplotypes. The process includes rigorous …

Prevalence And Factors Associated With Alcohol And Illicit Drug Use Among Brazilian Youth: A Multicenter Cross-Sectional Study, Emerson Brito, Marina Bessel, Natalia Luiza Kops, Lucas Albrechet-Souza, Flavia Moreno, Alexis Koskan, Thayane Martins Dornelles, Ben Hur Graboski Pinheiro, Suelen Basgalupp, Eliana Wendland

School of Medicine Faculty Publications

This study examined alcohol and illicit drug use among Brazilian youth aged 16 to 25 during the transition to adulthood. A multicenter, cross-sectional survey was conducted between Sep-2016 and Dec-2017 across all 26 Brazilian state capitals and the Federal District. A total of 8,581 participants completed structured interviews on substance use and sociodemographic characteristics. Lifetime prevalence was 71.6% for alcohol and 30% for illicit drugs. Frequent alcohol use was more common among males, while the most used illicit substances were cannabis (27.4%) and cocaine (9.9%). Participants without a partner had higher rates of alcohol and hallucinogen use, while those with …

Grapes Cure Cancer: My First Molecular Docking Analysis Of Resveratrol Binding To Anti-Apoptotic Protein Bcl-2: In Silico, Sydni Ann Kolokoltsev, Vishwas Joshi

Publications and Research

B-cell lymphoma 2 (BCL-2) is an anti-apoptotic protein frequently overexpressed in cancer, enabling tumor cells to evade programmed death. Resveratrol, a grape-derived polyphenol, has reported anticancer properties. Here we performed in silico docking of resveratrol to human BCL-2 using AutoDock Vina. The best-ranked pose exhibited a predicted binding free energy of 8.0 kcal/mol and formed at least one short hydrogen bond (~1.8 Å) with pocket residues. These results support further evaluation of resveratrol as a potential modulator of BCL-2-mediated apoptosis.