Digital Commons Network^™

Identifying The Effects Of Racial Bias On Levels Of Medical Mistrust Among Black And White Young Adults, Clayton L. Westmoreland

Doctoral Dissertations and Projects

The purpose of this quantitative, non-experimental, cross-sectional group comparison was to examine whether differences exist in levels of medical mistrust, healthcare avoidance, and preference for racially concordant providers between young Black adults and young White adults residing in Texas. An electronic, pilot-tested survey was distributed via social media and included demographic items and Likert-scale measures to assess trust levels and healthcare decision-making behaviors. Independent samples t-tests were conducted using IBM SPSS software to compare group means. Results indicated statistically significant differences across all three variables. Young Black adults reported significantly higher levels of medical mistrust (lower scores indicating greater mistrust; …

Teachers’ And Parents’ Perception Of The Impacts Of Social Skills Education Among Learners With Autism Spectrum Disorder: A Phenomenological Qualitative Study, Marian Baffoe Bonnie

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to understand the perceptions of the impacts of social skills learning for teachers and parents at a preschool in a central African country. The theory that guided this study was Premack and Woodruff’s theory of mind as it provides a scholarly underpinning for understanding the social and communication deficits experienced by individuals with autism. The central research question that guided the study was: How do teachers and parents perceive the impacts of social skills education among children with autism spectrum disorders? A qualitative methodology using a phenomenological design was used. Purposive sampling was …

Flexible Concurrent Training In Remote Settings, Christopher Bonilla

Doctoral Dissertations and Projects

The purpose of this study was to compare the effects of a trainee-driven flexible concurrent training program to a traditional fixed concurrent training program over 16 weeks of remote training in recreationally trained individuals. Participants were randomized into a flexible group that selected workouts based on daily perceived readiness or a control group that followed a fixed training schedule. The primary outcome was a total fitness score derived from a three-repetition maximum deadlift, a two-minute push-up test, and a two-mile run, assessed every four weeks. A secondary analysis used multilevel modeling to examine whether self-reported sleep duration predicted perceived readiness …

Exploring The Practice Of Mindfulness In Ministry Among Kansas Assemblies Of God Clergy, Angela K. Sartain

Doctoral Dissertations and Projects

Interest in integrating mindfulness into Christian counseling and pastoral practice increased; however, very little research has documented its experience among Assemblies of God clergy. This phenomenological study explored the lived experiences of Kansas Assemblies of God clergy who have engaged mindfulness within a ministry context. Based on acceptance and commitment therapy and mindfulness-based cognitive therapy, viewed through a Christian lens; the research examined understanding, adaptation, and practice regarding worship, leadership, and pastoral care. Data from in-depth interviews with Kansas Assemblies of God clergy were analyzed thematically and patterns of meaning and practice were discovered. The results revealed how Kansas Assemblies …

Forgiveness And Marital Restoration After Infidelity Among Mid-Atlantic Christian Couples: A Hermaneutic Interpretation, Denise Crable Crarey

Doctoral Dissertations and Projects

Infidelity can inflict substantial damage to a marital relationship, specifically emotional trauma, broken trust, instability, and possibly divorce. However, some choose to extend forgiveness and work towards restoration of the marital relationship. The problem addressed by this study is the absence of known factors contributing to marital restoration from the perspective of wounded partners among Christians in the Mid-Atlantic United States. The purpose of this study is to understand which factors promote marital restoration from the perspective of the injured spouse in the Christian community from the Mid-Atlantic United States. The theoretical perspectives for this study are the Enright Process …

Experiences Of Cholesterol Management Among Obese Individuals: A Qualitative Exploration Of Statin Use, Diet, And Physical Activity, Ke'andra S. Foggie

Doctoral Dissertations and Projects

The prevalence of hypercholesterolemia has increased over the past decade, with obesity identified as a major contributing factor. This study examined how individuals with obesity and hypercholesterolemia managed cholesterol and experienced related challenges within their daily lives. Guided by the Chronic Care Model, the research explored participant-reported experiences of statin therapy and lifestyle practices, including dietary behaviors and physical activity, as components of cholesterol management. Qualitative data were collected through semi-structured interviews, observations, and document analysis to analyze participant-reported barriers, supports, and contextual factors that shape how these practices are incorporated into daily routines. Although extensive research has examined statin …

Legislative Signals And Human Rights Advocacy: A Longitudinal Analysis Of U.S. Congressional Resolutions And Ngo Reporting In The Post-Cold War Era, 1989-2004, William J. Manosh

Electronic Theses and Dissertations 2020 - Present

This thesis examines the unique relationship between nongovernmental human rights reporting, and U.S. congressional attention during the post-Cold War period, 1989-2004. Using a longitudinal content analysis research method, it compares human rights-related resolutions from the 101st through 108th Congresses with materials from Amnesty International, Human Rights Watch, and Human Rights First. Rather than claiming causation, the study evaluates whether congressional country or issues mentioned overlapped with NGO reporting during those same sessions. The findings show recurring overlap between congressional attention and NGO-identified countries, abuses, and normative claims. This convergence suggests that NGOs operated within a democratic information environment yet simultaneous …

Development Of Novel Plasminogen Activators From Fragments Of Streptokinase Enzyme, Vijay G Mr

Theses and Dissertations

Thrombotic disorders such as myocardial infarction, ischemic stroke, pulmonary embolism and deep vein thrombosis remain major causes of mortality and disability worldwide, creating a continuing need for effective, safe and affordable thrombolytic therapy. Streptokinase is one of the most widely used plasminogen activators because of its activity, low cost and broad availability. However, its wider clinical utility is limited by high immunogenicity, allergic reactions, neutralizing antibody formation and poor suitability for repeat administration. This thesis aimed to develop novel streptokinase-derived plasminogen activators by identifying smaller functional fragments that retain thrombolytic activity while potentially reducing immunogenicity.

A literature-guided fragment-based strategy was …

Understanding The Experience Of Separation On The Substance-Exposed Mother-Infant Dyad, Tamara Lee Depascale

Electronic Theses and Dissertations 2020 - Present

Maternal-infant separation following birth is a profoundly distressing experience that may have significant emotional, relational, and health implications for mothers with substance use disorders (SUD). Guided by Caring Science and Swanson’s Theory of Caring, the purpose of this qualitative descriptive study was to explore the dimensions of the health challenge associated with maternal-infant separation among mothers with SUD following birth and the approaches mothers used to navigate and respond to that experience. Data were collected through semi structured interviews with mothers who had experienced separation from their infants following birth and analyzed using deductive and inductive thematic analysis. Findings revealed …

Leadership Role In The Formation Of Leadership Qualities, Culture Of Business Communication, And Emotional Intelligence Of Future Higher Education Professionals, Larysa Hren, Arseniy Khaziyev, Kostiantyn Kachailo, Ivan Kirsanov, Mykola Chebotarev

Higher Learning Research Communications

Introduction/Aims: The study was conducted among 2nd- and 3rd-year undergraduate students and 1st-year master’s students majoring in three specialties: psychology, social security, and medicine. The research examined the influence of leadership qualities on professional training, emotion management, and business communication skills of students in higher education institutions. It explored how these competencies collectively enhance adaptability and preparedness for professional activities in fields such as psychology, social work, and medicine, addressing gaps in educational methodologies.

Methods: We employed a comprehensive, four-stage methodology with content analysis as the primary data collection method. The study involved 63 participants from the National …

Organising, Sustaining, Experiencing And Integrating Mental Health Crisis Care For Children And Young People: Qualitative Findings From Eight Contrasting Case Studies In England And Wales [Version 1; Peer Review: Awaiting Peer Review], Clare Bennett, Leanne Sawle, Claire Fraser, Rachael Vaughan, Steven Pryjmachuk, Iain Mcmillan, Aled Jones, Euan Hails, Nicola Bennett, Martin Elliott, Mair Elliott, Ben Hannigan, Williams Jessy

School of Nursing and Midwifery

BackgroundCrisis services are an important part of the system of mental health care for children and young people (CYP), but little is known about them or the experiences of CYP and families. This article reports findings from a normalisation process theory (NPT)-informed sequential mixed methods study, comprising three work packages (WPs), which set out to generate new knowledge in this area.MethodsApproaches to CYP crisis care across England and Wales were mapped in WP1 using survey design. Previously reported findings from this WP point to heterogeneity in service types and interventions. In WP2 eight contrasting services (five in England, three in …

Coordinating Meaning With Ai System Cards: A Thematic Analysis, Jennifer Rene French Cyrek

Doctoral Dissertations and Projects

As the meaning of AI risk remains unsettled across sociotechnical and public discourse, AI system cards are an emergent, yet understudied, genre of technical documentation through which AI technology developers publicly frame new AI system capabilities including risks. This thematic content analysis study examines how AI technology developers coordinate meaning regarding risk and responsible development in stewardship of AI. Guided by a constitutive view of communication and systems theory, second-order cybernetics, and the cybernetic tradition, this study analyzes a purposive corpus of AI system cards collected from 2023-2025 using thematic content analysis and the hierarchy of meaning heuristic from coordinated …

A Connection A Day Keeps The Patient Away: How Remote Patient Monitoring Connected To The Internet Of Things Will Change Us Healthcare Into The Us Healthcare System, Ethan Sinn

Doctoral Dissertations and Projects

The importance of this study was due to the market inefficiencies hindering US healthcare. The three market inefficiencies of excessive cost, access challenges, and low outcome yields have puzzled industry stakeholders for years. These inefficiencies continue gobbling up resources now accounting for around 20% of American GDP. The inefficiencies are symptomatic results of two surface level problems in the US healthcare market: financial misalignments and informational fragmentation. The financial mismatches and informational gaps have caused havoc to the natural market’s daily flow since making their way to the surface and remain firmly connected to the root cause of US healthcare’s …

The Protective Factors Of Alcohol Use And Problem Drinking By Emerging Adults During The 2020s And The Era Of Covid-19, Aubrey A. Coplon

Doctoral Dissertations and Projects

This research investigated the protective factors that shape alcohol use and problem drinking among emerging adults during the 2020s, with a spotlight on the COVID-19 pandemic. As this age group grapples with the complexities of self-discovery and independence, the pandemic introduced a new set of challenges and shifts. Through qualitative interviews, this study worked to uncover the resilience strategies and support systems that have emerged as crucial in mitigating alcohol misuse. It examined the role of social connections, mental health resources, coping mechanisms, and evolving social norms in buffering against problem drinking. While the pandemic intensified some risks, it also …

Understanding The Perceptions Of Racial Socialization As A Protective Factor Influencing Resiliency Adaptation Among Black Males Who Matriculated To College In Northeastern Florida When They Were Aged 18 – 24 And Who Had A History Of Criminogenic Risk Factors Or Criminal Justice System Contact, C. Darnell Stroble

Doctoral Dissertations and Projects

This study aimed to explore the perceptions of racial socialization (“RS”) as a protective factor that leads to resiliency adaptations among Black males who matriculated to college in Northeastern Florida when they were aged 18 – 24 and who had a history of criminogenic risk factors or criminal justice system contact. Grounded in Unnever and Gabbidon’s (2011) Theory of African American Offending (“TAAO”), the study used a qualitative phenomenological case study research design to explore participants’ understanding of RS messages from their parents and their resiliency adaptations in response to those messages. Two research questions guided the study: (1) How …

Doctor Of Ministry Final Portfolio: Developing A Dynamic Educational Curriculum For Truthwins.Com Supporting Its Global Prospective On Individual's Spiritual Formation, Randall Thomas Keith

Doctoral Dissertations and Projects

This portfolio presents the development of a dynamic educational curriculum for Truthwins.com designed to support its global mission of fostering individual spiritual formation across cultural, social and theological boundaries. The project integrates biblical principles, intercultural competency and contemporary educational practices to cultivate rounded spiritual growth among learners worldwide. Drawing on theological reflection, qualitative research and practical ministry applications, the study outlines a framework that embraces inclusivity, promotes critical engagement with spiritual formation, and equips participants to embody authentic discipleship in a dynamic context. The resulting curriculum aims to inspire transformative learning experiences that unify spiritual development with Truthwins.com commitment to …

Valuing Music Education: A Comparative Study Of Elementary Programs In Canada And The United States, Johanna Katelyn Hatt

Doctoral Dissertations and Projects

Music education is widely recognized as an important component of a well-rounded education and is frequently associated with numerous educational, social, and developmental benefits. Despite this perceived value, support for music education remains inconsistent across elementary school contexts. Differences in funding, instructional time, and administrative priorities raise questions about how the value of music education is understood and enacted within schools. The purpose of this qualitative comparative study was to examine how music education is valued within elementary schools in Canada and the United States. Guided by Comparative Education Theory, interviews were conducted with elementary music educators to better understand …

Stuck In A Paradox: Loving An Unseen God While Hating The Neighbor That Is Visible: A Quantitative Correlational Study, Felisha A. Jones

Doctoral Dissertations and Projects

Racism within the Christian church is a persistent concern that may influence interpersonal relationships and spiritual development. Although research has examined this broadly, there has been limited research on the relationship between perceived racism and spiritual maturity in a Christian church setting. The purpose of this quantitative correlational study was to examine the relationship between racism and spiritual growth amongst Christians, assess the perceived prevalence of racism in the church, and explore perceptions of responsibility for addressing racism in the church. It was hypothesized that a negative relationship would be found between racism and spiritual maturity. Data was collected from …

Exploring The Relationship Between Divine Grace And Guilt/Shame Among Christians With Same-Sex Attraction, Christopher Tyler Carroll

Doctoral Dissertations and Projects

This study examined the experiences of guilt, shame, and divine grace as they relate to Christians with same-sex attraction (SSA). Although divine grace, defined as unmerited favor and love given by God, has been linked to favorable psychological outcomes in general samples, it is unclear whether experiencing divine grace protects Christians with same-sex attraction from guilt and shame. The Perceptions and Experiences of Grace Scale (PEGS), Factor 1 and The Guilt and Shame Experience Scale (GSES) were used to assess whether an association exists between these variables. Findings from multiple regression models indicated that experiencing divine grace does not significantly …

The Phenomenology Of Residential Youth In Child Welfare Settings And The Social Workers Who Work With Them., April Leigh Rorabaugh

Doctoral Dissertations and Projects

This phenomenological study examines the experiences and challenges faced by social workers in child placement for adolescents aged 12-18 within North Carolina’s child welfare system, an issue that warrants immediate attention. Hardworking and determined social workers are on the ground fighting in an already overtaxed system that is resulting in options that are frighteningly few for the care our youth so desperately need. Many of the most vulnerable children in the welfare system are being placed in other states for residential treatment. This is not only traumatic but also robs youth of everything they are familiar with at such a …

A Qualitative Case Study: Learning, Teaching, And Using Social-Emotional Skills In A Post-Covid Era, Camille Louise Andrews

Doctoral Dissertations and Projects

The purpose of this collective case study was to discover the influence that COVID-19 has had on teaching and learning social-emotional skills in grades K through 2 in a local public school in a central metropolitan area in the northeastern United States. During the COVID-19 pandemic, schools worldwide were forced to shut down, providing online instruction using tablets and other media devices. Students and teachers suddenly became limited in how they socialized with each other. COVID-19 changed how teachers use social-emotional learning (SEL) in the classroom. The study included 10 participants. This study’s purpose was to answer the central research …

Switching Sides: A Grounded Theory Study Of Transition From Christian To Atheist, Joel C. Furches

Doctoral Dissertations and Projects

This study developed a data driven, six stage model of deconversion, defined as the transition from publicly identifying as a Christian to publicly identifying as an atheist. Using a Grounded Theory approach for analysis, and an archival approach for data collection, the research analyzed 35 autobiographical accounts of deconversion to identify common psychological, social, and behavioral processes underlying religious-deidentification and atheist identification. The findings revealed six background features characteristic of religious environments with higher likelihood of producing deconverts, four categories of objections that precipitate dissonance, and six coping strategies individuals employ in response to that dissonance. Central to the model …

Empowering Elementary Music Students To Compose And Perform With Ipad, Matthew Martin Massengale

Doctoral Dissertations and Projects

iPad is a popular device commonly used an educational tool, yet little information is available about how iPad can be used to supplement gaps in music education in elementary classes. It is widely accepted that music education increases student achievement across multiple curriculums: therefore, any techniques and tools available to deliver music lessons that may close gaps in access to quality music education are important to study and understand. Through qualitative research techniques, this study will examine and analyze the efficacy of using iPad in music lessons. Students will access music history and theory through apps installed on iPad. Students …

The Effect Of The Dobbs Decision On State Abortion Policy Regarding Telemedicine, Margo Deihl Nicholas

Doctoral Dissertations and Projects

Telemedicine is a growing area of health care that has become one of the primary policy tools to enhance abortion access following the 2022 Dobbs decision, which gave states full autonomy over abortion policy as a result of overturning the landmark case Roe v. Wade (1973). The purpose of this dissertation is to study the effect of the Dobbs decision on state abortion policy regarding telemedicine and understand how these policies are used to either restrict or protect abortion at the state level. This dissertation was guided by Buchanan’s Public Choice Theory. The following research question guided the study: What …

Caring For ‘Lewy’: The Lived Experiences Of Adult Children Caregivers Of A Parent With Lewy Body Dementia, Tina Ellis Long

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to describe the lived experiences of adult children caregivers of a parent with Lewy body dementia (LBD). The study was guided by Pearlin’s stress process model (SPM) and Thibault and Kelley’s social exchange theory (SET), as these theories informed aspects of caregiver burden and stress, as well as caregiver motivation. The study implemented a qualitative design with a transcendental phenomenological approach, exploring caregivers’ subjective individual experiences, while also observing caregivers’ common objective experiences. Data were collected using semi-structured interviews, journal prompts, and cognitive representations, and was analyzed using the Colaizzi open coding …

High School Teachers’ Experiences Fostering Empathy At A Florida Charter School: A Transcendental Phenomenological Study, Angela Lynn Green

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to understand the lived experiences of high school teachers fostering empathy at a charter school in Florida. The theory guiding this study was Vygotsky’s social constructivism as it provided the framework for exploring the phenomenon of fostering empathy in the classroom while considering the role of teacher and student interactions. The Central Research Question was as follows: What are the lived experiences of high school teachers with fostering empathy in their classrooms at a charter school in Florida? This study used a qualitative phenomenological approach with a purposeful sample of 10 high …

U.S. Navy Seal Operational Understanding From 1945 To 1989: A Case Study, Cade Morgan Kemp Pickford

Doctoral Dissertations and Projects

This dissertation will examine the evolution of U.S. Navy SEAL doctrine, mission scope, and overall strategic role from their formal establishment in 1962 through the Cold War interventions in Grenada (1983) and Panama (1989). It will argue that the SEALs transformed from a more experimental counterinsurgency force into a much stronger and more strategically significant instrument of U.S. military policy, shaped by the combat experience, institutional challenges, and ever-evolving geopolitical demands. Drawing upon several primary sources, including archival records, official military histories, several oral interviews, and doctrinal publications, this study employs a qualitative, thematic methodology to analyze patterns in operational …

Rsv Can Infect The Human Nasal Epithelium Via The Basolateral Route And Shows Distinct Subgroup Infectivity And Basal Cell Tropism, Ashley Murray, Divya Nagaraj, Emily M Schultz, Gina Aloisio, Erin Nicholson, Sarah E Blutt, Vasanthi Avadhanula, Pedro A Piedra

Faculty, Staff and Students Publications

Respiratory syncytial virus (RSV) causes millions of lower respiratory tract infections (LRTIs) in young children, older adults, and immunocompromised populations every year. RSV infection initiates in the upper respiratory tract and can progress to the lower airways, resulting in bronchiolitis, pneumonia, and even death. RSV primarily infects epithelial cells apically, but we hypothesized that basolateral exposure of the respiratory epithelium could provide an alternative mechanism of infection that contributes to LRTI development. Using a human nose organoid-air-liquid interface (HNO-ALI) model, we performed apical and basolateral inoculations with contemporaneous RSV strains (RSV/A/Ontario [RSV/A/ON] and RSV/B/Buenos Aires [RSV/B/BA]) representing the two RSV …

Repeated Disasters, Evolving Plans: Flood Mitigation Strategy Change Across Pre- And Post-Disaster Planning Periods In High-Loss U.S. Communities, Jenifar Selim

Electronic Theses and Dissertations 2020 - Present

This research explores how flood mitigation planning has evolved in counties exposed to multiple billion-dollar flooding disasters. The research focuses on two case studies: Jefferson County, Texas, and Jefferson Parish, Louisiana, two Gulf Coast communities with repeated flood exposure. Using comparative content analysis of pre- and post-disaster hazard mitigation plans, the study evaluates how local planning approaches and strategies shift following major flood events. Findings indicate that local governments largely remain reactive rather than proactive; however, these efforts are increasingly expanding beyond traditional infrastructure to incorporate broader resilience strategies, including nature-based solutions and regional coordination. The results highlight a gradual …

The Impact Of Student Behavioral Demands On Teacher Burnout In Secondary Education, Adrienne J. Smith

Electronic Theses and Dissertations

ABSTRACT

Teacher burnout is a growing concern in secondary education because it affects teacher well-being, instructional effectiveness, and retention (Anton & Ryzin, 2024; Madigan & Kim, 2021). This quantitative correlational study examined the relationship between behavioral demands and emotional exhaustion among 64 Texas secondary public-school teachers. Guided by the Job Demands–Resources (JD–R) model and Conservation of Resources (COR) theory, the study also examined whether teacher self-efficacy and school climate moderated this relationship. Behavioral demands were measured as a composite of student aggression, defiance, and inattentiveness. Pearson correlations and moderation analyses conducted in Jamovi indicated that behavioral demands were positively associated …