Digital Commons Network^™

The Influence Of School Closing Mandates On Student Performance During The Covid-19 Pandemic: A Case Study, Cody Ryan Ratliff

Doctoral Dissertations and Projects

The purpose of this embedded single case study was to describe the lack of student needs support during the COVID-19 pandemic for parents of middle school students at a county board of education in West Virginia. (Chiwona et al., 2020; Devereux et al., 2020; Dunn et al., 2020). The theory guiding this study was Abraham Maslow’s (1943) theory on the hierarchy of needs, which demonstrated an impact on student performance. This qualitative single-case study utilized an embedded approach. The central research question this study aimed to answer was to describe how a lack of necessary resources affected students during the …

A Phenomenological Study On The Experiences Of Single Mothers With Depression In Christian Counseling, Julie Adeline Bliss

Doctoral Dissertations and Projects

The population of single mothers in the United States continues to grow, whether due to widowhood, divorce, or failed relationships. It is common for single mothers to face many obstacles due to balancing life and parenthood alone. Due to these obstacles, single mothers are at a heightened risk for depression. Themes identified in current research consist of single mothers experiencing poor physical and mental health, life stressors such as financial hardships/poverty, unstable housing, inconsistent employment, behavioral and cognitive problems in their children, religious/spiritual (R/S) interventions, along with the connection of mental health and religious or spiritual beliefs. Current studies have …

A Comparison Of School Index Score And Per-Pupil Spending Of Four School Environments, Elizabeth Ann Springer

Doctoral Dissertations and Projects

This quantitative study examined the relationship between school environment and both school index scores and per-pupil spending across four distinct public school types in Michigan: in-person district schools, in-person charter schools, virtual district schools, and virtual charter schools. The primary purpose was to explore whether significant differences exist in the school index scores and per-pupil expenditures among these school environments, with particular attention to virtual schools, which remain underrepresented within educational policy research. Initial analysis using MANOVA was supplemented with non-parametric testing due to violations of normality assumptions. Findings indicate significant differences in both spending and school index scores across …

Exploring School-Based Early Intervention For Developmental Disabilities: A Phenomenological Study Of Parental Experiences, Brenda Nichol Webb

Doctoral Dissertations and Projects

Today it is estimated that one in six children in the United States has one or more developmental disabilities or other developmental delays. There is a large body of evidence pointing to the necessity of early intervention to improve both short and long-term life outcomes for individuals with developmental disabilities from both the medical and social sciences. Despite this fact, the identification process during early childhood from a parental perspective remains under- researched. The purpose of this phenomenological study was to examine the lived experiences of parents of children with developmental disabilities during the evaluation process and receipt of services …

Poverty And Education: A Hermeneutic Phenomenological Qualitative Study On Student–Teacher Relationships, Anthony J. Lee Jr.

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to understand the perception of cultivating supportive teacher-student relationships among Black students for teachers at a school district in the Northeastern United States. At this stage in the research, cultivating supportive teacher-student relationships among Black students was defined as how teachers positively relate in the classroom in ways that positively affect academic outcomes. The theory guiding this study was student involvement theory (Astin, 1984). This theory explains how students change and develop through their motivational involvement with the institution, curriculum, and social atmosphere. The central research question was: What challenges do teachers …

The Association Between Unemployment, Income, Education, Healthcare Access, Mental Health And High-Risk Hiv Behavior In The United States, Tia Smith

Walden Dissertations and Doctoral Studies

High-risk HIV behavior remains a critical public health concern in the United States, particularly among socioeconomically and psychologically vulnerable populations. Despite extensive prevention efforts, a gap persists in understanding how structural and mental health factors jointly contribute to HIV risk. This study addresses that gap by examining the association between socioeconomic status (SES), including income, education, employment, and healthcare access, and mental health status (diagnosis of depression and days of poor mental health) on high-risk HIV behavior at the individual level. Guided by the social determinants of health (SDOH) theoretical framework, the study utilized secondary data for over 40,000 adults …

The Impact Of Culturally Grounded Breastfeeding Programs On Black Maternal And Infant Outcomes: A Scoping Review, Kelsey B. Green

Master's Projects and Capstones

Abstract

Background: The lack of culturally grounded breastfeeding programs and understanding of their impact on Black breastfeeding initiation, duration, and health outcomes hinders improving Black breastfeeding rates in the U.S.

Research aim: This scoping review examines the impact of culturally grounded breastfeeding programs on Black mothers' and infants' health, and factors contributing to their success.

Methods: A scoping review of the literature was conducted using the CINAHL and SCOPUS databases. In the end, 34 scholarly articles were chosen for this review because they examined the impact of culturally grounded breastfeeding programs on Black breastfeeding rates and health outcomes.

Results: Culturally …

Growth Mindset Moving From Poverty To Success: A Phenomenological Study Examining The Lived Experiences Of Adults Raised In Poverty, Hermalinda Brown Bolton

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to understand the lived experiences of overcoming the stigma associated with childhood poverty to become academically successful for adults in the Southwest region of the United States. This study attempted to answer the question: What are the lived experiences of academically successful adults who have overcome the stigma of childhood poverty in the Southwest region of the United States? The participants were recruited through a social media platform, and 10 individuals participated in the research. The theory guiding this study was Carol Dweck's growth mindset theory. The growth mindset theory explains how …

Single-Working Parents’ Psychological Autonomy And Psychological Well-Being And The Mediating Role Of Work-Life Balance, Patrina Anastasia Lowrie

Doctoral Dissertations and Projects

Single-working parents (SWPs) shoulder dual roles and responsibilities, often resulting in strained psychological autonomy (PA), psychological well-being (PWB), and work-life balance (WLB) across their work and nonwork domains. These overlapping responsibilities create challenges in sustaining a quality of life over time. The specific problem this study addressed is that many SWPs in leadership positions do not manage their emotional center well, and the relationships among their PA, PWB, and WLB remain unknown. The purpose of this quantitative correlational study was to examine whether WLB mediates the relationship between PA and PWB in adult SWPs. Research questions were developed to explore …

The Title Of My Project: Screen Time And Children's Health, Elisabeth Hernandez

Doctoral Dissertations and Projects

Excessive screen time is harmfully affecting families emotionally, physically, and mentally (Brindova et al., 2014). Eating habits, physical exercise, sufficient sleep each night, and communication with family and peers are increasingly declining as screen time is increasing (Siegle, 2017). With the rise in screen time, young people are spending more time alone (Gingold et al., 2014). Behrens et al. (2019) “explored the cause of anxiety and depression in children as it relates to the use of technology” (p. 474). Since the increase in technological advances, there has also been an increase in cyberbullying. “Setting limits on the amount of time …

The Lived Experience Of Siblings Living In The Home With An Autistic Child, Betty Polion-Cheatum

Doctoral Dissertations and Projects

A sibling in the household is beneficial for a child with autism spectrum disorder (ASD). According to research studies, however, most of the attention is placed on managing the ASD child's behaviors. To provide insight into the non-autistic child’s perceptions, this qualitative phenomenological study investigated the lived experiences of siblings living in a home with an ASD sibling. A questionnaire survey method was used to analyze the non-autistic siblings' perceptions and lived experiences. This dissertation reviewed what sibling relationships look like for a typically developing sibling of a child with ASD. The gap in research showed there is not enough …

Growth, Maturation, And Selection Of Elite Youth Ice Hockey Players, Ryan Podell

Doctoral Dissertations and Projects

Maturity status may influence the selection of elite youth ice hockey teams in the United States. Assessing biological maturity status could provide insight into the prevalence of maturation related selection biases. Thus, the purpose of this study was to establish normative maturity status ranges, determine if maturity or relative age effect selection biases existed, and compare levels of agreement between methods to predict maturity status for elite youth ice hockey players in the United States. Part one of this study assessed the biological maturity status and birth months for 126 athletes, ranging 9-16 years of age, from an elite youth …

Does The Addition Of Digital Care Along With Standard Chemotherapy Teaching That Is Provided At City Of Hope Increase Patient Satisfaction And Confidence?, Sheridan Wendy Lomeli, Brooklin Mize, Tatyana Franco, Daniela Naemi

Master's Projects and Capstones

Chemotherapy education is critical when it comes to improving patient confidence, reducing anxiety, and enhancing symptom management. However, there is still a variety of patients who begin their infusion therapy with a limited understanding of what to expect. This quality improvement project was conducted at an outpatient infusion center, exploring whether combining traditional nurse-led chemotherapy education calls with a digital care platform would enhance patient satisfaction and confidence compared to standard care alone. A total of forty-one adult oncology patients participated in an educational survey at the end of each follow-up phone call, which was completed three days after their …

Evaluation Of Diet Quality, Physical Health, And Mental Health Baseline Data From A Wellness Intervention For Individuals Living In Transitional Housing, Callie Millward, Kyle Lyman, Soonwye Lucero, James D. Lecheminant, Cindy Jenkins, Kristi Strongo, Gregory Snow, Heidi Leblanc, Lea Palmer, Rickelle Richards

All Current Publications

Background/Objectives: The aim of this study was to evaluate baseline health measurements among transitional housing residents (n = 29) participating in an 8-week pilot wellness intervention. Methods: Researchers measured anthropometrics, body composition, muscular strength, cardiovascular indicators, physical activity, diet quality, and health-related perceptions. Researchers analyzed data using descriptive statistics and conventional content analysis. Results: Most participants were male, White, and food insecure. Mean BMI (31.8 ± 8.6 kg/m2 ), waist-to-hip ratio (1.0 ± 0.1 males, 0.9 ± 0.1 females), body fat percentage (25.8 ± 6.1% males, 40.5 ± 9.4% females), blood pressure (131.8 ± 17.9/85.2 ± 13.3 mmHg), and …

Parent's Help-Seeking For, And Care Of, A Sick Or Injured Child During Covid-19 Pandemic Lockdowns: A National Online Survey In Türkiye, Bahar Aksoy, Sarah Neill

School of Nursing and Midwifery

Aim: This study aimed to investigate how COVID-19 lockdowns in Türkiye influenced parents' actions when their child was ill or injured and how they perceived the impact of the lockdown on the severity of their child's illness and the treatment received. Methods: This descriptive, and cross-sectional mixed method was conducted with 104 parents whose children experienced illness or injury during the pandemic lockdowns between July and September 2022. Data was collected through online survey using snowball sampling method. Descriptive statistics and pearson's chi-square test were used for statistical analysis, while free-text data was subjected to thematic analysis. Results: Of the …

Improving Exclusive Breastfeeding Rates Using Role-Play In A Suburban Hospital, Imari S. Horton

Group: Samford University Moffett & Sanders School of Nursing

The purpose of this project is to improve exclusive breastfeeding rates of newborns by developing and implementing a breastfeeding education program for staff nurses in a suburban hospital.

Reframing Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (Me/Cfs): Biological Basis Of Disease And Recommendations For Supporting Patients., Priya Agarwal, Kenneth J Friedman

Rowan-Virtua School of Osteopathic Medicine Departmental Research

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a worldwide challenge. There are an estimated 17-24 million patients worldwide, with an estimated 60 percent or more who have not been diagnosed. Without a known cure, no specific curative medication, disability lasting years to being life-long, and disagreement among healthcare providers as to how to most appropriately treat these patients, ME/CFS patients are in need of assistance. Appropriate healthcare provider education would increase the percentage of patients diagnosed and treated; however, in-school healthcare provider education is limited. To address the latter issue, the New Jersey Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Association (NJME/CFSA) has developed …

The Impact Of Socio-Emotional And Provider Support On Hiv Testing In Southern United States, Ijeoma Onyinyechi Nwazuruokeh

Walden Dissertations and Doctoral Studies

HIV was first diagnosed over 40 years ago in the United States; however, HIV remains an epidemic. An understanding of how socio-emotional support, social isolation, and support from an individual's provider influence HIV testing in the Southern United States can be a key to increasing testing rates and ultimately reducing the incidence and prevalence of HIV in the Southern United States. The purpose of this non-experimental quantitative study was to examine the relationship between HIV testing, socio-emotional support, and social isolation, and how these variables are further moderated by an individual having provider support in the Southern United States. The …

Matters Of The Heart And Mind: Cardiovascular And Psychosocial Risk Factors For Cognitive Impairment And Dementia Among Older Adults In The Us, Markquest Jarius Ajoku

Electronic Theses and Dissertations Archive

Cognitive function decline has been associated with cardiovascular and psychosocial factors. The resulting cognitive impairment and dementia (CID), including Alzheimer’s disease and other related dementia, impose a significant burden among older adults (aged 65 or older), which is expected to increase by 55% or more. CID affected 20% of older adults in the US, and the risk of CID doubles every five years after age 65. This study examined the impact of heart diseases or stroke, depressive symptoms in middle-age, and loneliness on the risk of CID among older adults in the US. We conducted a longitudinal study using the …

Establishing Operational Foundations In A Faculty-Led Clinic: Workflow Design, Role Development, And Service Planning, Rebecca Wensmann

DNP Projects

A Central Minnesota College, in collaboration with local community partners, sought to provide access to medical care for an underserved population while offering opportunities for graduate and undergraduate nursing education. They achieved this by establishing a faculty-led clinic in a high-poverty level area in Central Minnesota, where nearly 7% of the population under the age of 65 lacked health insurance (U.S. Census Bureau, 2024). Research was completed on clinic workflows and processes, as well as many interviews with clinics and community members throughout Minnesota. With this data, a clinic workflow, job description list, and services offered were created. This information …

Metabolic Dysfunction-Associated Steatotic Liver Disease In People With Type 1 Diabetes., Brynlee Vermillion, Yuanjie Mao

Ambulatory and Primary Care Articles

Metabolic dysfunction-associated steatotic liver disease (MASLD) is increasingly recognized as a significant comorbidity in individuals with type 1 diabetes (T1D), despite its historical association with type 2 diabetes. This review focuses on summarizing current findings regarding the role of insulin resistance in the development of MASLD in T1D, as well as examining the relationship between MASLD and diabetes-related complications. We will also briefly discuss the prevalence, diagnostic challenges, associated complications, and potential mechanisms underlying MASLD in T1D. Although insulin resistance is well established in MASLD among those with type 2 diabetes, its role in T1D requires further clarification. Emerging markers, …

Improving Medication Adherence Among Patients With Anxiety, Abong Miyeh

Walden Dissertations and Doctoral Studies

Addres+D14sing medication non-adherence among patients with anxiety disorders is crucial in nursing practice due to its significant impact on patient outcomes and healthcare costs. This doctoral project explores the effectiveness of staff education in enhancing nurses' skills in promoting medication adherence within this population. The practice-focused question for this project is "What evidence supports the effectiveness of a staff education program in increasing nursing staff knowledge about evidence-based strategies for improving medication adherence among patients with anxiety disorders?" The purpose of this doctoral project is to investigate the effectiveness of staff education interventions in improving medication adherence among individuals with …

Increased Fungal Burden In The Gastrointestinal Tract Of Brain-Dead Organ Donors, Erika J Nachman, Colleen K Ardis, A Kyle B Ardis, Javier Nieto, Madeline M Bresson, Clare M Robertson, Maggie N Seale, Nora M Villafuerte, Zhe Lyu, Eva C Preisner, Heather A Danhof, Sara C Di Rienzi, Yolanda T Becker, Robert A Britton

Faculty, Staff and Students Publications

Approximately 3% of organ transplant recipients will be diagnosed with an invasive fungal infection (IFI), with 10%-47% being fatal. The source of IFI is typically not known, but Candida spp. cause the majority of IFI cases. We obtained intestines from two types of organ donors, brain-dead (BD) (n = 7) and donation after circulatory death (DCD) (n = 5), to sample microbes from the mucosal surface and the lumen. BD donors were parenterally fed and treated with corticosteroids in the days before procurement, whereas DCD donors were enterally fed and not given corticosteroids. We found fungi present in …

Bacillus Isolate Compositions And Methods Of Using And Producing The Same, Billy M. Hargis, Lucas E. Graham, Kyle D. Teague, Juan D. Latorre, Samuel J. Rochell

Patents Granted

The present invention provides Bacillus isolates, as well as probiotic and animal feed compositions comprising said isolates, which may be included in the diet of poultry to improve growth performance with reduced energy diets. Methods of using these compositions to improve nutritional uptake or to reduce the incidence of footpad dermatitis in poultry are also provided.

Optimizing Coral Sexual Propagation Ex Situ: Synergistic Effects Of Multiple Cues On The Larval Settlement Of Caribbean Corals, Chloe Daniel

All HCAS Student Capstones, Theses, and Dissertations

For coral restoration to be effective at an ecosystem scale, ex situ coral propagation needs to be optimized and cost-effective. One of the major bottlenecks to sexual propagation of Caribbean corals ex situ is low larval settlement, typically induced by the presence of crustose coralline algae (CCA) and microbial films. Previous studies found that coral larval settlement can be enhanced by colored substrates, healthy reef sounds, and the presence of food. This study assessed the potential synergistic effects of colored substrate, reef sounds, and food, along with the commonly used settlement cues (CCA and microbial films) on the larval settlement …

Association Between Allostatic Load And Accelerated White Matter Brain Aging: Findings From The Uk Biobank, Li Feng, Zhenyao Ye, Zewen Du, Yezhi Pan, Travis Canida, Hongjie Ke, Song Liu, Shuo Chen, L Elliot Hong, Peter Kochunov, Jie Chen, David K Y Lei, Edmond Shenassa, Tianzhou Ma

Faculty, Staff and Student Publications

White matter (WM) brain age, a neuroimaging-derived biomarker indicating WM microstructural changes, helps predict dementia and neurodegenerative disorder risks. The cumulative effect of chronic stress on WM brain aging remains unknown. In this study, we assessed cumulative stress using a multi-system composite allostatic load (AL) index based on inflammatory, anthropometric, respiratory, lipidemia, and glucose metabolism measures, and investigated its association with WM brain age gap (BAG), computed from diffusion tensor imaging data using a machine learning model, among 22 951 European ancestries aged 40 to 69 (51.40% women) from UK Biobank. Linear regression, Mendelian randomization, along with inverse probability weighting, …

The Shorthorn: October 13, 1967

The Shorthorn Newspaper Collection: 1960s

No abstract provided.

Understanding Hispanic Cultural Strengths Through Parents’ Voices: Insights For Interdisciplinary School Personnel, David Moran, Johana Rocha, Kristy Carlisle

Journal of Human Services Scholarship and Interprofessional Collaboration

Examining the strengths of Hispanic cultural values among K-12 school students is a generally understudied concept, and from their parents’ perspective specifically. This study sought to take a qualitative approach toward the exploration of Hispanic parents’ perspectives on how their cultural values promote strengths within their school-aged children. Hispanic parents (N = 8) participated in bilingual (i.e., Spanish and English) focus groups, with the results providing content that can inform culturally responsive prevention and intervention strategies to support the roles of interdisciplinary school personnel who regularly interact with the children. Findings pointed to (a) interaction with peers and school …

Effects Of The Case Management With Community Support Program On Health Behaviors And Outcomes In Thai Buddhist Monks With Type 2 Diabetes And Early-Stage Chronic Kidney Disease, Napawadee Tangtrongvisolkit, Noppawan Piaseu, Porntip Malathum, Basia Belza

Journal of Health Research

Background: Patient engagement and community support are vital for promoting self-care in monks with early-stage chronic kidney disease (CKD). This study investigated the impact of an 18-week Case Management with Community Support Program (CMCSP) on self-care activities and health outcomes (hemoglobin A1c, HbA1c), blood pressure, and estimated glomerular filtration rate (eGFR) in Thai Buddhist monks with type 2 diabetes mellitus (T2DM) and CKD.

Methods: A Randomized Controlled Trial (RCT) with pretest and post-test measures was employed. Eighty-two monks with T2DM and stage 1–2 CKD were recruited from 33 subdistricts in Thailand and randomly assigned into experimental (n = …

Patient Engagement Strategies In Weight-Loss Programs, Olufunmilayo M. Bishop

Walden Dissertations and Doctoral Studies

Weight regain after pharmacological weight-loss interventions remains a pervasive challenge in primary care, with over 70% of patients reverting to baseline weight within six months. This quality improvement project aimed to enhance healthcare providers’ patient engagement skills to improve retention and long-term outcomes in weight-loss programs. A structured staff training program focusing on motivational interviewing, goal-setting, and barrier recognition was implemented among a multidisciplinary team. The program’s effectiveness was evaluated through a mixed-methods approach, incorporating quantitative pre- and post-assessment scores and qualitative staff satisfaction surveys. Results demonstrated a significant increase in staff knowledge, with average scores rising from 68% to …