Improving Medication Adherence In Mental Health Patients: A Quality Improvement Project, Ryan Oh

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction / Aims

Medication adherence among patients with mental health conditions is essential for quality of life, health outcomes, and longevity (Stewart et al., 2022). This quality-improvement project investigates whether a medication reminder app, supported by healthcare staff, effectively improves adherence and how it influences patients' perceptions of their health management.

Methods

Adult patients (aged 18-80) diagnosed with mental health disorders were identified at Orange County Health and Psychology Associates (OCHPA) in February 2026. All patients completed a PAM-10 survey both before and after the intervention, a mobile app called MyTherapy. Clinic staff received training on using MyTherapy to assist …

Dead Reckoning, Jeremy A. Grail

Masters Theses

For over a century, conceptual, social, and legal frameworks have governed human relationships with technology by dematerializing data and personal information. From the early twentieth century, when human speech was converted into electrical pulses through telephone wires, to today’s pressure to integrate sensing, computation, and automation into every facet of contemporary life, electronic communications have become increasingly detached from the body and systematically defined as a weightless, immaterial asset.

This thesis refutes the industry-led myth of the “immaterial cloud” by revealing the presence and transmission of data to be a series of physical, tectonic, and spatial events that are woven …

Snail-Shell-Derived Biochar For The Adsorption Of Petroleum Pollutants From Wastewater: Perspective From Computational Studies, Hitler Louis, Theresa O. Egbuchunam, Idongesit J. Mbonu

Polytechnic Journal

Para-chlorophenols (PCPs) are toxic and persistent, chlorinated aromatics that are prevalent in industrial and petroleum-contaminated wastewater, which has serious environmental and health impacts because of their bioaccumulative and recalcitrant properties. The study aims to design and test chemically activated snail shell biochars (SSB) as an effective PCP remedial material, combining the molecular understanding of the material with the predictions of adsorption efficacy. To study both electronic, structural, and dynamic interactions of PCP with a series of biochar analogs (KOH@SSB, H₂SO₄@SSB, AMS@SSB, Mg@SSB, Zn@SSB), both Density Functional Theory (DFT) calculations and Monte Carlo (MC) simulations were used. …

Implementing Cbt-I Coach App Education During Initial Psychiatric Evaluations At The Va Pec: A Provider-Facing Quality Improvement Initiative, Sarah J. Kang

Doctor of Nursing Practice Final Manuscripts

Objective: This evidence-based practice project aims to increase provider implementation of gold standard insomnia treatment, Cognitive Behavioral Therapy for Insomnia (CBT-I), by integrating CBT-I Coach app education into initial psychiatric evaluations within a VA psychiatric emergency clinic (PEC).

Background: Insomnia is highly prevalent among veterans and commonly co-occurs with PTSD, depression, and anxiety. National guidelines from the VA, DoD, and American Academy of Sleep Medicine endorse CBT-I as first-line treatment. Despite this, pharmacotherapy is the dominating intervention in psychiatric emergency settings. The CBT-I Coach app offers evidence-based CBT-I as a free, VA-developed digital tool, but it remains underutilized in acute …

Improving Nurse Competency In Vascular Occlusion Prevention And Management, Arielle Victoria Madayag

Doctor of Nursing Practice Final Manuscripts

Background: Vascular occlusion is a rare, but serious complication of dermal filler injections that can lead to severe adverse outcomes, including tissue necrosis and vision loss. As the demand for minimally invasive cosmetic procedures increases, proper nurse education and preparedness in managing vascular complications remain essential to ensuring patient safety.

Purpose: To evaluate the effectiveness of a structured educational session combined with simulation-based training on nurses’ knowledge, confidence, and clinical competency in recognizing and managing vascular occlusion associated with dermal filler injections.

Methods: A pretest-posttest educational intervention design was used. Four registered nurses (N=4) employed at a medical spa participated …

Playing Into Confidence: A Literature Review, Zoë J. Crowe

Expressive Therapies Theses

This integrative literature review examines the relationship between drama therapy and self-efficacy, and its implications for academic success. Traditional measures of achievement emphasize outcomes while overlooking the psychological processes that influence student engagement and persistence. Drawing on interdisciplinary literature, this review synthesizes research on how drama therapy supports self-efficacy through embodiment, role exploration, and structured play. These processes create safe, participatory environments where individuals can rehearse new behaviors and reconstruct self-perceptions. They also align with key mechanisms of self-efficacy development, including mastery experiences and emotional regulation. This review identifies gaps in current research, particularly the limited integration of drama therapy …

Enhancing Primary Care Provider’S Knowledge And Use Of Long-Acting And Oral Naltrexone In The Management Of Opioid And Alcohol Use Disorder, Ariana Juarez-Moncada

Doctor of Nursing Practice Final Manuscripts

Abstract

Objective: This evidence-based project aimed to enhance primary care provider knowledge and prescription rates of naltrexone and long-acting injectable (LAI) naltrexone in a community healthcare setting.

Background: Naltrexone and LAI naltrexone pharmacotherapy is shown to reduce use of alcohol and opioids and improve client retention in patients with alcohol use disorder (AUD) and opioid use disorder (OUD) (Bahji et al., 2020; Morley et al., 2024; Murphy et al., 2022).

Methods: A 30-minute in-service was provided to 14 family practice providers at the clinic. The prescription rate of naltrexone and LAI naltrexone was evaluated for the baseline period of February …

Empowering Recovery: Implementing Ace Screenings To Enhance Care For Patients With Substance Use Disorders, Joshua Wolf

Doctor of Nursing Practice Final Manuscripts

Objective: This evidence-based practice project evaluated the impact of implementing adverse childhood experience (ACE) screenings for patients with substance use disorders (SUDs) in an outpatient community behavioral health clinic.

Background: ACEs are strongly associated with an increased risk of developing SUDs, chronic medical comorbidities, and negative treatment outcomes. Despite consistent evidence supporting the need for identification of ACEs and implementing trauma-informed care, standardized ACE screening is not routinely incorporated into outpatient SUD treatment, potentially limiting the identification of the need for education and referrals.

Methods: The ACE Questionnaire for Adults was implemented during routine psychiatric visits for patients diagnosed with …

Held In Sediment, Kati Lowe

Masters Theses

This thesis examines time as a durational, non-linear condition shaped through emotion and perception rather than a sequence of forward-moving events. Through painting and related material strategies, the work focuses on aftermath, residue, interruption, and return. Throughout this thesis, terms such as misalignment, double vision, fragmentation, interruption, and recurrence function as a conceptual vocabulary for describing instability within memory, embodiment, and lived experience. Blurred edges, doubled forms, and punctures in the surface register a lag between experience and comprehension, especially in relation to grief, trauma, depression, memory, and embodied perception. Neon color functions as a counterpoint to delay, signaling persistence, …

Deep Cuts: Bearing Witness To The Erosion Of Evidence, Maya Lakshmi Srinivasan Md

Masters Theses

In my Master of Fine Arts thesis in Printmaking at the Rhode Island School of Design, I examine the intersection of my dual practices as a general surgery resident and artist. Both disciplines require precision, incision, and tactility to navigate the human condition. My art practice is a method of processing the emotional toll of surgical training and the simultaneous societal erosion of scientific authority. My thesis work focuses on challenging the rise of medical pseudoscience and anti-intellectualism. The focal piece in this installation, In Tallow We Trust, consists of three woodblock relief prints at the scale of an …

Femmage Work, Mary Elizabeth Alford

Masters Theses

“Femmage Work”‭ ‬is a furniture collection that explores the relationship between adornment‭, ‬structure‭, ‬and feminine material culture‭. ‬Borrowing‭ ‬from materials‭, ‬practices‭, ‬and objects that are generally viewed as‭ ‬ feminine‭, ‬I seek to shift the perception of these objects and materials away from mere surface beauty‭, ‬an assumption that connotes a lack of taste‭, ‬depth‭, ‬and seriousness‭.‬‭ ‬

The purpose of this work to foster a collective sense of unity by adopting feminine typologies that‭ ‬ represent a shared experience‭. ‬It is meant to‭ ‬ cultivate the experience of‭ ‬‘girlhood’‭ ‬by using‭ ‬ historical feminine material culture and craft in …

Circling, Eun Yong Lee

Masters Theses

This thesis explores Korean aesthetic sensibilities from the perspective of material logic, placing at its core the process of reinterpreting and materializing them. Here, ※material logic§ refers to the relationships among materials that emerge from a particular group＊s accumulated understanding of materials, as well as from the ways in which they combine and use them.

Ambient Furniture, Andrew T. Goulet

Masters Theses

The designed object communicates an idea. Might that idea be an insight? This thesis seeks an ambient furniture of durable insight: objects that reward attention without demanding it, cultivating the conditions for a contemplative practice of everyday life.

Design is the materialization of mind. Through the conception and creation of things, thoughts are given form. Of all forms of thought, insight is the most precious. Insight contains within it the seed of transformation: to see into what was previously opaque.

Insight is empirical. It cannot be directly transmitted. It must be observed first-hand, rediscovered by each successive generation and translated …

Useful Useless Object, Jisu Han Jung

Masters Theses

If spicy ramyun is spicy for others but not for me, is it still spicy

ramyun? This question begins Useful Useless Object, my investigation

into furniture as a site where function, perception, and value are

constantly negotiated rather than fixed. From this question, I

explore how meaning is shaped by the unstable relationship between

object and user. In furniture, usefulness is often treated as an

objective standard, measured by comfort, efficiency, or practicality.

However, this project argues that usefulness is never universal;

it is subjective, relational, and dependent on individual experience,

expectation, and desire.

Through making objects that sit between …

The Right To Withdraw: Soft Boundaries And Material Refuge In The Workplace, Zhihao (Sky) Xing

Masters Theses

Traditionally, architecture has provided physical protection through solid structures and defined boundaries, while modern interior spaces have evolved further to serve function, efficiency, and the operational needs of society. These include open-plan offices, art school studios, and other public spaces like libraries. Although physical rigidity and operational efficiency have been well served by the modern built environment, the psychological experiences of those within it remain largely overlooked - a lack of privacy, emotional support, and space for emotional withdrawal.

This research explores why contemporary workplaces often expose individuals to sensory overload and why people often retreat to stairwells, restrooms, or …

Replication And Architectural Enhancement Of Omni Aggregation Networks, Matteo Calviello

Rose-Hulman Undergraduate Research Publications

Single Image Super-Resolution (SISR) reconstructs high-resolution images from low-resolution inputs, a capability valuable across many application domains. This thesis focuses on the replication and architectural enhancement of the Omni Aggregation Network (OAN), a lightweight super-resolution architecture designed to balance reconstruction quality with computational efficiency through a novel omni-axis self-attention mechanism.

Independent replication remains a persistent challenge in machine learning research, and this work addresses that issue directly. Initial replication attempts trailed the original reported results by approximately 6-10% in performance metrics before several undocumented implementation details were identified. After correcting these discrepancies, the replicated implementation achieved results within 4% of …

Replication And Architectural Enhancement Of Omni Aggregation Networks, Matteo Calviello

Senior Projects - Computer Science & Software Engineering

Single Image Super-Resolution (SISR) reconstructs high-resolution images from low-resolution inputs, a capability valuable across many application domains. This thesis focuses on the replication and architectural enhancement of the Omni Aggregation Network (OAN), a lightweight super-resolution architecture designed to balance reconstruction quality with computational efficiency through a novel omni-axis self-attention mechanism.

Independent replication remains a persistent challenge in machine learning research, and this work addresses that issue directly. Initial replication attempts trailed the original reported results by approximately 6-10% in performance metrics before several undocumented implementation details were identified. After correcting these discrepancies, the replicated implementation achieved results within 4% of …

Insects And Arthropods And Their Role In Human Society, Emily Marie Perez-Medina

Whittier Scholars Program

With brightly colored exoskeletons, an excess of both eyes and legs, and seemingly  unpredictable behaviors, insects and arthropods come across as unusual and strange to general audiences. For this reason, they are often classified as “gross,” “ugly,” or “scary,” antagonists  in popular culture. What is not recognized when being represented to the masses is how much human society depends on their presence, and how a world without insects would be a world without most things humans know and love. In order to help reduce the stigma of these tiny, yet mighty creatures, this project serves as a call to action …

Intimate Partner Violence Screening And Awareness Pilot Project, Eleasha P. Partner

Doctor of Nursing Practice (DNP) Projects

Background: In the United States, one in four women experiences intimate partner violence (IPV), highlighting the critical need for improved screening and intervention within the healthcare system. Routine visits in healthcare settings present a significant opportunity for healthcare providers to identify and address IPV.

Local Problem: A primary care family practice clinic in San Leandro, California , currently lacks a standardized evidence-based screening toolkit for IPV.  The absence of such a toolkit creates a gap in practice, leaving patients at risk of undiagnosed IPV and its related consequences.  To address this gap, there is a pressing need for the development …

Collecting Meaning: A Study On Collecting As An Artmaking Practice, Johanna Young

Masters Theses

This thesis explores how we practice creativity and construct narratives through the act of building collections. It examines collecting as both an innate creative impulse and a learned process. Using arts-based research and narrative inquiry, the study considers how our collecting habits reflect the ways we process information and express personal artistic interests. Drawing from personal experiences, this thesis mines the idea of the subconscious through the artistic lens of collecting.

1, 2, 2, 1, 1, 2, 1, 2, 2, 1, 2, 2, 1, 1, ..., Annemarie Torresen

Masters Theses

1

I invite you to see it and feel it and sit in it and breathe it in and

hold it in your lap. Art isn’t too scary, and neither is math.

2

bouncing between bounds of a binary

bippity boppity! let’s break brains and bread

balance or belly flop, what’s mine is yours:

bumptious and bumbling and barely able

i offer it broken and let you like it that way

Latinx Immigrant Parents’ Adjustment To Their Children’S Health And Educational Services For Attention Deficit Hyperactivity Disorder, Eliana Cristina Gassette

Walden Dissertations and Doctoral Studies

No abstract provided.

The Ever-Changing Immigration Experience: An Oral History On The Impacts Of Immigration For Connecticut Latine Residents / Una Experiencia En Cambio Constante: Una Historia Oral De Los Impactos De La Inmigración Por Habitantes Latines En Connecticut, Sam S. Arevalo-Hoefer

Honors Scholar Theses

This paper is an oral history study focused on Latine immigration experiences in Connecticut from six different individuals sharing their stories and perspectives on the immigration process. I focus on the act of testimony as a source of grassroots knowledge and attempt to spread this notion of community wisdom further through the creation of zines (small-batch, self-published, non-commercial shortform magazines) as a means of making information more accessible and reaching a larger audience on a local level.

I use oral histories as a method of research that can achieve a deeper, more human understanding of how macro level political decisions …

The Found Stone Game, Magnolia Moskun

Masters Theses

This is not about masonry. This is stone architecture in constant motion.

I work with found stone in states of precarity, extracting discrete and sometimes surprising functions from each individual rock. Construction relies on physical forces while avoiding standardized building materials and methods.

Uncertainty is inherent. The builder is a perpetual novice, open to unexpected outcomes. Working with irregular stone takes incredible precision: it can’t be entirely planned or designed. The process is an inquiry into the deep physical understanding that can only be gained through hands-on work. This architecture rebels against the apathy in contemporary practice by deviating from …

Landscape Repositories: Mapping Post-Mining Narratives In Asbestos, Qc Val-Des-Sources, Qc, Rasha Lama

Masters Theses

Landscape Repositories: Mapping Social Narratives in Asbestos, QC Val-des-Sources, QC proposes the ‘landscape repository’ as a tool for landscape literacy and cultural legitimacy that integrates histories, geographies, and social narratives to inform grounded and place-based post-mining futures.

Val-des-Sources, Québec (formerly Asbestos, QC) is a place whose extraction legacies and material histories are deeply interwoven into its contemporary economy and cultural landscape. The centre of town is the Jeffrey Mine, once the world’s largest open-pit asbestos mine that is deep enough to hide the Eiffel Tower entirely. Ceased in 2012, the 130-year-old Jeffrey Mine and sixty-one other Québec asbestos sites once …

Numb., Anna Rapson

Masters Theses

Social media platforms, from their conception, posed a break in the lived experience of the average human being’s day to day routines. Although access to information has always been shaped by portals into other lived realities—through photojournalism, print legacy media, news broadcasts both on radio and television—social media has posited a novel phenomenological architecture where borders between embodied reality and perception of lived experience are simultaneously blurred and reinforced. This morphed duality of consciousness positions the body and mind in tension, deconstructing pre-social media conceptions of the ontology of lived experience. In a digital world shaped by limitless input by …

Foveate, Dahlia Aggarwal

Masters Theses

This thesis investigates how textiles can unsettle visual assumptions, encouraging a perceptual shift. Through weaving, upholstery, and spatial installation, the work stages a tension between what a surface appears to be and how it is encountered by the body. Through woven pattern, tactile texture, and trompe l’oeil textile surfaces, perception is something negotiated rather than fixed: the eye anticipates one reality while the hand discovers another.

Drawing on a range of sensations gathered from observing landscape formations and textures, it translates enduring scale and material qualities into an interior landscape of woven surfaces and textile-based furniture. Rather than serving as …

Chair For Workplace Morale, Alicia Lee

Masters Theses

Is absurdity frivolous? In contemporary workplace contexts, office workers– from new hires to mid-level managers– are required to maintain composure, attention and productivity amid bureaucratic instability, distractions, and disruptions. This expectation manifests in the form of an office chair.  Since its inception, chairs have represented and disseminated power. Within bureaucratic systems, chairs discipline the body physically and metaphorically, creating the conditions for workers to optimize workflow by remaining comfortable and still for long periods of time.

CHAIR FOR WORKPLACE MORALE disturbs the act of sitting, producing a bounded and altered perceptual environment. Operating within an institutional logic in which humor …

Finding A Way Out Of The Filter Bubble: The Confusion Of A Heavy Social Media User, Longwen Miao

Masters Theses

This thesis studies how algorithmic recommendation systems reshape visual perception, aesthetic judgment, and the construction of selfhood within contemporary digital culture.

Everything begins with the experience of repeatedly encountering algorithmically recommended content on everyday digital platforms. On these platforms, images, sounds, and social interactions are continuously selected, repeated, and reorganized by predictive systems, forming an environment in which perception is constantly structured and adjusted.

From this observation, the research raises two central questions: how do algorithmic recommendation systems reshape visual perception, aesthetic judgment, and self-recognition, and how might these systems be intervened in or made perceptible through artistic practice? Within …

Censorship, Information Networks, And The Courrier Extraordinaire During The French Revolution, Kent Friel

History Undergraduate Senior Theses

In 1790, as France neared a year of revolution, a former book dealer named Joseph Duplain announced plans for a new venture: a newspaper called the Courrier extraordinaire that would get the news from Paris to major provincial cities hours or even days earlier than other newspapers by using its own express information network. This thesis argues that the Courrier extraordinaire provides a new view of how information moved during the French Revolution. Not only has the specific story of the Courrier extraordinaire never been told at length before, but the intense rivalry among newspaper publishers to physically get the …