Digital Commons Network^™

A Pilot Qualitative Study To Better Understand The Factors Related To Suicides And Inform Public Health Action Across A Predominantly Coastal And Rural Area: Cornwall, Southwest Of England: International Journal Of Environmental Research And Public Health, Paula Chappell, Jane Horrell, Kerryn Husk, Beth Simons, Richard A. Sharpe

Peninsula Medical School

Background: Better understanding factors leading to suicide and prevention opportunities is a global public health priority. This qualitative pilot study tested whether reviewing inquest recordings could generate insights during COVID-19 and inform public health prevention programmes across a predominantly rural and coastal area where there are significant health inequalities. Methods: Fifty-five inquest recordings reached a suicide conclusion between March 2020 and January 2021. Stratified sampling was used to obtain two samples from each month. Template analysis was employed to thematically analyse data from 30 inquests. Results: Risk factors during this period were social isolation, anxiety, difficulty in routine creation and …

Multi-Actor Roles In Basic Education Provision For Indonesian Migrant Workers’ Children In Sabah And Sarawak, Neneng Heryati, Chandra Wijaya, Lina Jannah

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

This study examines the governance of basic education access for Indonesian Migrant Workers’ children in Sabah and Sarawak by focusing on the roles of multi-actors involved in service provision. Using a qualitative approach through in-depth interviews and document analysis, the study finds that the operation of Community Learning Centers is highly dependent on the interaction between the Malaysian government as the licensing authority, plantation companies as facility providers and funders, and the Indonesian government through Atdikbud, KJRI/KRI, and SIKK as facilitators of educational diplomacy and the roles of PMI communities. Non-governmental organizations such as Humana Child Aid Society also enhance …

Association Between Social Isolation And Risk Of Hypertension Among The Middle-Aged And Older: A Propensity Score–Matched Cohort Study, Yiting Kang, Minchao Liu

Journal of Health Research

Background: Social isolation has emerged as a growing public health concern and may be an underrecognized risk factor for hypertension. However, evidence on its longitudinal association with hypertension remains limited and inconsistent.

Methods: The data of the national cohort study were collected from the China Health and Retirement Longitudinal Study (CHARLS) from 2011 to 2020. A total of 3280 participants aged 45 years and older without hypertension at baseline were included. Propensity score matching (PSM) was applied to balance covariates between socially isolated and non-isolated groups. Cox proportional hazards models were used to estimate the association between social isolation and …

Living Arrangements And Depression Among Elderly Persons In China: A National Cross-Sectional Study, Yue Lyu, Seung Chun Paek, Patreeya Kitcharoen, Thammarat Marohabutr

Journal of Health Research

Background: While the positive effect of living alone on depression among elderly persons has been demonstrated by multiple studies in China, evidence regarding other types of living arrangements, specifically considering family size, is scarce. This study assessed the effect of living arrangements, as measured by family size, on depression among elderly persons.

Methods: A cross-sectional analysis of 6,678 adults aged 60+ from the 2020 China Health and Retirement Longitudinal Study was conducted using descriptive and binary logistic regression analyses.

Results: Of the analyzed elderly persons, 35.43% (n=2,366) exhibited depression. Elderly persons living alone exhibited higher levels of depression than those …

Healthy Weight Intervention Effect On Weight Control Intention Among Overweight School-Aged Children, Pornthip Nawajongphun, Jumpee Granger, Dongruethai Buadong, Autchareeya Patoomwan

Journal of Health Research

Background: The incidence of overweight and obese children is rising all over the world. Various factors are involved, and those deficits affect these children's physical and mental health.

Methods: This study was a quasi-experimental research study to examine the effectiveness of a Healthy Weight Intervention (HWI) on weight control intention among overweight school-aged children using the theory of planned behavior. Participants were 9-12 years old, and there were 31 participants in each group. The study duration was six weeks for both groups. The data were collected using questionnaires on demographics, attitudes, subjective norms, perceived self-efficacy, and intention toward weight …

Intrapersonal, Interpersonal, And Environmental Factors Associated With Self-Directed Ageism Among Older Thai Adults, Jirawan Wittayanukorn, Piyawat Katewongsa, Yothin Sawangdee, Rossarin Gray, Tawanchai Jirapramukpitak

Journal of Health Research

Background: Self-directed ageism occurs when older adults internalize negative age-related stereotypes, a process that undermines self-esteem, reduces social participation, and leads to poorer health outcomes. Understanding the intrapersonal, interpersonal, and environmental factors that contribute to self-directed ageism is essential for developing more effective interventions to reduce it.

Method: Data were drawn from the Survey on Conditions of Society, Culture, and Mental Health (Thai Happiness) 2014, a nationally representative survey. Managed by checking for completeness, duplicates, and missingness, 8,998 people (aged 60 years and over) were included. Factors associated with self-directed ageism were analyzed using binary logistic regression analysis, taking into …

Mental Health First Aid Certification's Impact On Filipino Nurses' Ability To Increase Personal Help-Seeking Behaviors, Self-Awareness Of Health Changes, And Improved Self-Connection, Maria Elena Holguin, Brenda Marshall, Faith Atte, Katherine J. Roberts

School of Nursing Faculty Scholarship and Creative Works

Background

Post COVID-19, almost 50% of nurses reported severe depression, and over 30% moderate to severe anxiety. Nurses from minority racial and ethnic backgrounds, including Filipino nurses, accounted for more than 54% of COVID-related deaths, despite comprising only 24.1% of the nursing workforce. Filipino nurses, making up only 1% of the U.S. population, comprise 4.5 % of the nursing workforce and face significant barriers to seeking mental health services, including stigma, a sense of shame, and adherence to cultural values that view mental illness as unacceptable.

Aim 

To assess the impact of Mental Health First Aid (MHFA) certification among Filipino …

Evaluation Method For Nighttime Visual Space Improvement On Mountain Roads, Zhao Yan, Chen Yanli, Chen Jiale

Journal of China & Foreign Highway

To address issues such as poor visual guidance,narrow field of view,and short sight distance during nighttime driving on mountain roads,this study proposed a visual space enhancement evaluation method applicable to mountainous roads at night.By integrating active and passive traffic safety facilities,a visual space enhancement strategy adapted to the nighttime environment of mountain roads was proposed.A multidimensional evaluation indicator for visual space was established based on co-simulation.The effectiveness of the strategy was verified from the perspectives of visual space expansion and driving safety improvement by taking a trunk highway in the Qinling mountainous region as a case study.The results show that …

Absolute Extraction: Utilizing Rural Critical Criminology To Examine Appalachia’S Toxic Dependence On Extractive Industries, Andrew Kennedy

The Mid-Southern Journal of Criminal Justice

Brought forth by common rhetoric, Appalachia is often viewed as the closest space to that of an empyrean domain. Separated from the sleepless city, its allure rests in its created identity of a quiet, green escape from the city, which offers serenity on all fronts. Although Appalachia can fulfill this profile, such an ascension ignores the burning yellow grass below. The purpose of this paper is to examine the history of the destruction of Appalachia through the lens of extractive industries and the region’s designation as a sacrifice zone. Through the application of rural critical criminology, this paper holds that …

Reducing Rates Of Child Abuse And Neglect: An Analysis Of Three Potential Solutions, Lauren C. Heil

The Mid-Southern Journal of Criminal Justice

Child abuse and neglect are prevalent problems, affecting an estimated one million children worldwide each year. The purpose of this paper is to evaluate and analyze three potential solutions to reduce the rates of child abuse and neglect. The three programs that were suggested were: improving overall access to healthcare, therapy and counseling, and other support services for children and families who need them, implementing more Nurse-Family Partnerships across the United States for first time mothers with visits from a registered nurse, and increasing parent’s access to economic resources and improving families overall financial security. These programs were researched extensively, …

The Controlled Substances Act: A Menagerie Of Arbitrary Regulation And Failure Of Purpose, Dylan Andrus

The Mid-Southern Journal of Criminal Justice

The Controlled Substances Act (CSA) is the primary regulatory and criminal legislation surrounding drugs in the United States. Passed in the 1970s, the CSA established the drug classification scheduling system we use today. Despite being over 50 years old today, the CSA has not achieved its goal of eliminating or even significantly reducing drug use and offenses. This paper conducts an analysis of the CSA's legislative intent versus its actual results through reviews of measures such as incarceration rates, inconsistent regulation, and disproportionate racial effects to argue that the Controlled Substances Act has failed in its mission while causing significant …

Bridging The Gap Between Substance Use Treatment Barriers In Rural Areas, Dakota Baker

The Mid-Southern Journal of Criminal Justice

The purpose of this paper is to examine the continued concern about substance abuse/misuse and limited access to treatment in rural areas. Rural areas lack the adequate treatment needed to combat substance use disorder (SUD), mainly due to the lack of sufficient providers trained to identify, treat, and support those dealing with SUD. Additional barriers such as the high cost of treatment, stigma surrounding substance use disorders, geographical barriers, and the criminalization of substance abuse are other barriers that will be discussed in this paper (Griffin & Botvin, 2010; Hargons et al., 2023; Khazaee-Pool et al., 2024; National Center for …

Teachers' Perspectives On Humane Education Implementation, Rebecca Ann Bartaway

Walden Dissertations and Doctoral Studies

Humane education (HE) encompasses multiple concepts, including animal ethics, ecological environment, and social justice. The problem prompting this study was that individuals who have graduated from a higher education HE program face challenges in successfully integrating HE into their K–12 classrooms. Grounded by Weil's solutionary approach to HE, the purpose of this basic qualitative study was to explore the teaching experiences of individuals who graduated from a higher education HE program and successfully integrated HE into their classrooms. Participants were purposefully sampled from a small population of educators who completed a U.S. degree or certificate program in HE and successfully …

Resting Autonomic Activity, Emotional Reactivity, And Executive Function In Preschool-Age Children Who Stutter, Dana J. Meyerson

Theses - ALL

Purpose: This study investigated whether preschool-aged children who stutter (CWS) differ from children who do not stutter (CWNS) in autonomic physiological reactivity and regulation during a phrase-repetition task paired with affective image-viewing conditions. Additionally, the study investigated whether individual differences in executive function skills, specifically inhibitory control, predicted variability in physiological responses across participants. Methods: Forty-three preschool-aged children (18 CWS, 25 CWNS) completed three laboratory visits that involved collection of electrocardiogram (ECG) recordings at rest and during a phrase-repetition task paired with visual stimuli of either neutral (fixation cross) or negative (IAPS) emotional valence. Inhibitory control was assessed using the …

Intersectionality, Epistemic Injustice, And Silencing: The Operationalization And Reification Of Intersectionality In Academic Research And Institutional Practices, Emery Lockwood

Theses - ALL

Intersectionality is a powerful analytic tool that can be used to better understand the role that oppression plays in society and how it shapes the way people affected by multiple systems of oppression interact with society. Recently, the unit of analysis for intersectionality has started to shift from intersecting systems of oppression to overlapping identities, which has changed intersectionality from being a tool used to analyze systemic oppression to individual’s experiences. This work explores the implications this shift has on academic research and the practice of several disciplines. Using a lens of epistemic injustice through theories of hermeneutical bastardization (Drury, …

Longitudinal Association Between Sleep Disturbance And Disordered Eating In Adolescents: The Mediating Role Of Emotion Dysregulation, Antonia Louise Hamilton

Theses - ALL

Accruing evidence suggests a significant relationship between sleep disturbances and disordered eating. Early adolescence is a period of heightened vulnerability for sleep disturbances and disordered eating. However, the longitudinal relationship between sleep disturbance and disordered eating remains unclear in early adolescent samples. The current study aims to examine if sleep disturbance longitudinally predicts disordered eating in early adolescents three years later, how the odds of having clinically significant disordered eating change per each unit increase in sleep disturbance, and if emotion dysregulation mediates these relationships. It is hypothesized that baseline sleep disturbance will predict greater disordered eating at follow-up, and …

Investigating The "Tend-And-Befriend" Stress Response As A Risk Factor For Sexual Victimization Among College Women, Emily Kathleen Presutti

Theses - ALL

Sexual victimization of college women is a significant public health concern on U.S. college campuses. Traditional research on the human stress response has focused on the "fight-or-flight" model, which may not adequately capture female-typical responses in stress-inducing situations. Using a mixed-methods design, we sought to determine whether the "tend-and-befriend" stress response serves as a potential correlate of sexual victimization among college women and examine whether it contributes additional variance beyond established correlates of sexual victimization such as alcohol use, history of sexual victimization, and involvement in campus party culture. The study was conducted in two phases. In Phase I, 128 …

Operational Context's Impact On Cockpit Behavior: Case Studies In Aviation, Nick Mehrdad Loghmani

Dissertations - ALL

This thesis examines instances where pilots in a tightly regulated environment, the modern airline cockpit, exhibit diverging responses when presented with identical information. Despite explicit standardization of procedures, instrumentation, and Crew Resource Management, observable patterns of operational divergence persist. The study adopts distributed cognition (Hutchins, 1995) as the primary lens and analyzes the crew–procedures–artifacts system using cockpit transcripts and flight data. Operational context is the evolving set of roles, procedures, cognitive artifacts (including automation), constraints, and environmental conditions, while the operational configuration denotes its time-indexed instantiation at moment t. Within this frame, the thesis documents when cues do—and do not—propagate …

Effective Strategies For Minimizing Employee Turnover To Enhance Profitability In Micro, Small, And Medium Enterprises, Catherine Nyambura Mbugua

Walden Dissertations and Doctoral Studies

Abstract Employee turnover in micro, small, and medium enterprises (MSMEs) is a persistent business problem that can negatively impact financial performance. Business owners are concerned about employee turnover because it disrupts operations, weakens customer relationships, and reduces profitability. Grounded in social exchange theory, the purpose of this qualitative, pragmatic inquiry was to explore the strategies that business owners use to minimize employee turnover and enhance profitability. The participants were six business owners of MSMEs who successfully implemented practices that reduced employee turnover. Data were collected through semistructured interviews and a review of organizational documents related to employee management and retention. …

Espacios De Cambio: Evaluating Community-Based Art Therapy Within The Latinx Community, Bennie Guzman

Theses - ALL

This research presented in this graduate thesis explores the social-emotional benefits of community-based approaches of art therapy within the Latinx community. The literature contextualizes the socio-historical experiences of the Latinx community and presents an argument for the use of a community-based approach of art therapy. This study evaluates the social-emotional benefits of the “Arts as Mindfulness” program, an initiative created by the author in collaboration with La Casita Cultural Center at Syracuse University. Methods of data collection include creative reflections and a focus group with program participants. The research conducted data analysis using a hermeneutic phenomenological approach. Themes that arose …

Assessing The Gender Differences In Mental Health Access And The Intersectionality Of Depression, Anxiety, Stress Between Black Men And Black Women During Covid-19, Turquoise Ef'e Pipes

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic, which emerged in the past five years, has had a particularly severe impact on well-being, mental health, and access to care for Black communities. Therefore, the purpose of this quantitative study, grounded in intersectionality theory was to assess gender differences between Black women and Black men confronted with depression, anxiety, stress symptoms and mental health access during the crisis of COVID-19, which has been under researched within this demographic. The study sample included participants from various cities across the United States who lived through the COVID-19 pandemic from March 2020 to March 2023 (n= 104). A MANOVA …

Virtually Present In The Vastness: Vr’S Pathway To Awe And Appreciation, David Paul Peters

Dissertations - ALL

This dissertation explores how spatial presence in Virtual Reality (VR) creates awe and appreciation through the role of perceived vastness. 92 participants played a custom-built VR game (VR Nature Photographer) in three environments designed to be low, medium, and high in vastness. A repeated-measures design measured spatial presence, vastness, awe, and appreciation across conditions. Results showed higher vastness increased all four outcomes, with awe and vastness having the largest effect sizes and presence and appreciation medium sized. Mediation analyses showed perceived vastness fully mediated the effect of spatial presence on awe in all vastness conditions and partially mediated its effect …

Using A Heuristic Tool To Improve Symptom Self-Management In Adolescents And Young Adults With Cancer: Protocol For A Randomized Controlled Trial., Suzanne Ameringer, Grace Hodges, R K Elswick, Lauri Linder, Catherine Fiona Macpherson, Kristin Stegenga

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Adolescents and young adults (AYAs) with cancer experience multiple distressing symptoms during treatment, yet few developmentally relevant resources have been developed to help them self-manage their symptoms. Empowering patients to have a more active role in self-management during cancer treatment may lessen their symptom severity and distress.

OBJECTIVE: The aim of this study is to test an intervention designed to improve symptom self-management, the Computerized Symptom Capture Tool (C-SCAT), by helping AYAs understand their unique symptom experience and discuss it with their health care providers.

METHODS: We are conducting a multisite, 2-group randomized controlled trial to evaluate the effects …

Mood-Based Thinking And Its Relationship To Decision-Making Among Physical Education Teachers In Baghdad Secondary Schools, Safaa Ali Ghareeb, Husain Abd Al-Zhra Abd Al-Yaim

Modern Sport

The importance of this research is based on investigating mood-based thinking in physical education teachers, as well as the relation to decision making in secondary schools within the Directorate of Education in Baghdad Governorate. Consequently, this contributes to granting teachers a positive role in carrying out their responsibilities correctly and efficiently. The research problem focuses on the two variables of mood-based thinking and decision-making among physical education teachers in secondary schools within Baghdad Governorate, given their positive role and the need to identify the outcomes of such decisions in professional performance and their influence on students. The study therefore sought …

Feasibility Of Exercise And Mindfulness Intervention For Improving Psychological Symptoms In Female University Students With Smartphone Addiction: A Pilot Study, Huange Liu, Kim Geok Soh, Shamsulariffin Samsudin, Suriyan Somphong, Ranintya Meikahani, Nugroho Puji Santoso

Modern Sport

The prevalent use of smartphones has raised significant concerns regarding smartphone addiction among university students. This addiction can lead to a range of psychological problems, which may ultimately affect their academic performance and overall well-being. Engaging in exercise has been linked to improved mental well-being, mainly by regulating endorphin levels, which can help reduce feelings of anxiety and depression. Mindfulness-based interventions (MBIs) have become effective strategies for tackling different psychological challenges. Evidence indicates that mindfulness practices can significantly decrease stress, anxiety, and depression levels. Combining exercise with mindfulness (EM) techniques can boost their overall effectiveness and provide additional mental health …

Mapping Research Trends On Mental Health Literacy Among University Students: A Bibliometric Systematic Review, Eko Pramudya Laksana, Muslihati Muslihati, Arbin Janu Setiyowati, Salsabila Kholifahtun Nisa, Muhammad Nur Hudha, Margaret Kehinde Soetan

Jurnal Kajian Bimbingan dan Konseling

Mental health is a global issue that has received increasing attention, particularly among university students. Mental health literacy (MHL) is an important factor in promoting students' psychological well-being through knowledge, attitudes, and the ability to recognize and address mental health problems. This study aims to map the developmental trends of MHL research among university students in order to provide a comprehensive overview of the direction and focus of studies in this field. This research employed a bibliometric literature review approach by analyzing 48 journal articles indexed in the Scopus database and published between 2021 and 2025. The findings indicate that …

Group Counseling Deactivation Mode To Improve Psychological Well-Being Of Students, Muya Barida, Dian Ari Widyastuti, Yuanita Dwi Krisphianti, Aslina Ahmad, Nurul Hidayati Rofiah, Andriyani Andriyani, Riana Mashar, Emiko Saraswaty

Jurnal Kajian Bimbingan dan Konseling

Life moves dynamically, profoundly impacting adolescents and often causing deep anxiety due to numerous pressures. The gap between expectations and reality frequently exacerbates this anxiety. Ideally, adolescents should be equipped to manage their inner lives to prevent excessive anxiety, and individuals can better manage anxiety if they possess strong psychological well-being. This study aims to improve psychological well-being through a group counseling deactivation mode. The research applied an experimental research method with a one group pretest-posttest design. Participants consisting of junior high school students in Yogyakarta, selected through purposive sampling for their low psychological well-being levels. Data on psychological well-being …

Online Counseling In Improving Achievement Motivation Over The Last Decade: A Bibliometric Review, Shopyan Jepri Kurniawan, Bambang Dibyo Wiyono, Mohd. Aziz Zulazmi

Jurnal Kajian Bimbingan dan Konseling

This research aims to determine online counseling research trends to increase achievement motivation. The method used in this research is bibliometric analysis using VOSviewer. The data used is the Scopus database for the last 10 years. Research findings found that there were 4302 documents that met the specified criteria. The number of online counseling studies increased gradually over the 2013-2022 research period. The largest source of documents comes from 3691 articles. Meanwhile, the annual distribution of 100 or more citations will be the highest in 2022 with 16. The keyword ``achievement motivation'' is not included in the top 10 keywords, …

Mobile Markets And Farmers’ Markets: Evaluating Food Accessibility For Underserved Communities In The Bay Area, Rajeshwari Rajesh

Master's Theses

Studies indicate including farmers’ markets, mobile markets, and other local food systems improve fresh food access for low-income communities, especially when paired with food assistance programs that offer financial incentives. This study aims to evaluate mobile markets and farmers’ markets in the Bay Area using the five dimensions of food access: accessibility, availability, acceptability, affordability, and accommodation. The study is based on primary data collected from 173 in-person surveys at six mobile and eight farmers’ markets in the Santa Clara and Contra Costa counties. Key survey participants were market shoppers participating in food assistance programs. A mixed research methodology included …

Successful Management Of Generalized Pustular Psoriasis With Cyclosporine In Hiv-Infected Patient, Rasinta Ayudya Deltania, Anggun Putri Yuniaswan

Journal of General - Procedural Dermatology and Venereology Indonesia

Background: Generalized pustular psoriasis (GPP) can be associated with human immunodeficiency virus (HIV) infection, making its management more challenging and complex. This case report aims to evaluate the effectiveness and safety of cyclosporine in HIV-associated GPP.

Case illustration: A 31-year-old male with a six-year history of HIV on antiretroviral therapy presented with rapidly spreading erythematous plaques with scaling and patches, along with “lakes of pus”, involving 50% of the body surface area (BSA). He reported oral burning, dysgeusia, and odynophagia; tongue Gram stain showed budding yeast and pseudohyphae. The patient was diagnosed with GPP and oral candidiasis in the setting …