Digital Commons Network^™

Breaking The Silence With Routine Genitourinary Syndrome Of Menopause Screening: A Quality Improvement Project, Ashley R. Noel

Electronic Theses and Dissertations 2020 - Present

Affecting upwards of 87% of women in post menopause, genitourinary syndrome of menopause is greatly under-diagnosed, and consequently, under-treated. Genitourinary syndrome of menopause refers to health conditions impacted by hypoestrogenic state experienced in menopause. Common symptoms of GSM include vaginal dryness, irritation, clitoral or labial atrophy, dyspareunia, decreased libido, anorgasmia, dysuria, recurrent UTI, urinary incontinence (Kaufman et al., 2025). Despite the burdensome consequences of GSM, women are unlikely to vocalize their symptoms and seek treatment. Additionally, societal beliefs of shame surrounding sexual health impede patients and clinicians from addressing GSM specifically (Mili et al., 2021). As a result, the North …

Persons With Alzheimer’S Disease And Related Dementias And Caregiver Burnout: A Quality Improvement Project, Reede A. Walke

Electronic Theses and Dissertations 2020 - Present

Alzheimer's Disease and Related Dementias (ADRD) represented an escalating public health challenge, profoundly affecting individuals, families, and healthcare systems. As the number of individuals diagnosed with ADRD rises, the prevalence of caregiver burden and burnout among those providing care also increases. The purpose of this quality improvement project was to evaluate the existing assessment processes for caregiver burnout and determine the effectiveness of the Zarit Burden Interview (ZBI), a measurement which identifies caregivers’ levels of stress, at a memory disorder center in south Florida. Sixteen caregivers reported overall mild-to-moderate caregiver burden, with a mean ZBI score of 22.19 (SD = …

Illinois State University, One Hundred And Sixty-Sixth Annual Commencement, December 2025, Illinois State University

Commencement Programs

Illinois State University

One Hundred and Sixty-Sixth Annual Commencement

December 2025

Validating A Creative Teaching Inventory: A Mixed Method Approach To Construct Validity, Todd Kettler, Beatrice Ruiz Buentello, Nilay Ayse Gunel, Madelyn Chance, Laila Y. Sanguras

Teaching and Learning Faculty Publications

Creative pedagogies are increasingly important as the demand for a creative workforce grows. However, there are limited measures of creative pedagogy. One such measure is The Inventory of Teaching Practices in Higher Education. Only one study has been published examining its factor structure when used with undergraduate students. The present study aims to further investigate its construct validity using a convergent mixed methods design. We recruited students (n = 268) from a private university in Texas and administered a modified version of the inventory, with items from each factor presented together followed by two open ended items asking …

Allogeneic Bone Marrow-Derived Mesenchymal Stem Cells For Parkinson's Disease: A Randomized Trial., Mya C Schiess, Jessika Suescun, Juan D Martinez-Lemus, Charles Green, Tia S Thomas, Mohammad Shahnawaz, Emily Tharp, Nikunj B Satani, Jerome G Saltarrelli, Christopher Adams, Marie-Francoise Doursout, Vanessa Thyne, Rula Abuamouneh, Elsa M Rodarte, Sean I Savitz, Timothy M Ellmore

Faculty, Staff and Student Publications

Background: Neuroinflammation contributes to Parkinson's disease (PD) progression and motor dysfunction. Allogeneic human mesenchymal stem cells (allo-hMSCs) may reduce neuroinflammation and improve motor symptoms.

Objectives: To evaluate the efficacy of repeated intravenous doses of 10 × 106/kg allo-hMSCs in improving motor symptoms in patients with PD (PwP).

Methods: In this phase 2, randomized, placebo-controlled trial (November 2020-July 2023), mild-to-moderate PwP received either three allo-hMSC infusions, one placebo followed by two allo-hMSC infusions, or three placebo infusions at 18-week intervals. Follow-up lasted 88 weeks. The primary outcome was a >70% posterior probability (PP) of a difference in the proportion of participants …

Efficacy Of Platelet Rich Plasma Versus Placebo For Improvement In Olfactory Function In Adults With Olfactory Dysfunction: A Systematic Review And Meta-Analysis, Ali B Jafar, Ghabrielle Almeida, Fatima Al Mousawi, Eric Delgado Rendon, Amber U Luong

Faculty, Staff and Student Publications

Background: Olfactory dysfunction significantly impairs quality of life. Conventional treatments such as corticosteroids and olfactory training offer limited and inconsistent efficacy. Platelet-rich plasma (PRP), a biologically active agent, has shown potential regenerative effects in olfactory neuroepithelium. This study systematically evaluates the efficacy of PRP compared to placebo in improving olfactory function.

Methods: A systematic review and meta-analysis was conducted according to PRISMA guidelines and was registered in PROSPERO (CRD 420251045079). The databases searched included PubMed, Scopus, Embase, Central, and Web of Science. Seven studies (four RCTs, three non-RCTs) involving 789 patients were included. Subjective and objective outcomes were extracted and …

50+Years Of Restaurant Tipping Research Part Ii: An Analysis Of Research Subthemes And Suggestions For Future Research, Nick E. Johnston, Cortney L. Norris, H. G. Parsa

General Human Environmental Sciences Faculty Publications and Presentations

Tipping reflects a complex interplay of cultural norms, economic incentives, and operational challenges, especially within the U.S. foodservice industry. Building on the systematic literature review and themes presented in Part I, this study examines the subthemes identified across 319 peer-reviewed articles published between 1974 and 2024. Findings reveal saturation points, underexplored topics and intersections, as well as debates surrounding regulations and policies of tipping practices and alternative compensation models. This review integrates a fragmented body of research, provides an overview of key findings, highlights critical gaps, and offers a roadmap for future scholarship and practical reforms in service compensation systems.

Exploring Fathers’ Child And Family Support During Aboriginal Mothers’ Incarceration, Bon Miu, Paul Leslie Simpson, Tony Butler, Mandy Wilson, Destiny Kynuna, Robert Shaw, Jocelyn Jones

Research outputs 2022 to 2026

Aboriginal women are one of the fastest-growing subgroups among the Australian incarcerated population. Their incarceration affects increasing numbers of children, families, and communities. Few studies have examined the role of fathers when mothers are incarcerated. Using 49 in-depth interviews with Aboriginal mothers in Western Australian prisons, we explore the types of child and family support fathers provide based on the incarcerated mother’s perspective. Four themes were identified: (1) diverse support and involvement by fathers; (2) absence of father’s support due to death or incarceration; (3) parental cooperation and communication; and (4) supports and challenges to maintaining family networks. Overall, fathers …

Periodizing Exercise Medicine Prescription For Patients With Cancer: A Narrative Opinion, Francesco Bettariga, Robert U. Newton, Chris Bishop, Luca Maestroni, Anita Borsati, Alice Avancini, Sara Pilotto, Dennis R. Taaffe, Daniel A. Galvão, G. Gregory Haff

Research outputs 2022 to 2026

Exercise has emerged as an effective therapeutic strategy in cancer management. Long-term supervised exercise programs, including resistance training and aerobic training, can improve body composition and physical fitness, modulate circulating factors (e.g., hormones, cytokines), enhance treatment tolerance, and reduce side effects, potentially influencing cancer progression and reducing mortality risk. Despite advancements in exercise oncology, opportunities remain to refine exercise prescription through the integration of advanced methodologies such as periodization and autoregulatory programming strategies. Periodization, a systematic approach to organizing training over time, has demonstrated benefits in general fitness and clinical populations but is underexplored in cancer care. Emerging evidence suggests …

Practical Recommendations On Stretching Exercise: A Delphi Consensus Statement Of International Research Experts, Konstantin Warneke, Ewan Thomas, Anthony J. Blazevich, José Afonso, David G. Behm, Paulo H. Marchetti, Gabriel S. Trajano, Masatoshi Nakamura, Francisco Ayala, Stefano Longo, Nicolas Babault, Sandro R. Freitas, Pablo B. Costa, Andreas Konrad, Antoine Nordez, Arnold Nelson, Astrid Zech, Anthony D. Kay, Olyvia Donti, Jan Wilke

Research outputs 2022 to 2026

Background: Stretching has wide appeal, but there seems to exist some mismatch between its purported applications and what the evidence shows. There is compelling evidence for some stretching applications, but for others, the evidence seems heterogeneous or unsupportive. The discrepancies even affect some systematic reviews, possibly due to heterogeneous eligibility criteria and search strategies. This consensus paper seeks to unify the divergent findings on stretching and its implications for both athletic performance and clinical practices by delivering evidence-based recommendations. Methods: A panel of 20 experts with a blend of practical experience and scholarly knowledge was assembled. The panel meticulously reviewed …

A Thematic Analysis Of What Australians State Would Change Their Minds On Climate Change, Amy S.G. Lee, Kelly Kirkland, Samantha K. Stanley, Abby Robinson, Zoe Leviston, Iain Walker

Research outputs 2022 to 2026

What do Australians believe would change their current opinions about climate change? In this study, we used audience segmentation analysis through the Six Americas Short Survey to identify groups of climate opinion holders within a representative sample of Australians. We had 4857 participants tell us what it would take to change their current opinions about climate change and leveraged OpenAI’s Generative Pre-Trained Transformer (GPT) to identify the presence or absence of themes (Nothing, Evidence and Information, Trusted Sources, Action, and Unsure) and subthemes in their responses. GPT performed at near-human levels, proving to be a highly useful tool for thematic …

The First Year Of Assisted Dying In New Zealand Through The Lens Of Healthcare Professionals Not Directly Involved In The Process, Waqas Arshad, Aida Dehkhoda, Melissa Carey, David B. Menkes, Nicholas Hoeh, Frederick Sundram, Rosemary Frey, Gary Cheung

Research outputs 2022 to 2026

Background: New Zealand’s End of Life Choice Act 2019 was enacted in 2021, allowing terminally ill people experiencing unbearable suffering to request assisted dying if they are expected to die within six months. Healthcare professionals not directly involved in assisted dying provision may have unique perspectives on implementation, yet this remains under-explored. Methods: This qualitative study was conducted between June and November 2022. We used purposive and snowball sampling to recruit potential participants through various sources, including the Ministry of Health’s assisted dying training and communication email list. A multidisciplinary research team developed a semi-structured interview guide. The individual interviews …

Trust And Fintech: A Review And Research Agenda, James F. Devlin, Sanjit K. Roy, Harjit Sekhon, S. M.A. Moin, Mehmet Sahiner

Research outputs 2022 to 2026

The primary objective of this paper is to formulate a detailed research agenda focussed on trust in the context of FinTech. To achieve this objective, conceptualisations of trust and related constructs are reviewed, and a detailed model of trust is developed. The domain of FinTech is then introduced and is taken to include current and emerging innovations in financial services incorporating aspects of big data and AI, as well as open and decentralised finance and crypto assets. Typologies of FinTech services are also explored. Arguments concerning the importance of trust in financial services are then reviewed, along with prior studies …

The Role Of Servant-Leadership And Employee Work Engagement On Employee Innovative Work Behaviour: An Emerging Economy Perspective, S. M. Ashik Hossain, Muhammad Abdul Aziz

International Journal of Servant-Leadership

This study investigates the impact of servant-leadership (SL) and employee work engagement (EWE) on the innovative work behaviour (IWB) of the professionals in a developing country’s perspective. Besides, the mediation impact of EWE between the SL and IWB link has been assessed that created unique contribution to the literature. This quantitative research utilized cross-sectional survey design where data has been collected using both paper based and online survey. Using structured questionnaire, we collected responses from 215 professionals from manufacturing and service sectors who are working at mid-levels and semi-mid-levels positions in different organizations in Bangladesh. The descriptive analysis and normality …

Motivational Interviewing And Servant-Leadership: An Interview With Dr. William R. Miller, William Richard Miller, Jemima Neddy Organ

International Journal of Servant-Leadership

Dr. Miller is a leader in addiction research and treatment and co-founder of Motivational Interviewing (MI), an evidence-based method for helping people change. In this interview, he discusses how he developed MI, highlighting his collaborative approach to servant-leadership. He advocates organizational values that create a collegial, collaborative environment and help meet human needs for autonomy, relatedness, and competence. He discusses power dynamics in leadership and the importance of a person-centered approach to leadership.

A Reconceptualization Of Servant-Leadership And Measurement, Lori Doyle, Larry H. Ludlow

International Journal of Servant-Leadership

Servant-Leadership (SL) has been gaining traction as an evidence-based leadership theory and there are a range of existing measurement tools focused on self-report attitudes, beliefs, opinions, and behaviors. Concordia University Irvine has embedded a SL framework throughout all programs of study offered by the School of Education in order to encourage current and future education professionals in their understanding of servant-leadership as an effective way to lead. It was determined that a published instrument did not exist for measuring knowledge growth as a pre- and post-test focused on increased understanding. Work to define SL in terms of four specific virtues …

Servant-Leadership In Practice: A Personal Argument For Wider Adoption, Stephanie L. Turner-Wilson

International Journal of Servant-Leadership

This article examines servant-leadership in practice and advocates for its wider adoption in today’s organizations. Informed by the latest academic literature, the article examines the underrepresentation of servant-leadership. This article integrates insights drawn from the author’s 22-year professional career, the life of Clarence Eugene Pressley, personal forgiveness, and restorative justice practices to provide an illustrative context for how servant-leadership manifests in practice. It introduces the concepts of healing and restoration, complementing Robert K. Greenleaf’s (2021) framework, as outlined in Leadership Theory & Practice, along with additional scholarly perspectives.

Investigating The Feasibility Of Practicing Servant-Leadership In Hong Kong School Environment: An Exploratory Study, Keyi Zhang, Wing Shan Chan, Benedict S. K. Shum, Daniel H. K. Chow

International Journal of Servant-Leadership

Servant-leadership is an emerging area of study in leadership research that emphasises a people-oriented leader-follower relationship and a humanistic approach to leadership behaviour. Due to the limited research on servant-leadership, this study adopts an exploratory approach to examine the applicability of Cheung’s servant-leadership model in Hong Kong schools. Our research investigates both the practical implementation of this model and the challenges encountered in translating theory into practice. We conducted semi-structured interviews with twelve experienced school leaders who had participated in a long-running servant-leadership training programme. The interview transcripts were analysed to assess the twelve servant-leadership qualities outlined in the model. …

Clinical Decision Support For Pharmacologic Management Of Treatment-Resistant Depression With Augmented Large Language Models, Martha Sajatovic

Faculty Scholarship

Background: We evaluated whether a large language model could assist in selecting psychopharmacological treatments for adults with treatment-resistant depression. Methods: We generated 20 clinical vignettes reflecting treatment-resistant depression among adults based on distributions drawn from electronic health records. Each vignette was evaluated by 2 expert psychopharmacologists to determine and rank the 5 best next-step pharmacologic interventions, as well as contraindicated or poor next-step treatments. Vignettes were then presented in random order, permuting gender and race, to a large language model (Qwen 2.5:7B), augmented with a synopsis of published treatment guidelines. Model output was compared to expert rankings, as well as …

Semaglutide For Metabolic Dysfunction–Associated Steatohepatitis (Mash): Estimating Eligibility From The 2021–2023 National Health And Nutrition Examination Survey (Nhanes), Jennifer B. Levin, Martha Sajatovic, Seth N. Sclair

Faculty Scholarship

There has been considerable interest in the potential of GLP-1 agonists for treating chronic liver disease.1 Following the positive results of the Phase 3 ESSENCE trial,2 on August 15, 2025, the FDA-approved Wegovy (semaglutide) for the treatment of metabolic dysfunction–associated steatohepatitis (MASH).3 Recently, the eligibility for semaglutide across all current indications in the United States, including diabetes management, weight management, and secondary prevention of cardiovascular disease (CVD), was estimated to be nearly 137 million individuals based on the National Health and Nutrition Examination Survey (NHANES, 2015–2020).4 Although weight management subsumed all eligibility for secondary prevention of CVD, as well as …

Prevalence Of Sleep Disturbances And Factors Associated Among School Going Children In Uganda, A Cross-Sectional Study, Martha Sajatovic

Faculty Scholarship

Background: Sleep disturbances greatly impact children's academic performance and social well-being. This study set out to determine the prevalence of sleep disturbances and factors associated among school going children in Kawempe division, Kampala, Uganda. Methods: In a community cross-sectional study, 548 study participants using random cluster sampling were enrolled. The children start lessons at 8am and end the days classes at 5pm. Random cluster sampling method was used to select participants from the 19 parishes in Kawempe district. Data was collected using a semi-structured questionnaire and Sleep Disturbance Scale for Children (SDSC). Descriptive statistics and multivariate binary logistic regression were …

In The Pursuit Of Parent Caregiver Well-Being: A Phenomenological Study, Glenda E. Hux, Natalie King, Sarah A. Schoen

Communication Disorders and Occupational Therapy Faculty Publications and Presentations

Unmet needs in parent of children with chronic and complex conditions often result in adverse outcomes to their mental health and well-being. This descriptive phenomenological study explores their lived experiences and daily participation patterns. Thirteen participants in a global cohort shared their experiences via a secure digital platform. Five themes emerged illustrating the parents' pursuit of well-being and the barriers encountered: Embodying the Caregiver Life, Navigating Intricate Realities, Emotional and Existential Landscape, Navigating Healthcare Systems, and Connected Yet Alone. This study underlies parents' occupational participation challenges and the crucial need to address them using parent-centered approaches to promote family well-being.

How Patients With Amyotrophic Lateral Sclerosis Perceive Respiratory Interventions: A Mixed-Methods Study To Inform Implementation Efforts, Jason Ackrivo, Danny Bracy, Lauren B. Elman, John Hansen-Flaschen, Zachary Simmons, Piera Pasinelli, Terry Heiman-Patterson, Steven M. Kawut, Meghan B. Lane-Fall

Department of Neuroscience Faculty Papers

BACKGROUND AND OBJECTIVES: Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease that commonly leads to respiratory failure. Early respiratory interventions that may improve symptoms and outcomes are underused when prescribed. We sought to characterize patient perspectives and preferences for respiratory care to enable identification of implementation strategies to improve the uptake of ALS respiratory interventions.

METHODS: A prospective multicenter mixed-methods observational study was conducted using semistructured interviews of participants recently diagnosed with ALS at 4 academic centers in the United States. Eligible patients were those with an ALS diagnosis in the previous 12 months, forced vital capacity < 80% predicted normal, or presence of dyspnea or orthopnea.

RESULTS: Twenty-four patients …

Implementing A Nurse Navigator Role In An Outpatient Procedural Setting To Improve Patient Satisfaction Scores: A Quality Improvement Project, Lashanti King

Doctor of Nursing Practice Projects

Much focus has been placed on patient experience since the Affordable Care Act was signed into law in 2010 due to its regulatory, financial, and business growth implications. Patient satisfaction is crucial to maintaining and growing a customer base and fulfilling the target growth established in institutional strategic plans. This project aimed to determine whether implementing a nurse navigator role to perform rounds in the preoperative and waiting areas for two months would increase patient-reported satisfaction scores regarding being informed about delays and the likelihood of recommending the facility. Due to its subjective nature, it is challenging to consistently maintain …

Improving Post-Resuscitation Debriefing Completion Rates In An Acute Care Community Hospital: A Quality Improvement Project, Tiffany Tolden

Doctor of Nursing Practice Projects

Background: Post-resuscitation debriefing improves team dynamics and CPR quality and can identify systemic barriers to quality care delivery. However, completion rates remain low in acute care settings. Purpose: This quality improvement project evaluated whether a one-hour training session for rapid response nurses and charge nurses, combined with weekly reminder emails, would increase completion rates of post-resuscitation debriefings and influence nurses’ perceptions of their usefulness in an acute care community hospital. PICOT Questions: Will a one-hour training session (I) with rapid response nurses and unit charge nurses (P), along with a weekly reminder system (I), increase the completion rate (O) of …

Framerate Sensitivity And Cinemagoing Explain The Soap Opera Effect Of Films: A Preregistered Study Of Undergraduate Students In Singapore., Sonny Rosenthal, Benjamin J. Li

Research Collection College of Integrative Studies

The soap opera effect is an unsettling feeling that some individuals experience while watching films at a high framerate. It has received little scholarly attention, and most explanations of it are speculative or anecdotal. Drawing on the mere exposure effect, this preregistered laboratory experiment provides new evidence of framerate sensitivity and cinemagoing as explanatory factors of the soap opera effect. Undergraduate students (N = 270) reported their cinemagoing and completed a novel task to measure their framerate sensitivity. They also completed a task indicating their framerate preferences. Those with a higher framerate sensitivity and more regular cinemagoing preferred the standard …

Public Views Towards Lifespan, Healthspan, And Healthy Longevity Medicine In Singapore: A Qualitative Study From The Healthy Longevity (Helo) Initiatives, Belinda Wang, Anna Szucs, Elena Sandalova, Zhi Meng Lim, E. J. Horberg, Paul A. O’Keefe, Louis Island, Sonny Rosenthal, Andrea B. Maier

Research Collection College of Integrative Studies

Introduction: Healthy Longevity Medicine (HLM) offers a strategy to reduce the healthspan-lifespan gap, yet public perspectives remain unclear. This study refines the Healthy Longevity (HELO) framework through a qualitative exploration of public views towards lifespan, healthspan, and HLM.Methods: Individuals living in Singapore participated in semi-structured group or individual discussions to explore (a) their understanding of lifespan and healthspan, (b) motivational factors for health behaviours, and (c) their awareness of HLM. Sampling maximised variation across age, sex, and ethnicity. Data obtained through 13 discussions were analysed with a mixed, inductive-deductive approach employing the HELO framework.Results: Thirty-six participants (mean age = 49.4 …

Work-Related Pathology At Tell El-Amarna: The Physical Cost Of Building A New Capital City In The New Kingdom, Egypt, Heidi Suzanne Davis

Graduate Theses and Dissertations

This dissertation examines patterns of work-related indicators of physical stress in a skeletal sample from the non-elite adult population of the South Tombs Cemetery (STC) of Amarna, Egypt. Assessing work-related pathology using an integrative model of physical stress, this study considers the interactions of demographic parameters of age, sex, and injury recurrence, along with archaeological and documentary data to provide a biocultural contextual approach to physical stress in this population. The STC sample is compared to other samples from Egyptian and Nubian sites as well as historical samples believed to be under high physical demands and stressful conditions. The STC …

A Qualitative Study On Black Women Leaders And Their Career Paths In Higher Education, Beatrice Porter

Electronic Theses and Dissertations

Black women remain significantly underrepresented in senior leadership roles within higher education, especially in the presidency at historically Black colleges and universities. This qualitative phenomenological study explored the career paths and challenges Black women faced through their lived experiences in leadership roles across higher education institutions within predominantly White institutions and HBCUs. Guided by Black Feminist Thought as the theoretical lens, the study examined the intersecting barriers of race and gender that shaped the participants’ leadership trajectories in higher education. Data were collected through open-ended questionnaires, allowing participants to reflect on systemic inequities, mentorship experiences, and leadership development. Findings revealed …

Secondary Special Education Teachers: Perceptions On Burnout Since The Start Of Covid-19, Regina Perez

Electronic Theses and Dissertations

This study examined burnout among secondary special education (SPED) teachers following the COVID-19 pandemic, which significantly disrupted education and intensified teacher stress. Burnout, defined by emotional exhaustion, depersonalization, and reduced personal accomplishment, has been linked to teacher attrition and decreased student achievement. The problem addressed was the increased levels of burnout and stress among SPED teachers and the lack of sufficient administrative support to mitigate these effects. The purpose was to explore SPED teachers’ perceptions of burnout since the pandemic and identify the supports needed to reduce it. Using a qualitative case study design grounded in Maslach’s burnout theory, the …