Digital Commons Network^™

Quality Improvement Project: The Impact Of Staff Education On Utilization Of The Phq-9 Tool And Follow-Up Management Protocol, Shuntak Jerideau

Doctor of Nursing Practice Projects

Depression is a prevalent mental health disorder that affects daily functioning. Timely screening enables the identification of symptoms, monitoring treatment efficacy, and informs additional treatment such as referrals. The practice site reported low screening rates of patient’s post-psychiatric hospitalization, which was attributed to inadequate knowledge of the PHQ-9 tool. The purpose of this quality improvement project was to evaluate the impact of staff education on the utilization of the PHQ-9 tool and follow-up management protocol in a mental health clinic. A quasi-experimental design method was used in an outpatient mental health clinic. Pretest knowledge of the PHQ-9 was obtained from …

Gender Differences In Healthy Eating Index As Informed By The Awareness Of Diagnosis Of Metabolic Dysfunction-Associated Steatotic Liver Disease, Wei Ting Lin, Madeline Novack, Suthat Liangpunsakul, Chiung Kuei Huang, Hui Yi Lin, Po Hung Chen, Tung Sung Tseng, Peng Sheng Ting

School of Public Health Faculty Publications

Background/Objectives: Dietary quality is a driver of metabolic dysfunction-associated steatotic liver disease (MASLD). Men and women often have different levels of adherence to medical advice, but the effect of gender on adherence to dietary advice as a function of awareness of MASLD is understudied. We aim to investigate the differences in diet quality between men and women who are aware of their diagnosis of MASLD compared to their undiagnosed counterparts. Methods: We utilized the National Health and Nutrition Examination Survey 2017–2020 to identify a nationally representative sample of subjects with MASLD, 127 of whom reported a diagnosis of MASLD (diagnosed …

Impact Of Common Variants On Brain Gene Expression From Rna To Protein To Schizophrenia Risk, Qiuman Liang, Yi Jiang, Annie W. Shieh, Dan Zhou, Rui Chen, Feiran Wang, Meng Xu, Mingming Niu, Xusheng Wang, Ramu Vadukapuram

School of Medicine Publications

Genetic variants influencing gene expression have been extensively studied at the transcriptional level. How these variants affect downstream processes remains unclear. We quantitated ribosome occupancy in prefrontal cortex samples from the BrainGVEX cohort and integrated these data with transcriptomic and proteomic profiles from the same individuals. Through cis-QTL mapping, we identified genetic variants associated with transcript level (eQTLs), ribosome occupancy (rQTLs), and protein level (pQTLs). Notably, only 34% of eQTLs have their effects propagated to the protein levels, suggesting widespread post-transcriptional attenuation. Using both a gene-based approach and a variant-based approach we identified omics-specific QTLs that associated with brain disorder …

Peer Connect: An Embedded Qualitative Study Of The Experiences Of A Peer Well-Being Coaching Intervention For People Living With A Long-Term Health Condition, Rachel Dennett, Julian Elston, Tom P. Thompson, Wendy Clyne, Joanne Hosking, Krystina Bones, Helen Davies-Cox, Agne Straukiene

Peninsula Medical School

Introduction Many people with long-term conditions such as pain and arthritis struggle with their health and well-being. To support better self-management, a new peer-delivered coaching intervention (Health Connect Coaching) was set up at a National Health Service integrated care organisation in Southwest England. Based on principles of personalised care and supported goal setting, the one-to-one coaching programme, targeting patients with low activation, delivered coaching sessions in a step-down approach over 6 months. A randomised controlled feasibility trial (fRCT) of Health Connect Coaching was conducted to inform the design of a definitive randomised controlled trial. This article reports the embedded qualitative …

General Practitioners' Perspectives On Identifying Early Symptoms For Breast Cancer Detection In The Primary Care Facilities: A Case Study, Bob Andinata

Kesmas

In primary care settings, general practitioners (GPs) frequently face challenges in identifying the early symptoms of breast cancer. This study aimed to explore, in depth, the perspectives of GPs regarding the identification and interpretation of early-stage breast cancer symptoms during the early detection process in primary care facilities. This study used a qualitative approach based on a case study. Data were collected through in-depth interviews with GPs at primary health care and private clinics in Depok City, Indonesia, complemented by observations and documentation. The data was analyzed using the Miles and Huberman method. The questionnaire assessment and focus group discussion …

Burnout Assessment Tool Development And Validation For Healthcare Workers: A Psychometric Approach Using Rasch Modelling And Exploratory Factor Analysis, Rosnah Ismail, Suriya Kumareswaran Vallasamy

Kesmas

Burnout remains a significant occupational threat to healthcare workers (HCWs). Existing instruments, e.g., the Maslach Burnout Inventory, have limited applicability in healthcare-specific contexts. This study aimed to develop and validate the Burnout Scale for Assessing Stress in Healthcare Workers (BSAS-HCW), designed to measure cognitive and emotional exhaustion. A cross-sectional survey was conducted among 245 Malaysian HCWs representing diverse roles, including staff nurses (57.7%), house officers (14.3%), medical officers (13.5%), specialists (5.7%), pharmacists (4.5%), and other HCWs. Exploratory factor analysis revealed a two-factor structure with strong internal consistency (Cronbach's alpha: cognitive = 0.95; emotional = 0.97), and all items loaded above …

Improving Glycemic Control Among Indonesian Urban Adults: A Digital And Behavioral Extension Of The Information–Motivation–Behavioral Skills Model, Imelda Appulembang

Kesmas

Management of type 2 diabetes mellitus (T2DM) in Indonesia continues to face challenges due to behavioral, informational, and technological gaps among patients. This study analyzed the influence of self-regulatory competence and information, motivation, family support, and digital health literacy on glycemic control behavior. A cross-sectional survey was conducted from February to April 2025 among 587 adults aged >30 years with T2DM enrolled in the Chronic Disease Management Program at primary health care in six major cities: Jakarta, Surabaya, Yogyakarta, Medan, Makassar, and Banjarmasin. Data were collected through structured questionnaires and analyzed using partial least squares structural equation modeling. The findings …

Tax Trends, Harry Z. Garian

Tax Adviser

No abstract provided.

Exploring Communication Strategies With Esports Fans: Signaling Physical Location And Popularity, Gavin Nolin, Ismail Karabas, Skylar King

Faculty & Staff Research and Creative Activity

Purpose

Using signaling theory as a theoretical foundation, this study aims to investigate how consumers respond to message framing emphasizing physical location and popularity of an esports team. Additionally, this research looks at how power distance belief, need for uniqueness, sense of power and pride in community are associated with consumer intentions (e.g. support likelihood, watch likelihood, follow on social media likelihood) as a function of physical location versus popularity-signaling in team communication with prospective fans. Design/methodology/approach

This research uses an experiment to test the effects of physical location and popularity-signaling on consumer intentions toward an esports team, as well …

How Experiencing Eudaimonic Emotions Through Music Shapes Prosocial And Altruistic Behavior: Introducing A Unified Model Of Music-Listening-Induced Eudaimonia (Ummie), Rebecca Tukachinsky Forster, Daniel H. Spitz, Tal-Chen Rabinowitch, Roni Granot

Communication Faculty Articles and Research

This paper introduces the Unified Model of Music-Listening Induced Eudaimonia (UMMIE), which offers an integrated novel theoretical framework to explain how music listening promotes prosocial and altruistic outcomes. Drawing on communication and psychology research, UMMIE maintains that elicitation of eudaimonic emotions can be appraised inwards, towards oneself, and thus contribute to the individual's personal growth, wellbeing, and development, or outwards, by connecting to something bigger than oneself, to humanity in general, which could possibly then lead to enhanced prosocial and altruistic attitudes and behaviors. The model specifies musical, situational, and individual variables that serve as moderators and increase the likelihood …

Digital Neuropsychology And Social Anxiety: The Effect Of Observer Presence And Personality On Stress And Cognition, Ava M. Dixon

Master's Theses

This study examined how observer presence and social anxiety influence stress and cognitive performance during neuropsychological assessments, focusing on the potential benefits of unsupervised digital testing environments. Eighty university students were randomly assigned to observed or unobserved digital neuropsychological conditions and completed assessments of social cognition and executive functioning and questionnaires of social anxiety and personality. Participants also completed measures of state anxiety and heart rate variability at baseline and after cognitive tests. The findings indicated that observation led to higher subjective anxiety, but it did not produce significant interactions with social anxiety on stress or cognitive performance. Post-hoc analyses …

The Mediating Role Of Self-Efficacy And Symptom Distress In Cancer Patients, Kailei Yan, Hsiao-Lan Wang, Brent Small, Victoria Marshall, Amanda Elliott, Danielle Tometich, Theresa M. Beckie, Susan C. Mcmillan

Biennial Convention (CONV)

Cancer symptoms significantly impact the quality of life (QOL) among cancer patients (Almståhl et al., 2019; Bashir et al., 2020; Nayak et al., 2019). Self-efficacy plays a key role in managing symptoms and improving QOL (Cox-Martin et al., 2020; Erickson et al., 2021; Frensham et al., 2020; Thieser et al., 2021; Wu et al., 2019). Symptom distress, defined as the suffering from symptom occurrence, predicts QOL in cancer patients with symptoms (Badana et al., 2019). However, it is not clear whether self-efficacy and/or symptom distress mediate the effects of symptoms on QOL. This study seeks to explore if and how …

Clinical And Demographic Profiles Of Pediatric Burn Patients: A Descriptive Retrospective Analysis, Gifty Osei Berchie, Susanna Aba Abraham, Christiana Okantey, Benjamin Kofi Anumel

Biennial Convention (CONV)

Introduction: Burn injuries are a leading cause of preventable mortality and disability among children, with approximately 96,000 pediatric cases globally each year (Asefa et al., 2024). In low- and middle-income countries, particularly in Africa, children account for nearly 90% of burn cases, with those under five being most vulnerable due to developmental factors, lack of supervision, and domestic hazards. Socioeconomic challenges such as overcrowded living conditions and inadequate safety measures exacerbate the risk (Mok et al., 2023). Burns are primarily caused by scalds from hot liquids, contact burns, and flame injuries linked to unsafe cooking practices and improper storage of …

Non-Invasive Ultrasonic Neuromodulation Of The Human Nucleus Accumbens Impacts Reward Sensitivity, Siti N Yaakub, John Eraifej, Nadège Bault, Mathilde Lojkiewiez, Elouan Bellec, Jamie Roberts, Noah S Philip, Amir Puyan Divanbeighi Zand, Alexander L Green, Matthew F S Rushworth, Elsa F Fouragnan

School of Psychology

Precisely neuromodulating deep brain regions could bring transformative advancements in both neuroscience and treatment. We demonstrate that non-invasive transcranial ultrasound stimulation (TUS) can selectively modulate deep brain activity and affect learning and decision making, comparable to deep brain stimulation (DBS). We tested whether TUS could causally influence neural and behavioural responses by targeting the nucleus accumbens (NAcc) using a reinforcement learning task. Twenty-six healthy adults completed a within-subject TUS-fMRI experiment with three conditions: TUS to the NAcc, dorsal anterior cingulate cortex (dACC), or Sham. After TUS, participants performed a probabilistic learning task during fMRI. TUS-NAcc altered BOLD responses to reward …

Perceived Parental Relationship Quality And Adolescent Conscious Bias: Important Links Between Affect, Agency, Gender, And Race/Ethnicity, Amanda Terrall, Michael J. Merten, Thulitha Wickrama

General Human Environmental Sciences Faculty Publications and Presentations

Introduction Guided by attachment, social cognitive, and ecological systems theories, this study examined the direct and indirect effects of perceived parent-adolescent relationship quality on youths' conscious bias toward individuals facing socioeconomic or minority-related challenges.Methods Data were collected from 702 U.S. 18-year-olds via Qualtrics online panels. Measures included parent relationship quality, negative affect, human agency, and conscious bias (disregard for minority experiences and blaming attitudes).Results The findings revealed that strong parent-teen bonds indirectly influenced conscious bias through psychosocial wellbeing. However, while negative emotions were universally influential, the impact of human agency varied depending on gender and race/ethnicity.Discussion Study findings underscore the …

How Human Personality Will Change With The Use Of Artificial Intelligence, John Mayer

UNH Personality Lab

INTRODUCTION: Human personality changes in response to new habits, situations, and maturation, among other causes. As people interact with artificial intelligence (AI), their personalities are likely to change, from their emotional responses to their self-concept.

METHODOLOGY: This theoretical account draws together empirical studies of how personality changed in response to past technological innovations, changes in personal interactions observed in people’s AI usage, changes that arise from the use and disuse of cognitive skills, and works on the self-concept. Research reports in the review were selected according to their relevance and quality.

THEORETICAL STATEMENT: While AI becomes increasingly human-like, humans increasingly …

Physician Peer Review: Just Culture And Practical Implementation In An Emergency Department, Christian Fromm, Monica Colicino, Merle A. Carter, Elizabeth M. Datner

Einstein Health Papers

BACKGROUND: Although regulatory agencies require hospitals to engage in peer review to maintain accreditation, quality assurance review processes are not standardized, and well-structured peer review of clinical cases involving medical errors and adverse events governed by Just Culture principles is not widespread. We implemented such an emergency department (ED) physician peer review process and performed an analysis of cases that underwent review.

METHODS: We formed an ED physician peer review committee at our institution guided by Just Culture principles, including promotion of a culture of safety to encourage open reporting of errors and near misses, and top-down leadership commitment to …

Menopause And Motherhood: Shaping Women’S Lived Experiences, Michelle M. Ness

Biennial Convention (CONV)

Motherhood is a multifaceted role influenced by various transitions during midlife, including changing relationship dynamics with children and significant others and the onset of menopause. Mothers often shift from hands-on caregiving to an advisory role with their adult children during this time. This shift coincides with hormonal changes associated with menopause, exacerbating physical and psychological symptoms, including hot flashes, mood swings, and sleep disturbances. The hormonal changes associated with menopause profoundly impact women's emotional well-being and interpersonal relationships, potentially increasing susceptibility to mood disorders such as depression and anxiety. Additionally, the increased demand for balance between family responsibilities and professional …

Pre-Licensure Nursing Student Professional Identity Formation: A Longitudinal Qualitative Study, Rhoda A. Owens, Dawn L. Denny

Biennial Convention (CONV)

Background: The study aimed to explore pre-licensure nursing students’ perceptions of their professional identity in nursing. Forming a nurse’s professional identity is a transformational process that begins during pre-licensure nursing programs, and there is limited evidence regarding effective interventions to facilitate the process (Godfrey & Young, 2025; Thompson, 2022). Educators are responsible for creating a learning environment that fosters professional identity development in pre-licensure nursing students (Godfrey & Young, 2025; Thompson, 2022). Nurses who embody their professional identity can positively influence patient safety, enhance the quality of patient care, and promote a healthy workplace environment (Phillips & Priddy, 2023; Thompson, …

Exploring Variations In Emotional Intelligence And Burnout Among Nursing Students, Carrie Ann Bailey, Lynn Beeler, James Lewis

Biennial Convention (CONV)

The purpose of this research is to further validate a clinician language centric self-assessment of emotional intelligence and burnout to determine if there is a difference in the subscales that measure Emotional Intelligence between the accelerated baccalaureate student nurses (ABSN) and the traditional baccalaureate student nurses (BSN). Junior level traditional BSN students and first semester ABSN students were recruited and surveyed using the Maslach Burnout Inventory and the Scale of Emotional Functioning in Medicine. Demographic data was also compared between the two groups. Data was analyzed using Independent-Samples Mann-Whitney U Test. Results: The two groups of students were significantly different …

Oh My…Emotions Can Influence Social Media Use Among Pre-Licensure Baccalaureate Nursing Students, Julie Skrabal

Biennial Convention (CONV)

Background: Nursing students use social media (SM) daily, leading to the challenge of maintaining clear boundaries when managing professional and personal information (Daigle, 2019). As boundaries blur, information posted to SM becomes unprofessional. This is a concern among educators despite having guidelines and SM policies in place regarding professional use. Although limited research is available, a few studies demonstrated unprofessional SM use. Sadd (2019) found 22% of students surveyed posted inappropriate information they did not want others to see. Duke et al. (2017) discovered 100% of nursing students posted information on SM that they would not want prospective employers to …

Integrating The 'My Pt Care Strategy' Into Behavioral Health Nursing Curriculum: Reflective Insights, Nadia Ali Muhammad Ali Charania, Lorraine Wadlington, Mona Shattell

Biennial Convention (CONV)

Professional development for nursing educators in person-centered care (PCC) is essential for advancing its integration within academic and clinical settings, particularly in preparing nursing professionals to address the complexities of modern healthcare. The World Health Organization (2022) emphasizes the necessity of inclusive stakeholder engagement in mental health care, while organizations such as the American Association of Colleges of Nursing (2021) and Quality and Safety Education for Nurses (2020) advocate for holistic, evidence-based and individualized care. Despite these guidelines, there are gaps in effectively incorporating PCC within mental health services, underscoring the urgent need for innovative educational approaches.

The newly developed …

The Mechanism Of Action Of Remote Electrical Neuromodulation (Ren) In Treating Migraine And Potentially Other Idiopathic Pain Conditions, Marius Birlea, Christopher L. Robinson, Eden Mama, Alit Stark-Inbar, Alon Ironi, Daniel Atashsokhan, Thomas Berk

College of Nursing Faculty Papers & Presentations

Purpose of Review

This review provides evidence for the mechanism of action (MOA) of Remote Electrical Neuromodulation (REN), a non-pharmacological therapeutic technology for treating migraine and other symptoms manifested by certain idiopathic pain diseases. It discusses the main physiological and anatomical aspects associated with conditioned pain modulation (CPM), and how REN is applied for the treatment of migraine pain and other symptoms.

Recent Findings

The REN wearable device (Nerivio®) is FDA cleared for acute and preventive treatment of migraine in patients aged 8 years and above, and CE marked in patients aged 12 and above. In brief, the REN MOA …

Developing Ehealth Interventions To Improve Diabetes Management In Emerging Adulthood: Qualitative Formative Study, April Idalski Carcone, Deepika Baskar, Aishah Mahmood, Karen Macdonell, Susan Eggly, Samiran Ghosh, Colleen Buggs-Saxton, Steven J Ondersma, Deborah A Ellis

Faculty, Staff and Student Publications

Background: Emerging adulthood is a high-risk period during which many with type 1 diabetes demonstrate suboptimal diabetes management and glycemic control. There is a need for effective, scalable interventions designed specifically for this population. Technology-based approaches are readily accessible to this age group. Furthermore, interventions consistent with self-determination theory-which posits that the fulfillment of psychological needs for autonomy, self-efficacy, and relatedness promotes intrinsic motivation for change-may resonate well with emerging adults' developmental needs for establishing independence and autonomy, and growing their social network.

Objective: This study aimed to enhance the potential relevance, sustainability, and efficacy of 3 self-determination theory-informed mobile …

‘The Truth Was, Most Biodiversity Was Redundant’: Caring About Mass Extinction In Ned Beauman’S Venomous Lumpsucker, David Sergeant

School of Law, Humanities and Social Sciences

This essay reads Ned Beauman’s Venomous Lumpsucker as exploring the gap that exists between caring about mass species extinction and taking meaningful action to prevent it. The novel, at first, undermines the conventional reasons for caring; however, one of its protagonists is then revealed as having become willing to die for the issue. Equally, the reason for this change proves strangely hard to locate. This essay argues that the real reason for caring about species extinction in Venomous Lumpsucker is connected to a transcendence of the self that aligns the novel with both science fiction and spiritual traditions; however, this …

Accelerating Digital Mental Health: The Society Of Digital Psychiatry's Three-Pronged Road Map For Education, Digital Navigators, And Ai, John Torous, Kathryn Taylor Ledley, Carla Gorban, Gillian Strudwick, Julian Schwarz, Soumya Choudhary, Margaret Emerson, Michelle Patriquin, Allison Dempsey, Jason Bantjes, Laura Ospina-Pinillos, Jennie Hornick, Shruti Kochhar

Faculty, Staff and Student Publications

Digital mental health tools such as apps, virtual reality, and artificial intelligence (AI) hold great promise but continue to face barriers to widespread clinical adoption. The Society of Digital Psychiatry, in partnership with JMIR Mental Health, presents a 3-pronged road map to accelerate their safe, effective, and equitable implementation. First, education: integrate digital psychiatry into core training and professional development through a global webinar series, annual symposium, newsletter, and an updated open-access curriculum addressing AI and the evolving digital navigator role. Second, AI standards: develop transparent, actionable benchmarks and consensus guidance through initiatives like MindBench.ai to assess reasoning, safety, and …

Adolescent Sexting: An Exploration Of Teacher’S Perspectives Of The Relationship And Sex Education (Rse) Based Curriculum, Grace Byrne, Leigh-Ann Sweeney, Sinead Tobin

Irish Journal of Applied Social Studies

Sexting has emerged as a normative aspect of adolescent sexual exploration in Ireland and internationally. While much attention has been given to the risks and negative aspects of sexting, contemporary literature highlights the potential positives associated with adolescent sexting. Within this precarious context, little is known about the attention sexting commands within formal education of adolescents in Ireland. To better understand teachers’ perspectives of the positionality of sexting within Relationship and Sex Education (RSE) curriculum in Ireland, the researchers employed a qualitative interpretivist approach in interviewing eight RSE teachers actively delivering sex education in Irish secondary schools. Teacher’s narratives were …

Transdisciplinary Perspectives On Ai: The Fourth Annual Conference Of The European Culture And Technology Laboratory, Connell Vaughan, Ioana Madalina Moldovan, Silivan Moldovan, Noel Fitzpatrick

Books/Book Chapters

The fourth annual conference of the ECT Lab+ was hosted by Technical University of Cluj-Napoca over two days in October 2024 at the Cluj Innovation Park. The conference brought together experts from the Arts, Humanities, Social Sciences, Technology, and other fields to discuss and reflect on the advent of Artificial Intelligence and how the associated technologies are transforming how we live, work and study. Under the title Transdisciplinary perspectives on AI: Alternative Histories, Current Practices and Possible Futures the conference moved beyond simplistic technophila and technophobia to consider whether we can co-evolve with these new technologies which combine machine learning …

Circadian Rhythm Disruption Is Related To Self-Diagnosis Of Mental Illness, Ruth E. Propper, John Kang, Michael Sawyer

Department of Psychology Faculty Scholarship and Creative Works

Purpose

The goal of this research was to examine the relationship between self-reported circadian disruption during the week and on weekends, and self-diagnosis of mental illness. It was hypothesized that circadian disruption would be associated with mental illness self-diagnosis.

Methods

Using previously collected data wherein undergraduate students completed a series of questionnaires we examined Weekday bedtime/waketime variability, measured via question two from the Sleep Disorders Symptom Check List -- 25, and calculated social jetlag score, examining these as a function of Mental Illness Diagnosis Category and Sex.

Results

Increased circadian disruption was significantly associated with more self-diagnosed mental illnesses ( …

Addressing The Burden Of Prematurity And Its Prevention In Developing Countries: Is It Time To Act Now?, Mahaveer Singh Lakra, Amar Taksande, Revat J. Meshram, Ashwini Lakra, Amit Kumar, Deepak Gandhi, Roshan Prasad, Mayur Wanjari

Chulalongkorn Medical Journal

Around 3.5 million preterm births occur in India annually, accounting for about 25% of all preterm births worldwide. Prematurity poses a significant burden world-wide but leaves a special impact on the families and health systems of low-socioeconomic countries where easy and universal access to adequate health services is compromised. Premature birth imposes a significant risk of neonatal death among all under-fives due to organ immaturity, sepsis, and respiratory distress syndrome. Efforts to address prematurity on a global scale involve a multifaceted approach, including improving access to quality prenatal care, enhancing neonatal care services, and implementing public health interventions to reduce …