Digital Commons Network^™

Association Between Stress Mindset, Psychological Symptoms, And Psychosocial Risk In Liver Transplant Patients, Sarah Kay Brill

Dissertations

Psychosocial functioning is a central component of liver transplant evaluation, yet less is known about how cognitive factors, such as stress mindset, relate to transplant readiness. The present study examined the association between stress mindset and psychosocial risk, as well as its relationship with depressive symptoms, anxiety, and perceived stress among patients undergoing liver transplant evaluation. Patients included 62 adults completing standard pre-transplant assessment measures, including the Stress Mindset Measure–Specific (SMM-S), Stanford Integrated Psychosocial Assessment for Transplantation (SIPAT), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and Perceived Stress Scale (PSS). Hierarchical logistic regression analyses indicated that stress mindset was …

Seeing The Unspoken: A Pilot Eye-Tracking Study Of Moral Injury Among Veterans, Eva M. Valdez

Dissertations

This pilot study examined associations between self-reported moral distress, state distress, combat exposure, deployment history, and maximum pupil reactivity among veterans diagnosed with PTSD. Participants viewed neutral and morally relevant images while pupil responses were recorded using eye-tracking technology. Self-report measures included moral distress severity, exposure to potentially morally injurious events, Subjective Units of Distress Scale (SUDS) ratings, total deployments, number of combat deployments, and Combat Exposure Scale scores. Maximum pupil reactivity was calculated by subtracting the mean z-scored maximum pupil response during neutral image presentations from the mean z-scored maximum pupil response during morally relevant image presentations. This variable …

The Legacy Of Trauma: Exploring The Effect Of Generational Stress On Gut Health And Mental Well-Being In Black Women, Jocelynn Jones

Dissertations

This dissertation examines how generational trauma and chronic stress may relate to gut health and mood outcomes among Black women. Using a literature review design, this work brings together research on intergenerational trauma, gendered racism, Superwoman Schema, weathering, allostatic load, mood disorders, reproductive health disparities, and the microbiota-gut-brain axis. The central argument is that depression, anxiety, gastrointestinal symptoms, fatigue, reproductive vulnerability, and healthcare mistrust should not be understood as fully separate concerns when they may be shaped by shared stress conditions. The proposed integrated model does not claim that trauma directly causes gut dysbiosis or mood disorders. Instead, it suggests …

Pathways To The Streets: A Proposed Model Examining The Factors Influencing Gang Affiliation And Involvement Among Young Black Men In The United States, Ceauna L. Juarez

Dissertations

This literature review examined gang involvement among young Black men in the United States and explored the factors that contribute to joining gangs and the consequences that may follow. The first chapter provides a brief history of gang involvement in Black communities and introduces Erikson’s development model, self-determination theory, and the minorities’ diminished returns as the three theoretical frameworks. The second chapter discusses common challenges faced by young Black men who are currently involved in gangs or are at risk of joining. The chapter explores issues such as life expectancy after gang involvement, adverse childhood experiences, mental health concerns, and …

Intergenerational Trauma And Grief Among The Latine Community: Proposed Interventions And Treatment Considerations, Alexandra M. Johnson

Dissertations

The intersectionality of bereavement, trauma, and culture has many clinical considerations, including the impact on individuals and families. Traumatic events can impact an individual directly, collectively, and intergenerationally. The Latine community is one of the largest cultural groups in the United States, and mental health treatment often includes several cultural considerations. This critical literature review examined how the Latine community has been impacted by intergenerational trauma, specifically through experiences of grief and loss, to inform clinical focus, case conceptualization, and identify gaps in the literature. The first chapter provides a brief history of the intersectionality of intergenerational trauma and bereavement, …

The Influence Of Leadership On Leader Retention, Ruiwei Li

Dissertations

Prior research provided limited insight into how mid-to-senior leaders experienced and interpreted leadership in relation to retention. This interpretative phenomenological analysis (IPA) study explored how mid-to-senior leaders in a U.S. retail organization experienced and interpreted upper management leadership in relation to their retention decisions. Five leaders with at least four years of tenure participated in semi-structured, in-depth interviews. Each account was analyzed idiographically before patterns of convergence, variation, and divergence were examined across cases. Findings showed that willingness to remain reflected continued internal growth and meaningful influence, supportive leadership that affirmed personal value while preserving agency, and relational and cultural …

More Than A Movement: The Mental Health Toll Of Activism And The Shield Of Social Support At Hbcus, Feyisayo T. Oluwalana

All Theses

Student activism has historically contributed to sociopolitical change, with college campuses serving as important contexts for civic engagement and identity development (Ballard et al., 2024; Cabrera et al., 2017; Conner, 2020). At Historically Black Colleges and Universities (HBCUs), activism is often connected to students lived experiences and efforts to challenge systemic inequities (Byon et al., 2022; Patterson, 2021). Although activism may promote empowerment and collective identity, sustained advocacy may also contribute to psychological distress, including anxiety and depression, particularly among students of color (Chen et al., 2024; Hope et al., 2018). However, limited research has examined culturally relevant protective factors …

Evaluating The Motivations Of Participants In Online Equine Extension Courses, Sarah Vos

Department of Animal Science: Dissertations, Theses, and Student Research

Traditional program evaluations emphasize participant demographics, knowledge gain, behavior change, and program impact. However, evaluating participant motivation can provide addition insight into why participants enroll in extension programs and help explain participant engagement and persistence throughout a program. The purpose of this study was to evaluate participant motivation in two online equine extension courses and examine potential relationships between motivation, demographics, and course delivery method, and describe participant engagement in Virtual Horse Judging Camp (VHJC). This cross-sectional study utilized convenience sampling of participants in two online equine extension courses, Horse Adult Leader Training and Educational Resource (HALTER) and VHJC. The …

A Brand With A Brand: Constructing Lived-In Identity In Kylie Cosmetics And Khy, Nicole Obiukwu

Communications and Digital Media Theses

Celebrity-owned brands benefit from the visibility and recognition of their founders, but celebrity ownership alone does not necessarily establish authenticity. This study examines how celebrity-owned brands communicate authenticity through a comparative case study of Kylie Jenner’s Kylie Cosmetics and KHY. Using directed content analysis, 75 Instagram posts from Kylie Cosmetics, KHY, and Jenner’s personal account were analyzed alongside relevant contextual materials. The analysis focused on four dimensions identified through existing literature: Consistency of Self, Evidence of Use, Environmental Alignment, and Evolution Over Time. Findings showed that Kylie Cosmetics demonstrated greater accumulated continuity with Jenner’s established public identity, drawing on shared …

Tennessee High School Teachers' Perceptions Of Culturally Inclusive Curriculum And Its Impact On African American Students’ Achievement Motivation, Leanders Burns

Electronic Theses and Dissertations

This qualitative hermeneutic phenomenological study examined Tennessee high school teachers’ perceptions of culturally inclusive curriculum and its perceived influence on African American students’ achievement motivation. Guided by one overarching research question and three sub-questions, the study explored teachers’ understandings of culturally inclusive practice, implementation experiences, and perceptions of institutional support and resources. The study addressed a gap in educational leadership scholarship concerning how culturally inclusive instruction is experienced and sustained within secondary school settings serving African American students.

Using van Manen’s six-step hermeneutic phenomenological approach, data were collected through semi-structured video interviews with 15 Tennessee high school teachers representing diverse …

Discussion Of Text Revisited: Encouraging Chatting In The Classroom, Melissa Jessup, Ruth E. Jefferson Dr.

Reading Horizons: A Journal of Literacy and Language Arts

Discussion of text in language and literacy instruction has historically been studied with small samples of learners. The study described in this article investigated the relationship between instructional practices associated with discussion of text (chatting about it) and the reading achievement of several subgroups. A large sample of readers (N = 148,800) from the National Assessment of Educational Progress was the subject of the study. Several subgroups, including students with disabilities and students eligible for the National School Lunch Program (students experiencing poverty), were statistically disaggregated; subgroup data and results of analyses are discussed. Suggestions for classroom application are included.

Empowering Future Educators: How Service-Learning Shapes Teacher Candidate Self-Efficacy And Understanding Of Book Access, Nancy F. Hulan, Morgan S. Major

Reading Horizons: A Journal of Literacy and Language Arts

Literacy rates are historically low in areas where access to books is limited. Thus, students with limited exposure to books prior to school pose a unique challenge to teachers, who often feel unprepared to teach students from underserved populations. To help remedy this, teacher candidates need preparation that builds their abilities to provide both access to books and quality literacy instruction for students who live in poverty. The study described in this article investigated the impact of literacy-related community engagement on teacher candidates’ self-efficacy, their understanding of book access, and their perceptions of teachers’ roles in providing book access. Participants …

Deferred Understandings: A Critical Content Analysis Of Representations Of War In Picturebooks, Heeyoung Kim, Jongsun Wee

Reading Horizons: A Journal of Literacy and Language Arts

This article reports on a study that examined eight picturebooks published since 2021 that portray contemporary wars, exploring picturebooks’ potential role in shaping children’s understandings of armed conflict. It investigated how these texts present historical context and construct representations of war. The authors’ analysis focuses on three key elements: the causes of war, depictions of wartime scenes, and the resolutions of war. The findings indicate that the picturebooks portray war realistically through textual and visual narratives, illustrating how war disrupts the child protagonist’s everyday life. However, the books rarely address the underlying causes of war. This study suggests that teachers …

Making Sense Of The Iep: Teacher Perspectives In Implementation In Suburban Schools, Siranda J. Patchel

All NMU Master's Theses

The Individualized Education Program (IEP) is a legal requirement and instructional framework to support students with disabilities. However, inconsistency among IEP classroom implementation is a challenge. The purpose of this study was to explore the implementation of IEPs for students with disabilities as reported by general and special educators in suburban settings, in addition to examining educators’ perceptions of their preparedness and comprehension of IEP-related responsibilities.

The qualitative research design incorporated a survey and follow-up interview response analysis of educators who worked in suburban schools. The responses were analyzed using a thematic analysis approach that consisted of open coding and …

The Stories We Tell About Wolves, Olivia Lubig

All NMU Master's Theses

This study investigated the connections between wolf stories, wolf history, and educational theories: critical literacy, schema theory, reader response theory/transactional theory, and the use of intertextual approaches in the classroom. In this study, I used a mix of transactional theory as the theoretical framework, self-study methodology, and living educational theory research methods to study myself as an educator, methods of teaching in a classroom, and children’s literature. My first finding, detailed in Chapter One, was discovering the connection between wolf stories and wolf history. I argue that the relationship between wolves and humans is represented in literature, and the representation …

Investigation Of A Novel Behavioral Assessment Of Challenging Behavior In The Context Of Medical Necessity And Disability Theory, Madison S. Walker

All NMU Master's Theses

Individuals with neurodevelopmental disabilities often engage in challenging behaviors that interfere with daily functioning and community participation. Many standardized assessments focus on indirect, descriptive measurements that emphasize frequency, while providing limited information about medical severity, ongoing management strategies, and functional outcomes. This misalignment may limit the clinical utility of assessments, as scores may not consistently align with medical necessity criteria or arguments supporting the maintenance of current treatments. The first study extends on Reyes-Martín et al. (2022), which reviewed 24 assessments of challenging behaviors, by further evaluating assessment characteristics relevant to clinical decision-making and treatment justification. Findings highlight variability across …

Facilitating Occupational Participation In Older Adults With Chronic Pain, Emily K. Ruesch

Occupational Therapy Capstone Presentations

This capstone project developed doctoral-level clinical skills in the management of chronic pain. This capstone project also implemented a six‑week chronic pain management program for independent community‑dwelling older adults at Dow Rummel Village. Eleven adults aged 50–95 participated in weekly 45‑minute group sessions addressing adaptive equipment use, graded exercise, energy conservation, nervous system regulation, stress management, and sleep hygiene. Seven participants completed pre‑ and post‑intervention measures using the Brief Pain Inventory–Short Form and the Pain Self‑Efficacy Questionnaire. A paired samples t‑test assessed changes in pain severity, pain interference, and self‑efficacy. Results demonstrated a decrease in pain severity (t(6) = −3.96, …

Feasibility And Acceptability Of An Occupation‑Based Telehealth Intervention For Cancer Survivors: A Pilot Randomized Controlled Trial, Bernard A. Muriithi, Milan Bimali, Mario Schootman

Occupational Therapy Faculty Scholarship

Introduction

Cancer survivors frequently experience occupational performance challenges during early survivorship, and telehealth may offer a feasible approach to deliver interventions during this period.

Methods

This pilot randomized controlled trial included 17 adults in the first year following breast or prostate cancer diagnosis, assigned to the ActiveHeal Cancer Program (ACP) or a control group. ACP consisted of six 75‑minute occupation‑focused virtual group sessions and weekly follow‑up telephone calls delivered by occupational therapists over 12 weeks. Control participants attended three brief virtual meetings without therapeutic intervention. Feasibility and acceptability were assessed using validated measures, attendance, and completion rates. The exploratory outcomes …

Public And Self-Stigma Toward Mental Health Among Individuals Of Mexican Heritage, Mitzi Escalante

Theses & ETDs

There are rising concerns about social isolation and declining mental health that have prompted increased attention to the role of culture in shaping mental health experiences, particularly through stigma. Although prior research suggests that mental health stigma varies across and within cultural groups, limited work has focused specifically on Mexican American populations. The present study examined the relationship between Mexican American cultural values and both public stigma and self-stigma toward mental illness. Measures included the Mexican American Cultural Values Scale (MACVS), the Community Attitudes toward the Mentally Ill scale (CAMI) to measure public stigma, and the Internalized Stigma of Mental …

Issue 26: Labour, Poverty, And Health Concerns Of Migrant Women And Girls Working As Kayayei In Ghana's Urban Centres, Comfort Baidoo, Robert Mcleman

International Migration Research Centre

Over the past four decades, growing numbers of women and girls have left northern Ghana for the country's cities, drawn by the promise of work, independence, and a chance to support their families. Many end up as kayayei, head porters who carry goods through Accra's crowded markets for a negotiated fee. Their labour keeps the informal economy moving, yet it comes at a steep personal cost: unpredictable earnings, punishing physical strain, unsafe housing, and a healthcare system that too often leaves them out. This brief draws together the available evidence on the economic and health conditions of kayayei in Greater-Accra. …

Recover Well: Reducing Readmissions Through Nurse-Led Follow-Up After Urologic Surgery – A Quality Improvement Project, Candace Brigette Mike

Doctor of Nursing Practice Projects

Hospital readmissions within 30 days following urologic surgeries are often associated with catheter complications, infections, poor pain management, and limited patient understanding of discharge instructions and therefore represent a significant quality and safety concern for patients and institutions alike. The purpose of this quality improvement project was to evaluate whether implementing structured, nurse-led telephone follow-up in conjunction with standard discharge education reduced unplanned 30-day hospital readmissions among adult patients undergoing urologic surgery. Guided by the Logic Model framework, this project used a quasi-experimental, two-group pre- and post-intervention design to compare outcomes at a high-volume outpatient urology clinic in Houston, Texas. …

Modeling The Psychological And Technical Factors Influencing The Use Of Artificial Intelligence Tools Among Non-Native Arabic Learners: A Comparative Study In Egypt, Saudi Arabia, And Jordan., Mohammad Odeh, Alaa Al Din Musa, Ahmed Ragab Ali Ghalish, Montaser Adel Sayed Ahmed

All Works

This study aimed to develop a predictive longitudinal model of the psychological and technical factors influencing the use of artificial intelligence tools among non-native Arabic learners (international students) in three Arab countries: Egypt, the Kingdom of Saudi Arabia, and Jordan. The study adopted an extended Technology Acceptance Model (TAM) incorporating two psychological variables: trust in artificial intelligence and artificial intelligence anxiety. A quantitative longitudinal design with two time waves (T1 and T2) over a full academic semester was employed using Hierarchical Multiple Regression Analysis and PROCESS Macro for mediation. The sample consisted of 812 international students from public universities in …

Visually Guided Foraging In Virtual Worlds: Domain-General Properties Of Search Behaviour, Sarah Salo, Alastair Smith

School of Psychology

Everyday human behaviour involves economically driven search for visually relevant targets in complex three-dimensional environments. However, psychological research has typically examined visual search and foraging mechanisms separately, with insights into search emphasising attentional efficiency, and accounts of foraging highlighting decision-making and cognitive control. In order to more closely examine the interrelation between these processes in fully motile environmental search, we devised a novel virtual reality paradigm that required participants to physically explore a large-scale 3D environment and collect multiple visually defined targets. The search environment was organised in patches, with search arrays presented across multiple tables. In single feature search, …

Small But Mighty: How Can Pediatric Psychologists Harness The Power Of Digital Single-Session Interventions?, Christina Amaro, Alexandra Monzon, Melissa Alderfer, Kimberly Canter, Michael Amylon, Stephanie Fooks-Parker, Jessica Schleider, Susana Patton, Katie Devine

Department of Pediatrics Faculty Papers

OBJECTIVE: Single-session interventions (SSIs) are an innovative, scalable approach for addressing the unmet behavioral and mental health needs of pediatric patients and their families. Specifically, digital SSIs, which are self-guided and delivered online, offer a low-cost and accessible approach but are currently underutilized in pediatric psychology.

METHODS: This topical review aims to describe SSIs broadly and the specific need for digital SSIs, explore potential applications within pediatric psychology, outline future directions and considerations, and present two examples of community-engaged digital SSI design.

RESULTS: SSIs evidence small to medium effects across a range of mental health concerns, including distress, anxiety, and …

Knowledge, Physician Communication, And Psychological Predictors Of Willingness To Engage In Dementia Risk Reduction Across The Lifespan, Thomas Fisher

Dissertations

Dementia represents a growing global public health concern, with increasing evidence suggesting that a substantial portion of dementia risk may be attributable to modifiable lifestyle and health-related factors. However, relatively little is known about public knowledge of these risk factors, willingness to engage in dementia risk reducing behaviors, and psychological factors that may be associated with willingness. The present study examines these factors among adults living in the United States across the lifespan. Participants (N = 308) completed an anonymous online survey assessing dementia risk-factor knowledge, willingness to engage in dementia risk reducing behaviors, primary care provider communication regarding dementia …

The Weight We Carry: An Arts-Based Narrative Screenplay Of Academically Successful African American Male Students, Freddie Mcgee

Dissertations

The purpose of this study was to examine, understand, and creatively represent the stories of African American male college students from low-income backgrounds who were raised by single parents and were academically successful. Guided by the overarching research question — What are the stories of academically successful African American male college students from lowincome homes who single parents raised? — The study sought to understand how participants navigated institutional racism and systemic barriers while achieving academic success, and how they resisted deficit-based stereotypes and expectations in higher education.

This study employed a critical, arts-based, qualitative narrative inquiry approach grounded in …

Black Adolescents' Understanding Of Racial Trauma: An Interpretive Phenomenological Analysis, Winifred Wilson

Dissertations

Over the past two decades, scholars have increasingly recognized that chronic stress from racism can cause racial trauma in Black individuals. However, research on the impact of racial trauma on Black adolescents remains limited. Understanding the language and experiences of Black adolescents is essential for identifying and addressing the biopsychosocial effects of racial trauma. This study used interpretive phenomenological analysis to examine how 12 Black adolescents (9 boys, 3 girls, aged 14-17) from the Midwest conceptualize, experience, and cope with racial trauma. Participants completed two interviews: an initial session exploring their understanding and experiences, and a member-checking interview (completed by …

Analysis Of A Process-Based Approach To Case Formulation And Treatment With Acceptance And Commitment Therapy, Callum Smith

Dissertations

Process-Based Therapy (PBT) is a novel approach to clinical research and practice. PBT is proposed as an alternative model to classic diagnostic frameworks. It emphasizes conceptualizing psychological problems through adaptive and maladaptive processes of change. The aim of current PBT research is to develop reliable methods of organizing change processes into network models. In network models, change processes are presented in nodes connected by lines and arrows to represent the interacting relationships between those processes for a given individual. The present project aims to evaluate the inter-rater reliability and predictive validity of a novel semi-structured interview method to aid in …

A Qualitative Study Of Immigration Trauma, Posttraumatic Growth, And The College Experience Among Mena Immigrant Students, Braa A. Elkhidir

Dissertations

Middle Eastern and North African (MENA) immigrant students who are seeking to earn a higher education in the United States have to navigate acculturative stressors and systemic barriers. Prior research has focused primarily on the challenges MENA immigrant students experience without deeply exploring how these students adapt and grow. The focus in this qualitative study was to understand how MENA immigrant college students experience and make meaning of their academic journeys. Semi-structured interviews were used to explore the academic experiences of seven MENA immigrant college students in the United States and assess how acculturative stressors, personal strengths, coping strategies, and …

Love’S Dialects: Proposed Additions In Emotionally Focused Therapy For Intercultural Couples, Nicola Heurich

Dissertations

Intercultural romantic relationships have become an increasingly prominent feature of contemporary society due to globalization, migration, and cross-cultural exchange (Livingston & Brown, 2017). However, these partnerships are also associated with elevated levels of relational distress and higher rates of conflict, separation, and divorce, underscoring the need for culturally responsive approaches in couple therapy (Bustamante et al., 2011; Genç & Su, 2021).

Research on intercultural couples remains limited both within and beyond Emotionally Focused Therapy (EFT), and despite increased recognition of cultural factors, there is still insufficient guidance on navigating differing cultural contexts within a dyad (Linhof & Allan, 2018).

The …