Digital Commons Network^™

Identifying Bio-Behavioural Signatures Of Persistent Opioid Use Risk In Trauma Injury Patients: A Protocol For A Prospective Cohort Study, Joy M Schmitz, Jin Ho Yoon, Bruno Kluwe-Schiavon, John A Harvin, Preethi H Gunaratne, Darrion Mouton, Kandice Motley, Erin E Fox, Jessica Vincent, Megan Tarbet, Consuelo Walss-Bass

Faculty, Staff and Student Publications

Introduction: Exposure to prescription opioids following traumatic injury can increase the risk of developing tolerance, persistent opioid use and opioid use disorder. The mechanisms underlying opioid tolerance or dependence are not well understood, and no biomarkers predict risk. Opioid exposure causes epigenetic modifications, including alterations in microRNA (miRNA) expression. Several miRNAs, which regulate synaptic plasticity, are hypothesised to underlie substance use disorders and influence µ-opioid receptor levels, modulating opioid tolerance. This project aims to develop a bio-behavioural signature to predict persistent opioid use and chronic pain up to 6 months post-discharge.

Methods and analysis: The study will use a prospective …

An Evolutionary Preamble Towards A Multilevel Framework To Understand Adolescent Mental Health: An International Delphi Study, Federica Sancassiani, Vanessa Barrui, Fabrizio Bert, Sara Carucci, Fatma Charfi, Giulia Cossu, Arne Holte, Jutta Lindert, Simone Marchini, Alessandra Perra, Samantha Pinna, Antonio Egidio Nardi, Alessandra Scano, Cesar A Soutullo, Massimo Tusconi, Diego Primavera

Faculty, Staff and Student Publications

Background/objectives: Adolescence is a sensitive developmental window shaped by both vulnerabilities and adaptive potential. From an evolutionary standpoint, mental health difficulties in this period may represent functional responses to environmental stressors rather than mere dysfunctions. Despite increasing interest, integrative models capturing the dynamic interplay of risk and protective factors in adolescent mental health remain limited. This study presents a holistic, multi-level framework grounded in ecological and evolutionary theories to improve understanding and intervention strategies.

Methods: A two-round Delphi method was used to develop and validate the framework. Twelve experts in adolescent mental health evaluated a preliminary draft derived from the …

Fathers' Racial Differences In Perceived Workplace-Induced Stereotype Threat: Impacts On Sense Of Belonging, Job Satisfaction, And Turnover, Frances Evalyne Kealiimahiaiokalani Hampton

Dissertations and Theses

Black fathers (BFs) face unique workplace challenges due to racialized and gendered stereotypes that undermine their legitimacy as men, workers, and parents. Drawing on Stereotype Threat Theory (STT) and Stereotype Embodiment Theory (SET), this study examined how workplace-induced stereotype threat (WIST) affects BFs' job attitudes and turnover intentions (TIs). I hypothesized that BFs would report higher WIST than White fathers (WFs), and that WIST would mediate the effects of race-related perceptions on job satisfaction (JS), sense of belonging (SOB), and TIs. In addition, perceived organizational support (POS) was tested as a moderator on the relationships between WIST and these job-related …

Adverse And Positive Childhood Experiences Affect General Health In Asian American Emerging Adults, Wenyi Chen, Chakra Budhathoki, Maichou Lor, Deborah Gross

International Nursing Research Congress (INRC)

Background: Positive childhood experiences (PCEs) are safe, stable, and nurturing relationships and environments in childhood.1 Both PCEs and adverse childhood experiences (ACEs) are common and can co-occur. Empirical studies have shown that PCEs not only buffer the negative effects of ACEs,2, 3, 4 but also positively impact physical and mental health outcomes independent of ACEs.5, 6, 7, 8 However, few studies have simultaneously examined the influence of ACEs and PCEs in Asian American populations. This study examined the association between ACEs and general health and assessed whether PCEs moderated this association among Asian American emerging adults from diverse backgrounds. …

Opportunities In Emergency Preparedness Through Community Partnerships, Katie Hooven

International Nursing Research Congress (INRC)

The two-part project was primarily focused on expanding disaster management and emergency preparedness learning experiences in our nursing courses by partnering with our local community agencies.

To diversify our student experience and work within our local community we established a mutually beneficial partnership to create an opportunity to expose students to emergency management and disaster preparedness. We asked the local County Medical Reserve Corporation Coordinator to partner with us to offer their eight required training courses which would allow interested sophomore students to become MRC members. The national MRC organization developed the MRC Core Competencies as a guide for training …

Three-Month Trajectories And Key Factors Of Preventive Treatment Efficacy In Patients With Migraine, Ming Jung Tsai, Yen-Feng Wang, Shuu-Jiun Wang, Yu-Chi Chen

International Nursing Research Congress (INRC)

1. Purpose: The primary aim of this study is to explore the trajectories of monthly headache days (MHDs) among patients with migraine over a three-month period following preventive treatment. The secondary aim is to identify key factors that influence these trajectories, providing insights for effective nursing interventions that emphasize health promotion and chronic disease prevention to alleviate the chronic burden of migraine.

2. Methods: A prospective cohort study was conducted at a neurology outpatient clinic in Taiwan, involving 132 migraine patients, of whom 116 completed the 3-month follow-up. Nursing assessments included evaluations of personality traits, sleep quality, anxiety, depression, and …

Effects Of A Peer-Facilitated, Recovery-Focused Illness Self-Care Program For Early-Stage Psychosis, Wai Tong Chien, Richard Gray

International Nursing Research Congress (INRC)

This assessor-blinded, multicenter randomized controlled trial aimed to examine the effectiveness of a peer-facilitated, recovery-focused self-management of Psychosis (PRSP) program supported by a psychiatric nurse (case manager) in improving recovery, mental state, problem-solving ability and other health outcomes of adults with early-stage psychosis over an 18-month follow-up (at immediately and 9 and 18 months post-intervention). The effects of the PRSP were compared with a nurse-led psychoeducation and a usual care group.

198 Chinese patients with early-stage psychosis randomly selected from 4 Community Centers for Mental Wellness (Feb-Aug 2023) and randomly assigned into 1 of the 3 study groups (PRSP, psychoeducation …

Effects Of A Communication Intervention On Nursing Home Quality Indicators, Kristine Williams, Clarissa Shaw, Maria Hein, Yelena Perkhounkova, Carissa Coleman, Frances M. Yang, Maria Roche-Dean

International Nursing Research Congress (INRC)

There is a critical need to improve quality of care in long term service and support settings (LTSS).1 Elderspeak communication is linked to behavioral and psychological symptom responses (BPSD) in nursing home (NH) residents with dementia.2 The Changing Talk (CHAT) intervention improved staff communication and reduced resident BPSD in NH care.3,4 To evaluate effects of the CHAT intervention, we compared NH-level quality measures before and after participation in intervention and control groups. Aggregate minimum data set data was extracted for the quarter before and after NHs participated as intervention or no-treatment controls in years 1 and 2 of the CHATO …

Development Of A Cancer Rehabilitation Programme For Women Treated For Gynecological Cancer, Ka Ming Chow, Carmen W. H. Chan, Alexandra Mccarthy, Jiemin Zhu, Kai Chow Choi, Alice W. Y. Leung

International Nursing Research Congress (INRC)

Introduction: Gynaecological cancer (GC) is the second most common cancer worldwide.1 While incidence is rising, advances in cancer diagnosis and treatment mean more women with GC now live longer lives. Cancer rehabilitation has been recommended for people treated for cancer to facilitate their recovery. Women treated for GC report a strong desire for supportive care to motivate them to make the changes necessary to reduce their risk and promote their health post-treatment.2 However, no structured rehabilitation and supportive programme tailored for women treated for GC is available.

Methods: A multimodal cancer rehabilitation programme (MRCI) was developed based on Level I-II …

Factors Impacting Nurse Perception Of Professional Development In A Saudi Arabian Health Organization, Joanne Lee London

International Nursing Research Congress (INRC)

Nursing Professional development is an essential enabler for nursing professional practice and career trajectory. Empirical evidence supports nurses and health care organizations commitment to professional development is intrinsic to the high quality safe patient care.

The study aim to explore perceptions of Registered Nurses regarding professional development.

A qualitative methodology, conducted in the Cardiology Clinic of a tertiary referral hospital with Magnet re-designation, in Riyadh Saudi Arabia.

Five registered nurses with novice to expert nursing experience were purposively sampled. Two focus groups were conducted, which were audio recorded and transcribed verbatim. Academic rigor was ensured through the principles of trustworthiness. …

An Analysis Of Psychological Capital And Influencing Factors Among Disaster Care Reservists, Qianmei Zhong

International Nursing Research Congress (INRC)

Introduction: In recent years, with frequent occurrence of public health emergencies, various infectious diseases and natural disasters have placed a prominent burden on global public health and healthcare systems, especially on healthcare workers. This study aimed to investigate the current state of psychological capital among disaster care reservists and the factors influencing it.

Methods: Between January and February 2024, 330 members of the disaster nursing reserve team from four tertiary general hospitals in Mianyang, China, were surveyed using the STAR questionnaire to obtain information on general demographics, psychological capital, and job burnout.

Results: The total score of psychological capital was …

Mapping Key Components Of Substance Use Disorder Stigma Awareness Education: A Scoping Review, Marianne Adam, Erin Kitt-Lewis, Kat Phillips

International Nursing Research Congress (INRC)

The substance use epidemic is the latest wave in a series of global substance use related public health crises (Mania et al., 2021; Jemberie et al., 2020). A fundamental cause of health inequities, stigma impacts the development of substance use disorder (SUD), undermines treatment efforts, and drives disparities within these crises (Earnshaw, 2020; Nyblade et al., 2019; Carrara et al., 2021). Stigma awareness education is an essential component to prepare nurses and healthcare providers who care for people with SUD. However, the types and quality of stigma awareness educational programs is not well documented in the literature. The purpose of …

Comparative Effectiveness Of Psychotherapies For Ptsd In Adults: A Network Meta-Analysis, Kuei-Ru Chou, Ninik Yunitri

International Nursing Research Congress (INRC)

Purpose: The long-term comparative effectiveness of psychotherapies for adults with posttraumatic stress disorder (PTSD) remains unclear. We conducted a network meta-analysis (NMA) to evaluate the effectiveness of various psychotherapies for adults with PTSD using randomized controlled trials (RCTs) and long-term follow-up measurements to extend existing evidence.

Methods: A comprehensive search was performed in the Cochrane Library, Embase, Medline-OVID, PubMed, Scopus, and PsycInfo databases, including studies on the effectiveness of psychotherapies—cognitive processing therapy (CPT), cognitive therapy (CT), eye movement desensitization and reprocessing (EMDR), narrative exposure therapy (NET), prolonged exposure (PE), cognitive behavioral therapy (CBT), present-centered therapy (PCT), brief eclectic psychotherapies (BEP), …

Signs And Symptoms Of Cyber Victimization And Risky Online Behaviors: An Integrative Review, J'Andra L. Antisdel

International Nursing Research Congress (INRC)

The purpose of this integrative review is to describe latent or covert signals of cyber victimization and risky online behaviors in teens, given the increasing prevalence and severity of these issues. With the rapid growth of internet and social media use among teens, exposure to cyber victimization has become a significant concern, with estimates indicating that up to 61% of teens have experienced some form of cyber victimization.1 The reciprocal relationship between risky online behaviors and cyber victimization further complicates this issue, as these behaviors can both result from and contribute to victimization.2–6 This review was guided by Whittemore and …

An Assessment Of Transformations In American And Canadian Women Homesteaders In The Mid-Nineteenth To Early Twentieth Century Wests, Rachel Albinson

The Ozark Historical Review

Every woman’s western experience was not the same, regardless of whether they were from the United States or Canada. Therefore, the various physical, social and psychological transformations of each woman who made the journey west cannot be grouped into one generalization. Yet a great deal can be said for the amount of women who did and did not experience such significant changes during the rough journey westward, changes that are determined by the differences in each woman’s attitude and behavior prior to and after their arrival in the western regions of North America.

Can Play Support Language Development In The Education Of Young Children With Autism Spectrum Disorder?: An Hlm Meta-Analytic Investigation, Gregory V. Boerio Edd, Karen H. Larwin

Journal of Organizational & Educational Leadership

The purpose of the current investigation is to analyze existing research examining the impact of play therapy on the development of language skills in young children with autism spectrum disorder (ASD). As rates of ASD diagnoses continue to increase, families and educators are faced with making critical decisions regarding the selection and implementation of evidence-based practices or therapies, including play-based interventions, to support the developing child as early as 18 months of age. The following study investigates whether play-based interventions should be considered as effective means of increasing language development in young children with ASD. The study examines specific moderators …

The Sacrifice Gap: Examining The Influence Of Family Expectations And Institutional Barriers Impacting Women's Leadership In Higher Education, Tara K. Shollenberger

Journal of Organizational & Educational Leadership

Despite constituting the majority of mid-level academic professionals and outpacing men in educational attainment, women remain significantly underrepresented in senior leadership roles across higher education. This mixed-methods (n=20) study explores the “sacrifice gap”-the disproportionate personal, professional, and economic costs women bear to reach leadership positions-by centering the lived experiences of women leaders navigating the intersection of family expectations, institutional barriers, and identity-based discrimination. Quantitative survey data from women in higher education leadership reveal that caregiving roles such as motherhood, partnership, and household management are perceived as moderate but persistent hindrances to career advancement, with these roles functioning as interconnected, systemic …

Framework Integration In Academia: Moving From Theory To Practice, Lori B. Doyle, Kara S. Bratton, Timothy Young, Catherine Webb, Cari A. Chittick, Heather L. Vezner, Rebecca A. Stanton, Tanya M. Tarbutton

Journal of Organizational & Educational Leadership

Character education has been a point of focus and research in K-12 education dating back to the 1990s. The work of integrating a character-forward framework in higher education is now considered a beneficial and impactful practice. One university has successfully completed the initial work of integrating a servant leadership framework in the School of Education using an approach in line with the community of practice model. The authors of this paper work together and have each played a key role in not only the early stages but the ongoing phases associated with maintaining and improving. This theory-to-practice article begins with …

A Dutch Translation And Multidimensional Structure Of The Adjustment Scales For Early Transition In Schooling, Robert Hamerslag, Ron Oostdam, Ruben Fukkink, Louis Tavecchio, Paul A. Mcdermott, Zoey Kim

Archives of Assessment Psychology

This study introduces and applies the Dutch translation of the Adjustment Scales for Early Transition in Schooling (ASETS), assessed in 323 kindergarten children across 30 regular schools in the Netherlands. Culturally-tailored, context-informed assessments are essential to address childhood adaptation challenges in early schooling. Starting with a professional translation and back-translation of the ASETS by a translation bureau, a panel of kindergarten teachers critically reviewed the translated items. They ensured reliability, contextual accuracy, and addressed nuances in Dutch school terminology, bridging cultural differences between U.S. and Dutch educational settings. The analysis included Exploratory Factor Analysis, revealing three behavioral problem categories: Aggressive/Oppositional, …

Student Newsletter Fall 2025, University Of Missouri-St. Louis Libraries

Library Publications

No abstract provided.

Navigating Grief In The Digital Age: A Phenomenological Study Of Young Widows Using Instagram For Support And Connection, Mariah Jasmine Sandoval

Walden Dissertations and Doctoral Studies

This qualitative phenomenological study explored the lived experiences of young widows who use Instagram for grief support following the death of a spouse. Young widows often face disenfranchised grief and limited access to traditional support systems, which can impede emotional processing and identity reconstruction. Grounded in Continuing Bonds Theory, which posits that ongoing connections with the deceased can be adaptive, the study examined how Instagram facilitates or complicates grief by enabling emotional expression, maintaining bonds, and fostering engagement with a community of shared loss. The central research question asked: How do young widows describe their experiences using Instagram for grief …

The Force Of Resilience: Exploration Of Correlations Between Generational Differences In Occupational Resilience And Turnover Intentions Among Active United States Law Enforcement Personnel, Kaylin Elizabeth Switzer

Walden Dissertations and Doctoral Studies

Law enforcement agencies across the United States are facing critical challenges with the recruitment and retention of officers. This study examined whether differences existed in occupational resilience and turnover intentions across generations of active law enforcement personnel, and whether resilience levels were correlated with turnover intentions. A quantitative, cross-sectional design was used to collect data via an online survey that included the Predictive 6-Factor Resilience Scale and the Expanded Multidimensional Turnover Intentions Scale. The sample consisted of 241 active members of law enforcement. There were two one-way ANOVA tests conducted to assess generational differences in resilience and turnover intention scores, …

College Of Education And Human Services Welcomes Dr. Ethan Potter, Lindenwood University

Archived Lindenwood Press Releases

No abstract provided.

Curriculum Minutes 09/04/2025, Curriculum Committee

Curriculum Committee Minutes

No abstract provided.

Ole Miss Students Gain Global Experience In East Asia, Marisa C. Atkinson

University of Mississippi News

OXFORD, Miss. – Several University of Mississippi students spent their summer experiencing everyday life in East Asia as they got real-world experience as interns for companies across the region.

The Development Of The Assessment Of Self-Care (Asc), Ashley R. Righetti

Clinical Psychology Dissertations

Self-care is a topic that has piqued the interest of researchers in recent years with much of the focus being on specific subsets of the population such as helping professions and those with chronic conditions. This trend has been consistent when it comes to the development of measures intended to evaluate people’s self-care practices. Designed with Butler and colleagues’ (2019) self-care model in mind, the Assessment of Self-Care (ASC) was developed to broadly assess self-care practices in the general U.S. adult population. This study discusses the development and initial validation of the ASC. After the item generation phase, exploratory factor …

Families Experiencing Domestic Violence Related Homelessness, Brittany Miller

Walden Dissertations and Doctoral Studies

Homelessness in the United States remains a persistent issue despite legislative efforts to address it. Single parents navigating homelessness encounter unique challenges in accessing stable housing and essential services, with domestic violence often serving as a significant contributory factor. The purpose of this qualitative study was to explore the perceptions of practitioners regarding the needs of single parents navigating domestic violence-related homelessness. The empowerment theory provided the framework for this study, and data were obtained from focus groups with leaders and administrators who work in the areas of homelessness, economic security, and family violence. The study’s findings revealed significant gaps …

Staff Education On Nonpharmacological Strategies To Reduce Restraint Use., Abigail Addo

Walden Dissertations and Doctoral Studies

Summary This Doctor of Nursing Practice (DNP) staff education project aimed to reduce the use of physical restraints in hospitalized psychiatric patients by training clinical staff in nonpharmacological strategies, specifically active listening and handholding. Despite regulatory guidelines and ethical concerns, physical restraint remains a common practice in acute care settings, often resulting in physical harm, psychological trauma, and a breakdown in the therapeutic relationship. The practice-focused question guiding the project was: How does education on nonpharmacological strategies impact a change in knowledge and attitudes to promote the reduction of restraint use among hospitalized patients exhibiting psychiatric symptoms? Thirty-one staff members …

Kenyon Collegian - September 4, 2025

The Kenyon Collegian

No abstract provided.

Experiences Of Immigrant Adults About English As A Second Language Classes With Instructors Who Do Not Speak Learners’ Languages, Gatluak Pal

Walden Dissertations and Doctoral Studies

The problem addressed in this study was the lack of research on the experiences of adult immigrant English language (EL) learners regarding their engagement in college-level English as a second language (ESL) courses with instructors who do not speak the learners’ native language. Researchers have reported that EL-learning immigrant adults are not actively engaging in their learning process. The purpose of this basic qualitative study was to investigate the experiences of EL-learning adult immigrants regarding their engagement in ESL college classes with instructors who do not speak the native language of their learners. A basic qualitative study was conducted using …