Digital Commons Network^™

Widowhood, Health, And Depression: Intergenerational Relationships, Social Support, And Psychological Well-Being Among Korean Older Adults, Yooumi Lee

Dissertations - ALL

This dissertation focuses on Korean older adults and their experiences with widowhood and health issues in later life. Specifically, it examines the associations between stressful life events, such as recent widowhood and poor health, and depressive symptoms. It then further explores if intergenerational relationships and social support mediate the distressing consequences of these stressful life events. Using longitudinal data from 2006 to 2020 Korean Longitudinal Study of Aging, this study estimates residualized change Ordinary Least Squares (OLS) regression models predicting depression at Tw as a function of depression at Tw-1 and other covariates among individuals who are 60 or older …

Exploring The Mediating Role Of Autonomous Motivation Between Basic Psychological Needs And Burnout Among Counselors-In-Training, Meredith Si Snieckus

Dissertations - ALL

Burnout is a pressing concern among counselors-in-training (CITs), threatening not only their well-being but also the quality of services they provide. Guided by Self-Determination Theory (SDT; Deci & Ryan, 2000; Ryan & Deci, 2017), this study investigated the relationships among basic psychological needs satisfaction (BPNS), autonomous motivation (AM), and burnout in a national sample of CITs enrolled in Council for Accreditation of Counseling and Related Educational Programs (CACREP) accredited counseling programs. Specifically, it examined whether AM mediates the relationship between BPNS and the three dimensions of burnout, emotional exhaustion (EE), depersonalization (DP), and diminished personal accomplishment (DPA), as conceptualized by …

Government Policies Influencing The Retainment Of Civil Engineers In Guyana's Public Sector, Gracelyn George

Walden Dissertations and Doctoral Studies

The low retention of civil engineers in Guyana’s public sector has impeded the execution of needed infrastructure projects in the country. The literature reviewed highlighted that there continued to be questions regarding why people leave engineering jobs. Moreover, there was a limited understanding of what societal attributes influenced the problem, while there continued to be a growing demand for civil engineers. The literature specific to government policies influencing the retention of civil engineers in the public sector was lacking, presenting an opportunity to expand the application of the policy feedback theory, which provided a lens for examining retention measures in …

The Residual Impact Of Slavery On How Enslaved Black Females Defined And Made Meaning Of Sexual Violence: A Content Analysis, Suzanne R. Bates

Dissertations

Thompson-Miller & Picca (2016) and Feimster (2023) argued that enslaved African American women, and even free African Americans after the Civil War were victims of non-consensual sexual activity and rape. The NISVS report revealed that before the age of 18 years old, 35.5% of African American women experienced contact sexual violence, 29.5% experienced non-contact unwanted sexual encounters, and 20.7% experienced rape (Basile et al., 2022). Researchers of slave scholarship have made the case for the importance of including discourse on slavery and enslaved Black females’ experiences when discussing present day sexual violence among Black women in the US today (Balfour, …

Exploring The Dynamics Of Online Engagement: A Social Exchange Theory Approach To The Baking Industry’S Use Of Social Media, Abagail Sweeney

Theses - ALL

This study investigates how organizations in the baking industry use social media to engage with consumers. Social Exchange Theory was applied to understand the dynamics in online interactions. A content analysis of the social media accounts for Insomnia Cookies, Lady M and Cake Bar was done for the months of January 2024 through March 2024. The platforms analyzed were Facebook, Instagram, X, TikTok and YouTube. Engagement was measured through likes, comments, shares and sentiment analysis. Post type was also observed to see what the users engaged with the most. The findings revealed that the number of active platforms did not …

Roles Of Sex And Education Level With Alcohol Use Milestone Attainment And Progression, Elisabeth P. Cabot

Theses - ALL

Emerging adults report the highest rates of alcohol use, with drinking patterns varying by sex and education level. Few studies have explored how these factors relate to the attainment and progression of alcohol use milestones. The current study addresses this gap by examining the associations between sex, education level and alcohol use milestone progression and attainment in emerging adults. Secondary data analyses were conducted using National Epidemiological Survey on Alcohol and Related Conditions-III (NESARC-III) data (N = 36,309, Mage = 45.63 [SD = 17.53], female = 56%, 53% White, 21% Black, 19% Hispanic and 2% Multiracial). Ordinal regressions indicated males …

Crime Prevention Professionals’ Perspectives On Using Cpted To Mitigate Targeted Violence On K-12 School Campuses, Bridgit C. Didier

Walden Dissertations and Doctoral Studies

Targeted violence in K-12 schools across the United States is a serious concern. These incidents not only endanger students and staff, but also cause lasting trauma and erode trust in schools. While existing measures may deter some violence, questions remain regarding their overall effectiveness. This study involved exploring perspectives of crime prevention experts on using Crime Prevention Through Environmental Design (CPTED) strategies to mitigate violence in K-12 schools. Although CPTED is recognized as effective in terms of reducing crime, research on its use in schools, especially from the perspective of crime prevention professionals, is limited. This generic qualitative study involved …

The Status Of Agritourism In Bosnia And Herzegovina, Nerma Čolaković-Prguda, Jasna Hasanbegović, Irma Đidelija Čolaković, Lejla Škaljić, Nuray Demi̇r

Turkish Journal of Agriculture and Forestry

Agritourism in Bosnia and Herzegovina has a lot of potential benefit for economic growth and sustainable development in rural regions, as it incorporates local culture and natural beauty into the tourism offerings of the region. Tourism creates opportunities to diversify the economy, retain traditions, improve local income, and protect natural resources. This study covered Međugorje, Ilijaš, Rostovo, Vlašić, Bosanska Krupa, Neum, Olovo, Gornji Vakuf, Sarajevo, and Donji Vakuf. Agritourism can provide authentic experiences like learning about traditional agriculture, fruit harvesting, tasting local products, and environmental preservation in destinations like Međugorje and Neum. Ilijaš and Gornji Vakuf have potential in organic …

Newhouse Impact Magazine 2025, Newhouse School

Newhouse Impact Magazine

Showcasing the research and creative work of faculty, staff and students at the Newhouse School

Are You Watching People Via Social Media?, Linlin Wang

Theses - ALL

This study examines why Chinese Generation Z surveil non-intimate acquaintances on social media. Drawing on surveillance theory, social comparison orientation, fear of missing out (FoMO), communication privacy management, and platform affordances, this study proposes a "social comparison orientation → FoMO → surveillance" model. The study employed a sequential mixed methodology. In the first phase, 129 respondents aged 18 to 28 completed a survey validating these pathways. In the second phase, 21 high-monitoring participants were interviewed. The results indicate that social comparison, influenced by the unique "social clock" in Chinese society and the information exposure of online spaces like panopticon, can …

Perceptions Of Pain And Benzodiazepine Use Interrelations: A Qualitative Study, Emma Carnes Lape

Dissertations - ALL

Growing concern and research attention have focused on potential harms associated with widespread use of benzodiazepine (BZD) medications. Individuals with chronic pain bear a disproportionate burden, characterized by higher rates of BZD prescriptions, longer-term use, and increased dependence compared to the general population. Although theory and emerging evidence suggest that pain may play a role in the maintenance of BZD use, there is no extant data describing how individuals perceive interrelations between their pain and BZD use. The aims of the present study were to conduct a thematic analysis of interview data regarding perceptions of interrelationships between pain and BZD …

Asian/Asian American College Students’ Help-Seeking Attitudes For Adhd, Nandini Jhawar

Dissertations - ALL

Background: Asian/Asian American (AA) college students are least likely to engage with ADHD treatment compared to other racially minoritized groups, which may increase their risk for negative outcomes from untreated ADHD symptoms. Public stigma of ADHD contributes to these negative help-seeking attitudes. This study used the minority stress theory to examine if the distal and proximal stress of internalization of the model minority myth, a racial stereotype, influences the relationship between public stigma and help-seeking attitudes. Methods: Participants were undergraduate students recruited from nine geographically diverse universities in the United States. Data was collected over two academic years and included …

Bridging Gaps In Stem: An Evaluation Of A Stem Intervention Program And Its Impact On Degree Attainment And Career Pathways For Low-Income Undergraduate Students, Amanda L. Surman

Dissertations - ALL

Persistent disparities in Science, Technology, Engineering, and Mathematics (STEM) degree completion and career attainment continue to disadvantage students from low-income, firstgeneration, and underrepresented racial and ethnic backgrounds, despite sustained national efforts to diversify the STEM workforce. STEM Intervention Programs (SIPs) have emerged as promising strategies to address these inequities, yet limitations in SIP evaluation literature including the lack of comparison groups, limited longitudinal data, and minimal attention to psychosocial outcomes impede our understanding of their long-term impact. This dissertation uses a mixed-methods, three-project design to evaluate the Strategic Undergraduate STEM Talent Acceleration INitiative (SUSTAIN), a comprehensive SIP at a private, …

Subclinical Cardiometabolic Disease Risk In Adults With Autonomic Nervous System Dysfunction, Alaina Glasgow

Dissertations - ALL

Autonomic dysfunction (AD) is a precursor for cardiometabolic disease development; however, identifying AD and its associated risks presents significant challenges due to multi-system dysregulation and diverse symptom presentation. We examined subclinical cardiometabolic disease risk in AD and the utility of simple autonomic symptom assessments to identify subclinical disease risk. Study 1 thematically explored potential associations linking Postural Orthostatic Tachycardia Syndrome (POTS) to cardiometabolic disease risk. Neuropathic and hyperadrenergic POTS phenotypes may be related to metabolic dysregulation through autonomic neuropathy, sympathetic activity, inflammation, insulin resistance, and elevated vasoactive gut hormones. Study 2 investigated subclinical cardiovascular disease risk in POTS and whether …

Mobility At The Margins: Insights Into Gender, Class And Climate Change In Islamabad's Transit Spaces, Shanel Khaliq

Dissertations - ALL

This dissertation sets out to explore how the urban built environment- particularly public transport infrastructure- shapes class, gender and climate inequality in Islamabad, Pakistan. I tried to understand this issue by using mixed methods, primarily consisting of semi-structured in depth interviews, supplemented by ethnographic fieldwork and a brief consultation of english-language newspaper archives. I conducted 95 interviews in total, and clocked in around 80 hours moving around the city and engaging in a mobile ethnography. The first empirical question that I asked relates to the state and urban transportation planning. I wanted to understand what assumptions regarding class-based, gender-based and …

Essays On The Health And Labor Market Effects Of Menopause And Menopause Hormone Therapy, Lucia Elvira Torres Frasele

Dissertations - ALL

This dissertation explores how menopause and its medical management affect women’s health and labor market outcomes. Despite the centrality of reproductive transitions in the life course of women, economic research has largely ignored menopause, a biologically and socially significant milestone marking the end of fertility. This omission is surprising, given well-established medical evidence that links menopause to increased risks of health conditions that may impair the ability to work. The dissertation addresses this gap through two chapters that examine the causal impact of menopause and Menopause Hormone Therapy (MHT) on health and labor supply using two distinct empirical strategies. The …

Distributed Sovereignty: Law, Community, And Authority In The Political Theories Of Al-Māwardī, Al-Juwaynī, And Al-Fārābī, Ahmet Çelik

Dissertations - ALL

ABSTRACT This dissertation examines the concept of sovereignty in classical Islamic political thought through a comparative analysis of three major thinkers—al-Māwardī (d. 450/1058), al-Juwaynī (d. 478/1085), and al-Fārābī (d. 339/950)—each representing a distinct epistemic tradition: jurisprudence (fiqh), speculative theology (kalām), and philosophy (falsafa). Employing a conceptual and textual methodology, the study reconstructs a theory of distributed sovereignty in Islamic thought, in which political authority is not centralized in a singular sovereign but dispersed across three interrelated domains: legitimate authority, lawgiving, and governance. Drawing on primary texts—including al-Aḥkām al-Sulṭāniyya, Tashīl al-Naẓar, Ghiyāth al-Umam, al-Madīna al-Fāḍila, al-Siyāsa al-Madanīyya, Kitāb al-Milla, and Iḥṣāʾ …

Race, Space, Taste In The Postwar U.S.: Three Independent Studies On Urban Restaurants In Syracuse, New York, Huseyin Zeyd Koytak

Dissertations - ALL

This dissertation examines how racial inequality shapes the survival, visibility, and strategic adaptation of restaurants in postwar Syracuse, New York. It investigates how commercial food spaces reflect, reinforce, and negotiate racialized patterns of urban development, consumer taste, and economic opportunity. Drawing on longitudinal business and demographic data, a computational content analysis of online restaurant reviews, and original interviews with immigrant restaurateurs, the study integrates quantitative, computational, and qualitative methods to illuminate how race and space co-produce outcomes in the urban food economy. The first empirical chapter shows that Black-majority neighborhoods face higher commercial volatility and shorter restaurant survival, while white-majority …

Leveraging Artificial Intelligence (Ai) For Competency-Based Course Design: A Quality Improvement Project In Nursing Education, Lesslie Bull

Doctor of Nursing Practice Projects

This quality improvement project addressed inefficient, manual course design processes contributing to faculty workload and declining National Council Licensure Examination (NCLEX) pass rates at a rural Texas university’s baccalaureate nursing program. Guided by the Roy Adaptation Model and the Plan-Do-Study-Act framework, the project evaluated the effect of integrating artificial intelligence (AI) tools on faculty perceptions of technology adoption, specifically perceived usefulness (PU), perceived ease of use (PEOU), and behavioral intention (BI). Using a quasi-experimental pre-/post-intervention design, twelve faculty members completed a one-hour, evidence-based training using the Generative AI for Instructional Development and Education (GAIDE) framework, and eight faculty participated in …

An Examination Of Student Adherence And Intervention Complexity Within A Class-Wide Cover-Copy-Compare Intervention, Kaytlin Ann Nelson

Dissertations - ALL

Cover-Copy-Compare is a self-management intervention strategy developed to improve students’ academic performance, particularly in spelling. In academic intervention research, it is often assumed that students are completing the intervention as intended, yet this is seldom examined during intervention implementation or subsequent data analysis. The purpose of the present study was to extend the empirical literature on students’ intervention adherence by examining Cover-Copy-Compare permanent products to assess whether the complexity of the intervention (i.e., targeting six versus nine spelling words) contributed to a student’s ability to adhere to core intervention components. For the purposes of the present study, data from one …

Barriers And Enablers Of Early Health-Seeking Behaviour Among Women With Preeclampsia And Eclampsia: A Qualitative Study At A National Referral Hospital In Uganda, Shirley Moore, Martha Sajatovic

Faculty Scholarship

Background: Globally, 2–8% of women experience hypertensive disorders in pregnancy (HDPs), including preeclampsia and eclampsia, which are the second leading cause of maternal mortality and morbidity. According to the management protocol for preeclampsia in Uganda, weekly follow-up is recommended for women with preeclampsia without severe features who are below 37weeks of gestation; however, this has not been feasible to most cases of preeclampsia/eclampsia (PE/E). There is still limited information describing barriers and enablers of early health-seeking behaviour amongst women with PE/E, yet this is needed to improve their healthcare. This study explored the barriers and enablers of early health-seeking behaviour …

Factors Associated With Adolescents' Self-Efficacy To Meet With Their Health Care Provider Alone, Albert C Hergenroeder, Blanca Sanchez-Fournier, Cassandra Enzler, Mary Majumder, Beth H Garland, Constance M Wiemann

Center for Medical Ethics and Health Policy Staff Publications

Adolescents with special health care needs (ASHCNs) must develop self-management skills to effectively transition into adult-based care. This requires having the self-efficacy to meet with their health care provider independent of caregivers. This study aims to identify the factors associated with self-efficacy in meeting with a provider alone among ASHCN preparing for this transition.Eighty-three English-speaking 18-year olds with renal, gastrointestinal, neurologic, or rheumatologic diseases, and their English- or Spanish-speaking caregivers were recruited at a large children's hospital, and completed a one-time assessment as the historical control group for a larger intervention study. The main outcome measure was self-efficacy to meet …

Capturing Processes Of Influence In Students' Social Interactions: Examining A Two-Part Strategy To Detect Patterns Of Reinforcement In Continuous Real-Time Observations In The Classroom, James Lamar Delaney Iii

Dissertations and Theses

Students' active engagement in learning activities is presumed to be influenced by their interactions with social partners in the classroom setting, like teachers and peers. For instance, statements of support or affirmation from teachers or peer group members are assumed to encourage positive behaviors for struggling students, while statements of disapproval are assumed to discourage and undermine active classroom behaviors. Extant research examining these processes typically tries to demonstrate significant interaction patterns or show influence over time by way of indirect behavioral measures, such as survey-based assessments. It is an open question whether these processes of influence can be directly …

An Anesthesia Informed Consent Checklist And Ahrq Share Decision-Making Model For Labor And Delivery Patients: A Quality Improvement Project, Katherine C. Burnett

Doctor of Nursing Practice (DNP) Manuscripts

Abstract

Background and Significance: Informed consent is the disclosure of all benefits, risks, and alternatives to patients for a given intervention. Recalling all important details during the consenting process can prove difficult for providers. The process is further complicated for obstetric patients since healthcare decisions also have consequences for the fetus. The American College of Obstetricians and Gynecologists’ Committee (ACOGC) (2021) recommends shared decision-making models (SDMs) for the obstetric patient population. SDMs engage patients in healthcare decisions by reaching a decision through provider expertise, best evidence, and patient values. In addition, surgical informed consent checklists have emerged as useful …

In Defense Of Metaphysics: A Defense Of The Value And Methodological Soundness Of Metaphysics Understood As Structural Modeling, Sean Nalty

Dissertations - ALL

The aim of this dissertation is to provide a defense of the value and methodological soundness of contemporary analytic metaphysics against a variety of recent anti-metaphysical and scientistic critiques. In Chapter 1, I attempt to answer (at least provisionally) a surprisingly difficult question: what is metaphysics, anyway? I suggest seven adequacy constraints on an answer to this question, and then test five historically and contemporarily influential candidate characterizations of metaphysics against these constraints. Finding each candidate lacking, I close by proposing an ecumenical conception of metaphysics — what I call the structural modeling conception — according to which metaphysics aims …

Increasing Nursing Professional Development Specialty Certification Rates Amongst The Nursing Professional Development And Informatics Department, Nicole L. Cockerill

Group: Nebraska Methodist College

Problem: Nursing specialty certification promotes professionalism, demonstrates commitment and accountability for lifelong learning and professional development, is associated with improved knowledge and skills, and is linked to improved organizational and patient outcomes. Despite these benefits, certification rates remain low, and nurses still face barriers in obtaining certification.

Intervention: The project intervention was to offer a one-hour introductory class followed by three weekly one-hour Nurse Professional Development (NPD) certification prep courses through Microsoft Teams to the NPD and Informatics Department. The prep course followed the blueprint of the exam and focused on different topics each week.

Measures: Through pre- and post-surveys, …

A Framework For Advancing And Strengthening The Veteran Entrepreneur Ecosystem, Rosalinda V. Maury, Adam Pritchard

Institute for Veterans and Military Families

This brief is designed for funders, program leaders, and policymakers working to build stronger veteran entrepreneurship ecosystems. This paper brings together insights about veteran entrepreneurial ecosystems from Military Entrepreneurship Forum (MEF) roundtable conversations, the National Survey of Military-Affiliated Entrepreneurs (NSMAE), and other entrepreneurship research. Rather than offering a one-size-fits-all solution, this paper lays out a set of components that communities can use to strengthen their own ecosystems. Veteran entrepreneurship is a lens into broader questions of economic mobility, local resilience, and civic leadership. But systems matter. With veteran-serving organizations facing revenue declines and donor fatigue, coordinated entrepreneurial ecosystems are a …

Premenopausal And Postmenopausal Malignant Cervical Cancer Diagnosis Among Disaggregated Subethnic Groups Of Asian American Women In The United States, Nilofar Haider Mirza

Walden Dissertations and Doctoral Studies

Despite being the United States' fastest-growing and diverse population, Asian Americans are often aggregated with Native Hawaiian and Pacific Islanders in prior research, resulting in masking disparities in cervical cancer screening/diagnosis among Asian American subethnic groups. Guided by Bronfenbrenner's ecological model, the association between disaggregated subethnic groups and cervical cancer diagnosis among Asian American women aged 20+ in the United States was examined using binary logistic regression. How histology type/behavior and age at diagnosis moderate the relationship between disaggregated subethnic groups and cervical cancer diagnosis was also explored. A quantitative cross-sectional design was employed using cases (N=1014) from the U.S. …

Impact Of Primary Care Providers’ Beliefs On Intentions To Conduct Brief Cognitive Assessments, Debra Antista-Bianchi

Walden Dissertations and Doctoral Studies

The 2011 Patient Protection and Affordable Care Act (PPACA) mandated that Primary Care Providers (PCPs) offer brief cognitive assessments during the Medicare Annual Wellness Visit (AWV), but this practice was inconsistent at best. This study investigated factors that influenced PCPs intentions to routinely assess cognition during the AWV. The theory of planned behavior (TPB) was used to assess the relationship between PCPs' behavior beliefs, subjective norm beliefs, perceived behavioral control (PBC) beliefs, and external control factors and their intentions to conduct brief cognitive assessments during the AWV. Using a quantitative correlational design, a cross-sectional online survey was administered to 86 …

Black Mothers' Adhd Experiences, Attitudes, And Support-Seeking Decisions, Catherine L. Montgomery

Dissertations - ALL

Background: ADHD, particularly when left untreated, is associated with significant impairment in several domains. Black youth may still be under-diagnosed with ADHD, resulting in symptoms going untreated. Black mothers may determine non-professional delivered supports to be more appropriate and acceptable than medication for their children with ADHD. As they tend to be the primary healthcare decision makers, it is important to develop a greater understanding of Black mothers’ ADHD support-seeking decision making for their youth. Method: The present study used semi-structured interviews guided by Kleinman’s Explanatory Models of Illness to discuss Black mothers’ decision making for their youth with ADHD. …