Digital Commons Network^™

A Descriptive Comparison Of Results From Human And Ai-Driven Interpretive Phenomenological Analyses, Kahyen Shin, Melissa M. Luke

Journal of Counselor Preparation and Supervision

This study explores the concordance and discordance between human researchers and ChatGPT in conducting Interpretative Phenomenological Analysis (IPA) using an interview transcript with a refugee resettling in the United States. Findings revealed both alignment and discrepancies between ChatGPT and human researchers; while ChatGPT effectively identified themes and coding structures with interpretative depth and reflective engagement, it occasionally struggled to capture implicit meanings, particularly in narrative continuity and cultural-contextual analysis. These challenges were evident in its misinterpretation of past and present events, difficulty in recognizing nuanced associations, and tendency to adopt a deficit-based lens in certain analyses. Findings are discussed considering …

Integrating Artificial Intelligence In A University Counseling Clinic, Donna S. Sheperis, Shiri Sharvit

Journal of Counselor Preparation and Supervision

Artificial intelligence (AI) is increasingly used in mental health care, yet counseling students receive little training in digital tool integration. This program evaluation describes the use of an ambient AI platform in a university telemental health clinic to support clinical training. The AI system tracked interventions, themes, talk ratios, and symptom changes across 175 sessions by 13 trainees with 93 clients. Most frequent interventions included validation (97.6%), CBT skills (52.1%), and action planning (63.1%). Counselor talk time averaged 43% of the session, with themes such as relationships and school being predominant in client talk time.. By session 7, clients showed …

Artificial Intelligence In Counselor Education: Innovative Strategies For Teaching, Supervision, And Clinical Training, Shannon Shoemaker, Nikki Freeburg, Kevin Duquette

Journal of Counselor Preparation and Supervision

As artificial intelligence (AI) transforms mental health and education, counselor educators must prepare future practitioners to engage with these technologies ethically and effectively. This article presents a systematic framework for incorporating AI into counselor education through three key approaches: AI-generated content, AI analysis, and AI interactions. The framework addresses critical considerations including ethical implementation, prompt engineering, and cultural competence while maintaining alignment with professional standards. Drawing from current literature and ethical guidelines, we provide structured guidance for implementing AI across various content delivery styles, with emphasis on preserving clinical judgment and therapeutic relationships. Comprehensive appendices include implementation guides, assessment rubrics, …

A Pilot-Study Evaluating The Fidelity Of Chatgpt In Client Simulations, Eric Tod Beeson, Yusen Zhai, Russell Fulmer, Andrew M. Burck, Rakesh Maurya

Journal of Counselor Preparation and Supervision

Generative AI (genAI) is expanding in counselor education. This pilot study evaluated ChatGPT 4o's voice mode for simulating client scenarios during 53-minute mock-intake sessions with master’s-level counseling students. Analyzing eight domains (authenticity, consistency, emotional expression, empathy, cultural dynamics, self-awareness, goal setting, and role play confusion), ChatGPT’s responses showed good to excellent fidelity when compared to a typical client. Limitations such as formulaic and idealized responses raised authenticity concerns. ChatGPT offers a scalable, cost-effective tool for pre-practicum training, with potential to enhance skill development across the curriculum. Educators are encouraged to integrate genAI thoughtfully, prioritizing ethical considerations and iterative prompt refinement.

Utilizing Artificial Intelligence Therapeutic Adjuncts To Support Autistic Adults Between Counseling Sessions, Carlos J. Castaneda Jr, Nicole Noble, Afroze N. Shaikh

Journal of Counselor Preparation and Supervision

The integration of artificial intelligence (AI) into mental health care presents innovative opportunities for therapeutic interventions. This pilot study examined the use of a customized Artificial Intelligence Therapeutic Adjunct (AITA) as a supplementary counseling tool for adults with level one autism spectrum disorder who attended weekly counseling sessions. Using a Single Subject Design to review trends in mental health symptoms and perceptions of the AITA, participants engaged with the AITA over four weeks, completed weekly anxiety and depression assessments, and post-intervention and satisfaction surveys. Thematic Analysis identified common counseling concerns and the AITA’s use of counseling techniques. Although findings suggest …

Understanding Artificial Intelligence And Machine Learning: Foundational Concepts For Counselor Education, Eunae Han, Jihoon Shin

Journal of Counselor Preparation and Supervision

The purpose of this manuscript was to introduce key concepts in artificial intelligence (AI) and machine learning (ML) to counselor educators and counseling researchers. As AI continues to play an increasingly significant role in various fields, counseling professionals need to develop a foundational understanding of AI, including ML. The first section of this manuscript outlined basic concepts in AI and ML, with study examples that utilize specific algorithms in mental health and counseling-related fields. Next, the second section explained the general process of building an ML model, illustrating it with a real-world dataset example for counseling professionals. The manuscript also …

Reimagining The Counseling Profession: Preparing Counselors For Ai And Digital Health Integration, Carl J. Sheperis, Dusti L. Annan-Coultas, Caronne C. C. Rush

Journal of Counselor Preparation and Supervision

Digital health technologies including artificial intelligence (AI) are transforming mental healthcare delivery, creating new opportunities and challenges for counseling practice. This article examines digital health applications in counseling, including telehealth, mobile apps, digital therapeutics, virtual reality, and AI-powered tools. We explore key implications for practice, including enhanced accessibility, impacts on therapeutic relationships, and ethical considerations. The article presents a six-domain competency framework covering privacy and security, technical proficiency, ethical literacy, clinical integration, therapeutic adaptability, and administrative management. A case study illustrates the practical application of hybrid digital care, while a discussion of counselor education highlights the need for curriculum updates. …

Letter From The Editors: Special Issue: Artificial Intelligence In Professional Counseling And Counselor Preparation, Rachel Jacoby, Sandra Logan-Mckibben

Journal of Counselor Preparation and Supervision

No abstract provided.

Research Synthesis Of Predicting Part 135 Accident Probability In Aviation: How The Bayesian Brain Ignores Declining Safety Standards, Jonathan R. Clarke

Journal of Aviation Technology and Engineering

Technological innovation has had an enormous effect on safety in aviation. However, in Part 135 operations, where technology is not as ubiquitous, the accident rates have plateaued. Human error is constantly misrepresented as being responsible for 70–80 percent of accidents, when it is clearly only one of several contributing factors. In commercial aviation, all accidents should be considered organizational failures, because by definition all defensive layers have been breached. Organizational failure, as it affects safety, should be identifiable and predictable from organizational behavior. Inevitably, in the aftermath of accidents the warning signs of poor behavior are seemingly obvious, yet there …

Contaminated Water And Health Inequities: A Review Of Disparities In Low-Income Populations, Esraa Hussein, Rachel Chung, Chelsea Kim, Jackie Lucas, Erica Kim, Kinsley Wilson, Jasmine Sholy, Rahma Fares, Sharon Ojo, Yashitha Teekaraman, Melane Pira, Bellana Schlosser

General Submissions: Community and Population-based Materials

What are the most reported healthcare disparities associated with exposure to contaminated water in low-income and under-resourced communities?

Objectives: To identify and analyze the most commonly reported healthcare disparities associated with exposure to contaminated water in low-income and under-resourced communities. This research aims to understand how environmental contamination disproportionately impacts healthcare access and outcomes in marginalized populations.

Background: Low-income and under-resourced communities are disproportionately affected by the ongoing global health threat of contaminated water exposure. Pollutants like heavy metals, pathogens, and industrial runoff cause preventable illnesses like skin infections, developmental disorders, and gastrointestinal disorders. Systemic healthcare disparities, such as limited …

Effects Of Fasd On An Individual’S Life Trajectory, Peyton M. Enders

Master of Arts in Human Services

The consumption of alcohol has been in society for thousands of years. However, the discovery of the impacts of alcohol consumption while pregnant is something that is continuously being learned about. Controversy on the effects of alcohol while pregnant and the level of consumption throughout the last century alone has caused individuals to misunderstand the level of danger that it has on a child. Fetal Alcohol Spectrum Disorder is a multi-layer disorder that causes not only physical deformities but also a change in mental health and cognitive levels of an individual. Throughout any stage of pregnancy a consumption of alcohol …

To Protect And Survive: Acknowledging Adverse Childhood Experiences In Law Enforcement, Melanie Appleman

Master of Arts in Human Services

This literature review explores the influence Adverse Childhood Experiences (ACEs) can have on choosing a helping profession as well as their effect on law enforcement personnel and their ability to cope with occupational trauma. Law enforcement officers are routinely exposed to high-stress, high-risk environments which can exacerbate underlying trauma stemming from early life experiences. Officers with a history of ACEs may be more vulnerable to emotional dysregulation, hyper-vigilance, burnout, and substance abuse which can influence their decision making, relationships, and professional conduct potentially resulting in negative outcomes. Key themes include the identification of risk factors, the development of screening tools, …

The Indiana Statesman, August 21, 2025, Indiana State University

Student Newspaper

Welcome Freshmen! Convocation embraces freshman class; Letter from the President; Party at the Fountain concludes Sycamore Sunday

Operational Solutions To Address Radiology Staffing Challenges In Southern California Hospitals, Jacqueline Wood

Walden Dissertations and Doctoral Studies

The problem of interest is the current workforce crisis among the Radiologist Specialty in hospitals in Southern California. There has been a significant decline in the number of Radiologists in the workforce compared to the caseload of imaging studies. The purpose of this integrative review was to evaluate empirical and non-empirical literature for operational solutions to improve recruitment and retention of radiology providers. Literature published between 1999-2024 were evaluated for appropriateness using the Johns Hopkins evidence appraisal tools. The literature involved strategies and identified operational areas of opportunity for improvement with radiologist staffing. Identifying ways to improve job satisfaction, retention …

Relationship Of Provider-Patient Communication And Health Literacy To Self-Management In Black Adults With Type-2 Diabetes, Linda Walker

Walden Dissertations and Doctoral Studies

Black adults in the United States are nearly twice as likely to receive a diagnosis of type 2 diabetes mellitus (T2DM) and are more susceptible to severe diabetes-related complications. Health literacy and patient-provider communication (PPC) are extremely important for self-management in patients of all ethnicities however, 58% of non-Hispanic Blacks have basic or below-basic health literacy skills compared to 28% of non-Hispanic Whites. The purpose of this descriptive correlational study, with was guided by the interaction model of client behavior, was to determine (a) if there is relationship between PPC during the healthcare encounter to health literacy among Black adults …

Understanding And Predicting Flossing Behavior In A Rural Appalachian Community Using The Multi-Theory Model, Rahib K. Islam, Manoj Sharma, Amanda H. Wilkerson, Bradford Layman, Clyde Dunn, Shamima A. Somi, Ratnesh Sharma, Karen Gruszynski, Syed S. Quadri, Vinayak K. Nahar, Robert E. Davis

School of Medicine Faculty Publications

Effective flossing is essential for preventing periodontal disease. However, in a rural Appalachian community, adherence to flossing routines remains low, contributing to significant oral health disparities. The purpose of this study was to conceptualize intention of initiation and sustenance of flossing behaviors using the multi-theory model (MTM) of health behavior change. A cross-sectional survey was administered to individuals recruited from a shopping mall in rural Appalachia. The MTM constructs were measured and data were analyzed using multiple linear regression models. Of the 228 participants, 55% did not floss daily. Behavioral confidence (β = 0.571, p < 0.001) was a significant predictor for the intention of initiation of flossing among non-daily flossers, while emotional transformation (β = 0.377, p = 0.836) significantly explained sustenance among non-daily flossers. For daily flossers, changes in the physical environment (β = 0.432, p = 0.003) significantly predicted the intention of initiation of flossing, whereas emotional transformation (β = 0.344, p = 0.008) and practice for change (β = 0.594, p < 0.001) significantly predicted sustenance of flossing behavior. The MTM appears to be a robust framework for understanding and predicting flossing behaviors in rural Appalachian populations. Interventions designed to enhance behavioral confidence, physical environment changes, emotional transformation, and practice for change could improve flossing adherence. Further research should explore these constructs to develop targeted public health strategies.

Decomposing Trends In The Gender Gap For Highly Educated Workers, Joseph G. Altonji, John Eric Humphries, Yagmur Yuksel, Ling Zhong

Cowles Foundation Discussion Papers

This paper examines the gender gap in log earnings among full-time, college-educated workers born between 1931 and 1984. Using data from the National Survey of College Graduates and other sources, we decompose the gender earnings gap across birth cohorts into three components: (i) gender differences in the relative returns to undergraduate and graduate fields, (ii) gender-specific trends in undergraduate field, graduate degree attainment, and graduate field, and (iii) a cohortspecific “residual component” that shifts the gender gap uniformly across all college graduates. We have three main findings. First, when holding the relative returns to fields constant, changes in fields of …

Covid-19 Crisis: Contemporary Trauma Theory And Clinical Social Workers’ Perspectives Of Work-Related Secondary Trauma Post-Pandemic, Dr. Veronica Y. Griffin

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic was an unprecedented global crisis that challenged clinical social workers’ traditional client-centered strategies and exposed some to secondary trauma. The purpose of this qualitative study was to explore clinical social workers’ perspectives on work-related secondary trauma post-COVID-19 pandemic using the contemporary trauma theory as the theoretical framework. The research question involved exploring their perspectives of how this trauma affected their biopsychosocial functioning. Semi-structured interviews were conducted with eight participants who were clinical social workers between 28 and 36. Using thematic analysis, themes were identified and grouped into the three functioning groups: personal, relationships, and career. Twelve themes …

Enhancing Interprofessional Competence Among Speech Pathology, Nursing, Social Work, And Psychology Students Using Simulated Case Presentations, Elizabeth Oommen, Emily Helder, Kayla Johnson, Stacia L. Hoeksema, Laura Schipper

University Faculty Publications and Creative Works

Background: This study assesses the impact of an Interprofessional Education (IPE) program (which included simulated case presentations), on the perceived competence and quality of interprofessional (IP) work products of undergraduate social work, nursing, psychology students, and graduate students in speech-language pathology.

Methods: Participants included 123 students who participated in IP colloquiums through reviewing clinical cases, developing IP assessment and treatment goals, and presenting these to fellow students and faculty. Pre- and post-testing using IPEC Competency Self-Assessment Tool was used for assessment. For each colloquium, the students from all disciplines also submitted a single worksheet for their assigned case, …

Tort Liability For Failure To Age Gate: A Promising Regulatory Response To Digital Public Health Hazards, Matthew B. Lawrence, Brett Frischmann, Avi Sholkoff

Faculty Publications

Tort liability for failure to “age gate” is a promising legal response to the public health hazards of AI, social media, sports gambling, and other digital spaces. Tort liability for failure to “age gate” hinges liability for harms to minors on an app’s failure to take reasonable steps to prevent minors from gaining access or otherwise to apply appropriate governance rules, such as privacy-protective default settings or ensuring genuine parental consent. While no one legal response is a panacea, tort liability for failure to age gate carries several distinctive advantages that make it a particularly promising option at this stage …

Organizational Climate And Decision Aid Sustainability In Lupus Care: Mixed Methods Study, Aizhan Karabukayeva, Larry R Hearld, Nathan W Carroll, Reena Kelly, Jasvinder A Singh

Faculty, Staff and Students Publications

Background: Digital decision aids (DAs) are increasingly used in health care to support shared decision-making and promote patient engagement. In the context of systemic lupus erythematosus (SLE), a complex autoimmune disease characterized by diverse symptoms and uncertain prognoses, DAs offer guidance to patients in navigating treatment risks and benefits. Although numerous studies have examined the initial implementation of evidence-based tools, there is limited evidence on the organizational factors that influence their long-term sustainability in clinical practice. This gap is particularly salient for digital interventions, where integration into routine workflows and ongoing use require alignment with clinic readiness and culture. This …

Triage Of Road Injury Casualties - The Role Of Bystanders: A Scoping Review, George Stephen Russam, Jake Gluyas-Harris, Nicholas Aveyard, Tim Nutbeam

Peninsula Medical School

Background: Bystanders have the potential to be a critical component of the Road Injury Chain of Survival, particularly in the early phases of injury recognition, scene assessment, and emergency service activation. Their potential role in trauma triage remains underexplored. This scoping review aims to examine the existing evidence of the use of bystanders in triage—both laypersons and non-clinical professionals—during the prehospital phase of road injury and other trauma scenarios. Methods: A systematic search was undertaken across MEDLINE, CINAHL, and the Psychology & Behavioural Sciences Collection using the EBSCO Host platform, with supplementary hand searches via Google Scholar and reference screening. …

Elena Poniatowska Y Sor Juana, Heather Gurrola

Cuaderna Vía

No abstract provided.

Full Issue, Cuaderna Vía Editors

Cuaderna Vía

No abstract provided.

An Empirical Examination Of Student Dropout In A Diverse Campus Environment, Zahid Iqbal, Shekar Shetty

Southwestern Business Administration Journal

Abstract

This study expands on the existing literature by examining dropout behavior of minority college students. Specifically, the study compares determinants of retention for large ethnic student groups in the College of Business of an ethnically-diverse college campus. The dynamics of retention and progression are not known for college campuses with large representations of ethnic students. Our empirical findings show that college GPA explains student dropout for all ethnic groups. We find evidence of a positive association between dropout and male students for African-American and White ethnicities. Additionally, dropout has a positive association with online classes for African-Americans and Hispanics …

Psychosocial Challenges As Predictors Of Transactional Sex Among Undergraduates In Ondo State, Nigeria, Ifeoluwa Blessing Michael, Oyedotun Dolapo Ilori, Patrick O. Akerele

Buletin Konseling Inovatif

The study investigated the psychosocial challenges predictive towards engaging in transactional sex among undergraduates within Ondo State, with the moderating role of demographic variables weighed heavily. Employing a descriptive survey design, data were gathered from 404 undergraduates by means of a validated questionnaire (reliability = 0.86) randomly sampled from two public and two private universities. Amongst the findings from descriptive statistics and multiple regression analyses were that peer pressure, financial instability, family dysfunction, and emotional health challenges had significant correlations with involvement in transactional sex while jointly explaining 46.6% of the variance. Financial instability was the strongest predictor, followed by …

Unheard And Underserved: The Role Of Narratives And Shared Experiences Of Systemic Racism In The Black Community’S Engagement With Mental Health Services, Essence Jones

Master of Arts in Human Services

This research examines the intersection of systemic racism and mental healthcare in the Black community, focusing on the reluctance to engage with mainstream services. Grounded in historical analysis, the study traces how slavery, segregation, and discriminatory policies have shaped enduring mistrust toward mental health systems. Despite progress in health equity initiatives, cultural insensitivity, underrepresentation of Black providers, and ongoing structural barriers persist. Drawing from peer-reviewed literature, the work explores narratives and collective memories that influence perceptions of care, including the role of faith-based coping, stigma, and alternative healing practices. Special attention is given to the compounded effects of intersectional identities …

A Complex Border: Intractability And The Physical Roots Of Discursive Legitimations In Cyprus, Hilmi Ulas

Peace Studies Faculty Articles and Research

The Cypriot conflict is one of the most intractable conflicts of the modern era, and the collapse of complexity among the actors in the conflict—mainly the Republic of Cyprus, North Cyprus, and Turkey—appears to be the main cause of the continued “no war, no peace” state. Subsequent socio-psychological self-organization among these actors then produces conflict-perpetuating feedback loops and dynamics. These dynamics include identity narratives, narratives of “the other,” and narratives of the nature of the conflict, which, at the grassroots level, can legitimize ongoing engagement in the conflict, whereas peace is painted as an undesirable and undeserved/unjust compromise. Given this, …

Expanding Occupational Therapists’ Role In Youth Adaptive Sports: A Comprehensive Guidebook, Alexandria K. Lannoo, Lesley Khan-Farooqi

Summer 2025 OTD Capstone Symposium

Children with disabilities are less likely to participate in adaptive sports or physical activity than typically developing children, despite the proven benefits adaptive sports provide for physical, social, and emotional well-being. Adaptive sports can be modified to accommodate a variety of ability levels and can improve quality of life (QoL) of children with disabilities through enhanced mobility, social participation, and self efficacy. However many occupational therapists (OTs) underutilize adaptive sports within their practice and are unaware of their role in promoting participation and of resources within their community. Guided by the Synthesis of Child, Occupational Performance, and Environment in Time …

Ineffective Parenting, Alexis Rian

Master of Arts in Human Services

Ineffective parenting can lead to long-term, severe, and lasting consequences for children. Children depend heavily on their primary caregivers for safety and to have their basic needs met. However, not all parents demonstrate positive parenting styles, whether due to a lack of knowledge, limited capacity, or simply a lack of interest. Parenting styles fall into four categories: authoritarian, authoritative, permissive, and uninvolved. The type of parenting style a caregiver adopts can significantly influence the attachment style a child has with them. Four attachment styles that children have are insecure avoidant attachment, secure attachment, insecure resistant attachment, and disorganized attachment. Children …