Digital Commons Network^™

Landscape Of Physical Activity And Quality Of Life Research In Breast Cancer Survivors: Topic Modeling Analysis., Suryeon Ryu, Ki-Yong An, Min Song, Zan Gao

Manuscripts, Articles, Book Chapters and Other Papers

Background/Objectives: Physical activity (PA) is widely recognized as a beneficial approach to improving the health-related quality of life (HRQoL) of breast cancer survivors. This study explored key research topics and emerging trends in studies related to PA and HRQoL among breast cancer survivors. Methods: Titles and abstracts of 3847 English-language research articles (2000-2024) were retrieved from PubMed, EMBASE, Web of Science, and Scopus using keywords related to 'breast cancer', 'PA/exercise', and 'HRQoL'. A text-mining algorithm based on the Dirichlet-multinomial regression approach in Python was applied to identify the top 10 research topics and their trends over time. Results: In total, …

Should School Board Elections Be Partisan? Analyzing Elite Discourse In The Debate Over The Structure Of Local Elections, Bre'arra M. Long

McNair Summer Research Program

The goal of this research paper is to identify the most prevalent arguments for and against partisan school board elections while also examining what differences, if any, exist between Republicans and Democrats with respect to the way they talk about the issue. The interdisciplinary fields of political science and linguistics provide helpful context to the effectiveness of political communication in smaller scale, yet salient elections in communities where impacts are most directly felt. My interest lies in how the nationalization of politics influences local government and elections, and how language and the media act as conduits for that relationship. It …

Centering The Medical Student Perspective In A Mixed-Methods Evaluation Of The Holistic Admissions Process At A Mission-Driven Institution, Brenda L. Liszka

Electronic Theses and Dissertations

This mixed-methods research explores the influence of a holistic admissions process on medical student enrollment at a mission-driven institution. The study quantitatively measured the impact of various admissions touchpoints on enrollment decisions and qualitatively investigated the experiences of students underrepresented in medicine based on their race or ethnicity, first-generation status, and medically underserved backgrounds. Individual interviews, guided by Maslow's Hierarchy of Needs, were used to understand participants' sense of belonging and esteem throughout the process. The findings inform an improvement agenda aimed at creating a responsive and inclusive admissions process that supports diverse student bodies and addresses national public health …

The Crucial Role Of Grassroots Social Organizations In Advancing Immigrant Legal Protections And Reshaping Immigration Policy, Isabella Reynolds

McNair Summer Research Program

This research project examines how grassroots social organizations contribute to the advancement of immigrant legal protections and shape immigration policy, with a particular focus on formerly incarcerated migrants in California. I focus on case studies and the personal experiences of organizers from Homies Unidos, Border Angels, and other organizations that operate near the San Diego–Tijuana border region. The study illustrates how these groups provide essential services, mental health support, and community-based initiatives for vulnerable and formerly incarcerated immigrants. By conducting oral histories and ethnography as methods for preserving emotional labor and shared memory, this research challenges prevailing narratives that criminalize …

Infusing Ot Principles Into A Program For Women Survivors Of Domestic Violence, Lark M. Wilkerson, Mary Jan Greer, Kim Broussard, Wendy Tremaine

Summer 2025 OTD Capstone Symposium

This capstone project proposes the development and implementation of a trauma-informed occupational therapy (OT) program designed to support women survivors of domestic violence. Grounded in trauma-informed care principles, the program aims to address the psychosocial, emotional, and functional disruptions commonly experienced by survivors, including trauma-related stress, anxiety, and difficulty engaging in meaningful daily activities. A comprehensive needs assessment informed the development of structured interventions focused on improving emotional regulation, promoting self-care, fostering social participation, and enhancing overall occupational performance. Using both qualitative and quantitative methods, the project evaluates changes in participants’ functional abilities, psychosocial well-being, and perceived quality of life. …

Improving Effective Assistant Nurse Manager Communication In Obstetrics, Julie Marie Glover

Master's Projects and Capstones

Abstract

Problem: This quality improvement project addresses inconsistent leadership communication among Assistant Nurse Managers (ANMs) in the Obstetrics (OB) department of a hospital in Northern California. ANM and staff concerns around shift handoff, huddles, and leadership responsiveness have created confusion and hindered team coordination. The project aims to improve communication effectiveness scores among OB ANMs from 50% to 75% by July 11, 2025.

Context: The project was conducted in the Maternal-Child-Health (MCH) unit of a hospital in Northern California, specifically targeting communication practices among OB ANMs. Concerns around communication practices were voiced by both ANM leadership and frontline staff, signaling …

Lactic Acid Bacteria Alleviate Neuronal Excitotoxicity And Extend Caenorhabditis Elegans Lifespan, Bao Le, Thi Nhat Hong Nguyen, Seung-Hwan Yang

Turkish Journal of Biology

Aim: Neuronal cell death plays a critical role in the development of neurological disorders associated with aging. This study aimed to evaluate the beneficial effects of heat-killed lactic acid bacteria (hkLAB) on neuroblastoma cells and Caenorhabditis elegans.

Materials and methods: We pretreated heat-killed Lactobacillus fermentum CNU384 (hkCNU384), L. brevis CNU386 (hkCNU386), L. helveticus CNU395 (hkCNU395), and L. paracasei CNU396 (hkCNU396) at a concentration of 10⁹ CFU/mL to investigate their neuroprotective effects on glutamate-induced SH-SY5Y cells and their impact on the lifespan of 6-hydroxydopamine (6-OHDA)-induced C. elegans.

Results: Our findings indicate that hkCNU395 and hkCNU396 protected against glutamate-induced cell death …

Education Plan On Colonoscopy Preparation And Communication To Improve Colonoscopy Prep And Ensure Better Outcomes, Maryam Pourjalil

Walden Dissertations and Doctoral Studies

This Doctor of Nursing practice (DNP) staff education project introduced a formalized staff education program to refine colonoscopy preparation quality at a community gastroenterology clinic. Suboptimal bowel preparation in 20%–30% of colonoscopies resulted in missed lesions, higher costs, and decreased satisfaction of the provided quality of care, which highlighted the need for enhanced staff education in nursing practice. The project question was: Does the education of staff on colonoscopy preparation procedures bridge the existing knowledge gap regarding modern colonoscopy techniques? My goal was to increase staff knowledge regarding standardize prep instructions. The project was designed using best practice evidence and …

Routine Outcome Monitoring With The Youth Outcome Questionnaire-30.2 Self-Report: Creating And Testing An Empirical Alert System And Exploring Informant Discrepancy Patterns, Tate M. Paxton

Theses and Dissertations

Objective: Youth self-report data using the YOQ-30 has not been specifically examined for use in routine outcome monitoring systems. This study used the YOQ-30 self-report in three endeavors: (1) modeling change trajectories in a large, naturalistic outpatient sample, (2) creating and testing an empirical alert system for deterioration, and (3) exploring the role of informant agreement, both descriptively and in a change trajectory model. Method: The sample consisted of 21,098 adolescents ages 12-17 receiving outpatient mental health care who used the OQ Measures system. Multilevel individual change trajectory models estimated symptom change over time. An alert system was developed on …

Attachment Or Aversion: A Study Of The Effects Of Parental Technoference On Child Emotion Knowledge, Brooklyn Coleman

Theses and Dissertations

Young children's understanding of emotions is heavily socialized by their parents. Through interactions with parents, children learn what emotions look like, when they are expressed, and how they are labeled (Laible, 2004a). Interruptions to interactions between children and parents have the potential to influence the development of children's emotion knowledge. According to the DREAMER framework, how one family member uses media and technology can influence other family members (Barr et al., 2024). Technoference (i.e., digital distraction while with others) is one example of how media might interrupt family life and influence child development as a whole. The current study examined …

Comparing The Effectiveness Of Online Training With Behavioral Consultation: The Impact Of Teacher Buy-In And Efficacy, Allison C. Lindsey

Theses and Dissertations

This study investigated the comparative effectiveness of two different behavioral training methodologies, online training and behavioral consultation, in supporting teacher implementation of evidence-based practices, with a focus on the roles of teacher buy-in and self-efficacy. Challenging behavior is on the rise and teacher's need to know how to apply behavior management strategies to their classroom in order for their students to be most successful. Many teachers do not begin their careers with proper behavior management knowledge, training experience, or do not feel a sense of efficacy in implementing behavior management. Lack of knowledge and training may lead to decreased teacher …

Wellness Tourism: An Introduction, Karen Thal

All Open Educational Resources

Wellness tourism is a growing segment of the travel industry that focuses on experiences designed to improve physical, psychological, and spiritual well-being. From yoga retreats and spa getaways to outdoor adventures and healthy culinary experiences, this form of tourism reflects a broader cultural shift toward self-care and holistic health. The current textbook introduces wellness tourism in a U.S. context, offering a practical, business oriented overview for undergraduate students. It provides insights into the concept of wellness, defines and examines both the wellness industry and the wellness tourism sub-sector, highlights key trends, explores the motivations of wellness travelers, and explains how …

Refugee Families: Parental Traumatic Stress And Child Outcomes A Scoping Review, Britta Sedig

Theses and Dissertations

This scoping review synthesizes recent literature (2019-2024) to explore mechanisms linking parental trauma to child mental health outcomes within refugee families. Guided by a systemic and relational focus, 20 studies were identified and analyzed, revealing five central themes: intergenerational transmission of trauma, parenting practices as mediators, parent-child dyadic attachment, family functioning and conflict, and post-migration and acculturative stress. Findings highlighted associations between parental trauma-related symptoms and refugee children's emotional and behavioral concerns. Parenting practices were frequently linked to child wellbeing, with some studies identifying risk factors like harsh discipline and emotional unavailability, and others noting protective roles of intentional caregiving. …

Navigating Ai Ethics Through The Lens Of Personality Traits And Well-Being: Policy Recommendations For Young People In The Uae, Areej Elsayary

All Works

The main purpose of this study is to explore the relationship between HEXACO personality traits and well-being, using ethical AI as a mediator among young adults in the UAE, aiming to develop policy recommendations that support ethical AI practices in educational settings. Utilizing a quantitative cross-sectional design, the study involved 204 university students in the UAE, aged 18 and above (M = 23.8, SD = 5.64), with 71 (34.8%) being males and 133 (65.2%) being females. The findings reveal the significant role of AI ethical use in mediating the relationship between certain HEXACO personality traits (honesty–humility, emotionality, and agreeableness) and …

Under What Conditions? A University Pathway Program Evaluation, Michael Burke

Electronic Theses and Dissertations

As U.S. universities face a declining domestic applicant pool, commonly referred to as the “enrollment cliff,” international student recruitment provides a practical strategy for offsetting domestic enrollment shortfalls. One such strategy for increasing international student enrollment is through the establishment of university pathway programs that grant conditional admission to international applicants who fail to meet English language proficiency requirements but are otherwise academically admissible. As a baseline program evaluation, this study utilized a quantitative methods approach employing logistical regression analysis to determine if incoming standardized English language proficiency test scores, English as a Second Language (ESL) course GPA, and student …

Narrative As Story And Ground: Toward A Dialogic Communication Theory Of Narrative Care, Preston Carmack

Electronic Theses and Dissertations

We live in a historical moment when a nuanced understanding of narrative as both ground and story is essential. In examining the work of two primary scholarly voices working with narrative and operating from a communicative lens, Walter R. Fisher and Ronald C. Arnett, this project lays a theoretical foundation for understanding the dialogic interplay of narrative as story and narrative as ground. Through tracing Fisher's and Arnett's contrasting interpretations of the work of Alasdair MacIntyre, a preeminent neo-Thomistic philosopher whose work has significantly contributed to the study of ethics and narrative construction of human rationality, coordinates related to telling …

Sociodemographic, Neighborhood-Level, And Health-Related Factors Associated With Progression To Bariatric Surgery: A Retrospective Chart Review., Angela Godwin

Electronic Theses and Dissertations

Background: Bariatric surgery is the most effective treatment for patients with Class 3 obesity. However, of individuals who start the bariatric surgical process, only about half undergo surgery. Factors associated with completion, including race, have been described; however, consistent evidence on obstacles remains to be identified.

Objectives: To explore variables based on the Social Ecological Model (SEM) that may be related to bariatric surgery completion.

Setting: A large, private hospital with a Bariatric Center of Excellence in New York City

Methods: This retrospective chart review utilized data from adults who established an initial bariatric surgery visit from April 1, 2012, …

Adding Varying Degrees Of Performance Feedback Components To The Taped Problems Intervention, Alyson C. Honaker

Electronic Theses and Dissertations

Math fact fluency, the ability to quickly and accurately solve one-digit by one-digit math problems, is a common challenge for many school-aged children. Difficulties with fluency often lead to reliance on inefficient strategies, hindering progress in more advanced math skills. Evidence-based interventions like Taped Problems Intervention (TPI) have demonstrated effectiveness in improving math fluency. However, research suggests incorporating behavioral components such as Performance feedback (PF) and goal setting/reinforcement (GS/R) may enhance its effectiveness. The present study used a multiple-probe across-task design to evaluate the effects of three variations of TPI on the subtraction fluency of five elementary students in a …

Exploration Of The Cultural Beliefs, Values, And Practices Of African American/Black Women Or Birthing Persons Regarding Postpartum Depression: A Focused Ethnography, Stephanie Jacobs

Electronic Theses and Dissertations

Introduction: Postpartum depression (PPD) is the most prevalent perinatal mental health illness in women, affecting approximately 10% to 20% of all women in the United States, and a disproportionately higher number of African American women. The aim of this study was to explore the cultural beliefs, values, and practices of African American/Black women or birthing persons regarding postpartum depression.

Research Question: What are the cultural beliefs, values, and practices of African American/Black women or birthing persons regarding postpartum depression?

Methodology: A focused ethnography was chosen for this study and consisted of semi-structured interviews. Data was transcribed and analyzed …

Eco-Emotions And Climate Activism In Adolescents, Julianna Sahoo

Master's Projects and Capstones

Background. Youth are especially vulnerable to climate change, both physically and psychologically. Combatting climate change will require a coordinated, global effort. Understanding the motivations and emotions behind climate activism is essential to coordinate efforts to combat climate change.

Methods. This research uses survey data collected from first and second year undergraduates (n=521) at a private, urban university in California in the Fall of 2022. Youth were surveyed on emotions related to climate change, activism, compassion, eco-anxiety, and well-being.

Results. Experiencing positive emotions had a stronger relationship with environmental activism compared to negative emotions.

Conclusion. Results suggest climate change communications should …

Mental Health And Substance Use Interventions Within Muslim Community Spaces: A Community Based-Participatory Research Proposal, Halah Mansour Alayleh

Master's Projects and Capstones

Background. Muslim Americans face significant mental health and substance use challenges compounded by Islamophobic discrimination, cultural stigma, and barriers to accessing culturally competent services. They also significantly underuse professional mental health services. Purpose. This study aims to collaborate with Muslim communities within the San Francisco Bay Area to develop a replicable intervention framework for addressing mental health and substance use stigma within mosques and other Muslim community spaces. Methods. The proposal uses a community-based participatory research (CBPR) methodology while integrating the theory of planned behavior (TPB) and stigma theory in the framework. This proposal outlines the four phases of intervention …

Empowering General Educators: Supporting Students With Learning Disabilities Through Inclusive Tier Two Practices, Megan Sparling

Masters Projects

Many general education teachers enter the profession with minimal training in how to effectively support students with learning disabilities, particularly those who require Tier Two interventions but do not qualify for special education services. This lack of preparation contributes to reduced instructional confidence, inconsistent intervention practices, and missed opportunities to support struggling learners. Grounded in Vygotsky’s Zone of Proximal Development, Universal Design for Learning (UDL), and Bandura’s theory of self-efficacy, this capstone project addresses the urgent need for ongoing, practical professional development tailored to the realities of inclusive classrooms. The literature highlights the importance of sustained, collaborative, and contextually embedded …

Effects Of Mode And Transitioning To A Mixed-Mode (Web/Phone) Design On Categorical Survey Estimates: Do Question Characteristics Matter?, Mengyao Hu, Vicki A Freedman, Justin Kamens

Faculty, Staff and Student Publications

An increasing number of telephone surveys are introducing a web option. Limited experimental research has explored the implications of such design changes and how they vary by question characteristics. Using an experimental design and propensity score matching techniques, this study examines the effects of mode (web vs. telephone) and transitioning to a mixed-mode design (from telephone-only to the choice of web or telephone) on survey estimates and how effects differ by question characteristics. We draw upon an experiment embedded in the National Study of Caregiving (NSOC), in which half of NSOC-eligible caregivers were randomized to a telephone-only design and the …

The Link Between Disability And Suicide Ideation In Men Over 60, Cassandra Lawrence

Walden Dissertations and Doctoral Studies

The Centers for Disease Control and Prevention considers suicide and suicide ideation as a severe public health issue among older men and people with disabilities. The purpose of this study was to determine if there is a predictive relationship between the level of disability, type of disability (i.e., physical, visual, hearing), functional disability, (i.e., mobility, activities of daily living (ADLs), instrumental activities of daily living (iADLs), and having multiple disabilities on suicide ideation among men with a disability who are aged 60 years and older while controlling for age, depression, marital status and retirement status. The interpersonal-psychological theory of suicidal …

Information Technology Industry Leaders’ Methods To Enhance Employee Job Performance, Helen Chioma Orisakwe

Walden Dissertations and Doctoral Studies

Many U.S. tech companies are grappling with the challenge of sustaining high employee performance. It's crucial for information technology (IT) executives and business leaders to adopt strategies that support high employee performance, as this is vital for fostering innovation, promoting staff well-being, and ensuring reliable service. Grounded in Bass and Avolio’s transformational leadership theory, this qualitative pragmatic inquiry sought to determine which leadership practices employed by experienced IT supervisors most effectively elevate employee performance. Purposive sampling was used to recruit seven IT organizational leaders with at least five years of supervisory experience and demonstrated success in performance-enhancing initiatives. Data from …

From Bed To Table: Improving Outcomes By Encouraging Patient Mobility During Meals, Quyen Ho

Master's Projects and Capstones

Abstract

Background: Hospital-acquired pneumonia (HAP) is a preventable complication associated with increased morbidity, prolonged hospital stays, and elevated healthcare costs. Early mobility, particularly positioning patients out of bed for meals, is a key strategy to mitigate this risk. Problem: On a 42-bed telemetry unit, only 24% of eligible patients were positioned out of bed for meals. This low rate of mobility presented an opportunity to reduce the risk of HAP and improve patient outcomes. Interventions: This quality improvement initiative, guided by the Donabedian Model, employed a nurse-led intervention that included daily mobility assessments, visual bedside cues, and targeted staff education. …

Implementing Strategies To Reduce Hospital Readmission Reduction Program Readmissions By Improving Discharge Planning In Nonprofit Hospitals, Joy Nwagboliwe Chukwu

Walden Dissertations and Doctoral Studies

Non-profit healthcare administrators in United States hospitals face the challenge of hospital readmissions, especially due to the CMS Hospital Readmission Reduction Program (HRRP), which affects reimbursement. The purpose and review question for this integrative review was to research evidence-based strategies that could be implemented to improve the discharge planning process in non-profit hospitals and reduce readmissions for patients with HRRP diagnoses. A review of literature identified 126 articles for analysis, with 25 studies selected for quality assessment using the Johns Hopkins Nursing Evidence-Based Practice Model and the Research Evidence Appraisal form. The Donabedian framework provided a structured approach for evaluating …

Effective Public Sector Information System Enterprise Cybersecurity Leadership Strategies, Christopher Adiele Orisakwe

Walden Dissertations and Doctoral Studies

Public sector organizations face increasing cybersecurity risks due to the growing complexity of digital infrastructure, expanding attack surfaces, and evolving threat landscapes. Despite the increasing risk, many Information Technology (IT) leaders continue to struggle with implementing comprehensive and sustainable strategies to protect information systems. Grounded in Ajzen’s theory of planned behavior, the purpose of qualitative pragmatic inquiry was to explore effective cybersecurity strategies IT leaders in the public sector use to protect organizations from cyberattacks, maintain public trust, and prevent financial losses. The project examined how attitudes, subjective norms, and perceived behavioral control influence leaders’ cybersecurity practices. Data were collected …

Exploring Strategies For Mitigating Toxic Behaviors And Improving Employee Retention In Organizations, Roy Lydell Rucker

Walden Dissertations and Doctoral Studies

A lack of mitigation strategies for middle manager toxic leadership can negatively affect organizational retention outcomes. Business leaders are concerned with a lack of effective strategies to counteract these behaviors and improve retention. Grounded in the toxic leadership theory, this study aimed to explore executive leaders’ strategies for mitigating toxic leadership and enhancing retention, guided by the toxic leadership framework. A qualitative, pragmatic inquiry design employed purposive sampling of nine C-suite executives from U.S. technology small and medium-sized enterprises (SMEs). Data were collected via semistructured interviews and organizational documents. Thematic analysis, employing iterative coding and constant comparison, yielded six themes: …

The Role Of Artificial Intelligence In Transforming Project Management In The Fashion, Selin Yapici

Harrisburg University Dissertations and Theses

The quick adaptation of artificial intelligence (AI) is driving a significant revolution in the fashion. The use of AI in project management is still somewhat unexplored, despite its widespread adaptation in design, retail, and marketing. The impact of AI on project management procedures in the fashion industry is examined in this study, with a focus on striking a balance between operational effectiveness and creative freedom. The study is based on the Technology Acceptance Model (TAM), Industry 4.0, and Project Management Theory, which collectively offer a multi-theoretical perspective for comprehending the adoption and effects of AI. Examining fashion expert’s perspectives and …