Digital Commons Network^™

Racism, Coping, And In-Race Heterosexism Among Asian American Sexually Expansive People: A Moderated Moderation Analysis, Miah Theresse A. Sabas

Graduate Masters Theses

Asian American sexually expansive people (AA SEP) are at elevated risk of psychological distress at the intersection of racism and heterosexism (Takeda et al., 2021). Less is known about how AA SEP cope with intersectional oppression, including experiences of in-race heterosexism. With a sample of 105 AA SEP, correlations indicated a positive link between psychological distress (PD; DASS-21, Lovibond & Lovibond, 1995) and racism-related stress (RRS; Brief PEDQ-CV, Brondolo et al., 2005), but not in-race heterosexism (Perceived Racism in Lesbian, Gay, and Bisexual Communities Scale, Sarno et al., 2015). Moderation analyses indicated only active coping buffered the relation between RRS …

Critical Geopolitics And The Reconstruction Of Meaning: A Discourse Analysis Of The 'Terrorism' Label Applied To Hamas By Western Hegemony, Cahaya Mulyani Sakti, M.Hamdan Basyar

Journal of Terrorism Studies

The emergence of Hamas in 1987 cannot be separated from the configuration of modern colonialism and the continuity of occupation that shaped the political reality. Hamas’s early phase was rooted in socio-religious activities through education and community empowerment programs, before evolving into armed resistance against the occupation. The labeling of Hamas as a “terrorist” organization began in the mid-1990s in U.S. legal documents, which subsequently generated debate and gave rise to counter-narratives. This study employs the frameworks of critical geopolitics (Ó Tuathail & Agnew) and the Discourse-Historical Approach (Wodak) to analyze the labeling of Hamas as “terrorist” by Western hegemony. …

Digital Communication And The Evolution Of Ideological Narratives In Indonesia: Insights From Social Media Platforms, Tia Mariatul Kibtiah, Muhammad Fikri Fawazi

Journal of Terrorism Studies

This study examines how pro-caliphate and anti-democratic narratives are articulated and normalised within YouTube comment spaces in Indonesia. As the world’s largest Muslim-majority country with high levels of digital engagement, Indonesia provides an important context for analysing how political-religious discourses circulate through everyday digital interaction. The research analyses 1,354 YouTube comments related to the caliphate, governance, and democracy. Data were collected using Google Apps Script, manually filtered for relevance, and examined through qualitative content analysis informed by Social Network Theory (SNT) and the Radicalisation Factor Model (RFM). The findings show that 34.49% of comments endorsed ideological pro-caliphate narratives, while 35.97% …

Governance Structures And Conflict Mitigation Strategies In Food Supply Chains: Evidence From Niger State, Nigeria, Araoye Olarinkoye Ajiboye, Aminu Kandi Suleiman, Habila Daniel Diko, Tayo Moses Adebayo

Journal of Terrorism Studies

Food supply chains in fragile and semi-institutionalised economies continue to experience persistent instability driven by weak governance structures and recurring conflicts among market actors. However, despite extensive studies on food system challenges in Nigeria, there remains limited empirical understanding of how governance structures interact with conflict mitigation mechanisms to shape system stability at the local market level. Available literature tends to treat governance and conflict management as separate processes, thus overlooking their interdependent dynamics within everyday market operations. This study addresses this gap by examining governance structures and conflict mitigation strategies in food supply chains in Niger State, Nigeria. Anchored …

Ai-Augmented Financial Advisors: Comparing Ai And Human Analyst Investment Recommendations In Agreement, Performance, And Firm Size Effects, Crystal Chen

Honors College Theses

This study examines the level of agreement and performance between artificial intelligence (AI) generated investment recommendations and human analyst recommendations across U.S. publicly traded firms. Using a sample of twelve companies categorized by firm size (large, mid, and small), the study collects buy, hold, or sell recommendations from generative AI systems and human analysts. Agreement between AI-to-AI and AI-to-human recommendations is measured using Cohen’s Kappa agreement. Portfolio performance is evaluated by constructing equal-weighted portfolios for each recommendation source and size category. Risk-adjusted returns are measured using the Sharpe ratio over 1-, 2-, and 3-month periods. Furthermore, the study tests whether …

Applying A Neurodiversity-Informed Approach To Understanding Resolution In Families Raising A Child With Autism, Emma Manole

Honors College Theses

The first known documentation of the syndrome we today refer to as autism spectrum disorder (ASD) was published by Austrian psychiatrist Leo Kanner (1943), who identified a cluster of disordered symptoms among 11 young children, which he termed “early infantile autism”. Consequently, the psychiatric world became aware of autism as its own disorder separate from schizophrenia or “childhood psychosis” (Wing, 1997). Since then, the ways in which autism is studied, diagnosed, referred to, defined, and treated have seen drastic changes (Blacher & Christensen, 2011) over the course of almost a century. It is only natural that the perceptions held by …

Determinants Of Public Trust In E-Government: A Comprehensive Review And Conceptual Framework Over The Past Decade, Andrean Nathaniel, Sumartono Sumartono, Abd. Qadir Muslim

BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi

The evolution of digital governance has heightened the strategic significance of public trust in the implementation of e-government. Despite numerous empirical investigations, the results concerning the factors influencing trust remain fragmented and largely centered on technological aspects. This study seeks to systematically identify, categorize, and synthesize the determinants of trust in e-government through a structured literature review of 21 Scopus-indexed articles published between 2015 and 2025. Utilizing an evidence-based synthesis methodology, the study organizes determinants of trust into four main categories: citizen-related, technological, institutional, and risk-related factors. The findings indicate that technological and citizen-related factors are the most significant predictors …

Indonesian Tax Reform: A Never-Ending Dialectic, Charoline Cheisviyanny, Niki Lukviarman, Verni Juita, Suhanda Suhanda

BISNIS & BIROKRASI: Jurnal Ilmu Administrasi dan Organisasi

Indonesian tax reform has evolved through recurring cycles of institutional change, yet it continues to face persistent tensions among fiscal demands, administrative capacity, and taxpayer compliance. While existing tax reform studies predominantly examine reform outcomes in terms of revenue performance and compliance rates, limited attention has been given to the structural contradictions that shape reform trajectories over time. This study re-conceptualizes Indonesian tax reform as a dialectical process by applying a thesis–antithesis–synthesis framework to three major reform cycles since 1983. Using an interpretive qualitative design based on documentary reconstruction and illustrative interview evidence, the analysis demonstrates that each reform phase …

Intergenerational Climate Stories Of South Carolina, Christine Sorrell Dinkins, Laura Barbas Rhoden, Samuel Stuckey, Hayden Jones

Community Based Research

Intergenerational Climate Stories

In this volume, you will hear from South Carolina residents age 45+ who generously agreed to speak with student researchers at Wofford College. In these intergenerational conversations, participants shared how they have experienced and perceived climate change over the course of their lives. Some stories have been anonymized through the use of pseudonyms, while others include participants’ names with permission. In some cases, researcher comments and questions are included for context. The stories have been lightly edited for clarity and concision while preserving the participants’ voices.

All conversations were facilitated in Summer 2023 by Wofford students Hayden …

Makna Simbolik Dan Memori Pascakolonial Dalam Cyanotype Fusion Dialogue “Trade Of Faith” Karya Budi Agung Kuswara: Kajian Semiotika Roland Barthes, Wisesa Abrar Mufid Munawwar Wahyuono, A. Syarifuddin Rohman

Journal of Language, Literature, and Arts

The cyanotype artwork Fusion Dialogue: Trade of Faith by Budi Agung Kuswara represents a contemporary art practice that combines cyanotype techniques and mixed media to construct visual narratives of colonialism, trade, spirituality, and cultural identity. This study aims to identify the visual symbols embedded in the artwork and analyze their meanings based on Roland Barthes’ semiotic theory. A descriptive qualitative approach was employed, with the researcher serving as the primary instrument. Data were collected through observation, documentation, interviews with the artist, and a literature review. Analysis involved symbol identification as well as denotative, connotative, mythological, and aesthetic analyses. The findings …

Improving Antihypertensive Medication Adherence Through Education And Follow- Up Phone Calls In A Primary Care Setting, Sarah Peterson

Doctor of Nursing Practice Final Manuscripts

Hypertension affects nearly half of adults and significantly increases the risk of stroke and cardiovascular disease; however, poor medication adherence remains a primary barrier to effective blood pressure management. The purpose of this evidence-based practice (EBP) project was to improve antihypertensive medication adherence among adult patients in a primary care setting. Guided by the Iowa Model of Evidence-Based Practice to Promote Quality Care, the project utilized a pre-test/post-test design at a private practice clinic. The sample included adults with a hypertensive diagnosis and active prescriptions. Medication adherence was defined as the Morisky Medication Adherence Scale (MMAS-8) scores, measured before and …

Closing The Gap: Integrating A Standardized Depression Screening In Primary Care, Cyndy Marie Oreas

Doctor of Nursing Practice Final Manuscripts

Objective: The purpose of this evidence-based practice (EBP) project is to implement the routine use of the Patient Health Questionnaire-9 (PHQ-9) screening instrument in the primary care setting to improve early diagnosis, treatment, and referrals to mental health.

Background: Depression is frequently underdiagnosed in primary care despite its significant impact on health outcomes. Inconsistent screening practices and a lack of standardized workflows contribute to missed opportunities for early identification and intervention. Routine PHQ-9 screening has been shown to improve detection and facilitate timely referral to behavioral health services.

Methods: A standardized PHQ-9 screening was implemented for adult patients aged 18 …

Reducing Preoperative Anxiety In Patients Undergoing Gynecologic-Oncology-Related Surgeries, Iman Sean Lavine-Richardson

Doctor of Nursing Practice Final Manuscripts

Elevated levels of preoperative anxiety are associated with adverse effects in the postoperative period. Evidence demonstrates the effectiveness of incorporating multimedia into preoperative education to alleviate preoperative anxiety. This project aims to decrease preoperative anxiety levels and increase satisfaction and feelings of preparedness in patients scheduled to undergo gynecologic-oncology-related procedures through the implementation of an evidence-based practice (EBP) informational video. The San Diego 8A’s EBP model was utilized to guide this project. Data was collected, anonymously, through online questionnaires which included the Anxiety Specific to Surgery Questionnaire (ASSQ) to assess anxiety levels and Likert-scale questions to assess satisfaction and feelings …

Implementation Of Comprehensive Checklist For Opioid Use Disorder Treatment In Primary Care, Sophia R. Madden

Doctor of Nursing Practice Final Manuscripts

Background: The escalating opioid crisis demands a comprehensive approach to Opioid Use Disorder (OUD) management. Patients often face comorbid mental illnesses, infectious diseases, concurrent substance use, and social determinants of health (SDOH)—all of which increase the risk of treatment attrition. Standardizing care through evidence-based clinical practice guidelines and tools is essential for improving treatment quality and consistency.

Purpose: This project aimed to increase comorbidity screenings and improve resource access for OUD patients at a San Diego Internal Medicine primary care office by implementing a comprehensive care checklist based on the American Society of Addiction Medicine (ASAM) guideline.

Methods: The ASAM …

Empowering Healing And Recovery: Adverse Childhood Experiences Screening In A Cognitive Behavioral Therapy Intensive Outpatient Program, Serena C. Lee

Doctor of Nursing Practice Final Manuscripts

Purpose: This evidence-based practice project implemented Adverse Childhood Experiences (ACEs) screening in an adult Cognitive Behavioral Therapy Intensive Outpatient Program (COG IOP) at San Diego's largest behavioral health hospital to identify ACE exposure, deliver supportive interventions, and enhance clinician competency in trauma-informed care.

Background: ACEs are potentially traumatic experiences occurring before age 18 that are associated with toxic stress and worsening health outcomes. Despite evidence linking ACEs to adverse outcomes and substantial healthcare costs, routine ACE screening is not standardized in behavioral health settings.

Methods: Guided by the San Diego 8A's Evidence-Based Practice model, eligible patients were offered ACEs screening …

Trends Of Pediatric Psychotropic Polypharmacy In Massachusetts Before And During The Covid-19 Pandemic, Gianna D'Ambrozio

Graduate Doctoral Dissertations

Youth in the U.S. and internationally are increasingly being diagnosed with depression and related psychiatric conditions (Murthy, 2021) many of whom are being subjected to non-evidence-based, or what has been termed irrational, psychotropic polypharmacy (Barnett & Concepcion Zayas, 2019). Psychotropic polypharmacy can be defined as “the use of 2 or more psychiatric medications in the same patient,” (Zito et al., 2021) though definitions can vary. Using data from the Center for Health Information Analysis’ Massachusetts All-Payer Claims Database, this study examined the sociodemographic factors associated with high rates of polypharmacy, a hypothesized increase in pediatric psychotropic polypharmacy rates in Massachusetts …

"It's Such A Natural Fit": Integrating Reggio Emilia And Head Start For Emergent Multilinguals, Christina Bohr

Graduate Doctoral Dissertations

Early childhood education classrooms reflect the increasing cultural and linguistic diversity of the United States where many children are raised speaking more than one language. Teachers in the early education field play a critical role in supporting children’s development of language and identity. Head Start, who serves a large population of emergent multilinguals (mls), plays an essential role in offering learning environments that foster language development in both English and their home language, among many other critical skills. The Reggio Emilia philosophy is a child-centered and community-oriented approach that promotes children’s independence, exploration, and intellectual development, and is frequently integrated …

Academic Identity Construction Among 1.5-Generation Students In Esl Business Communication Courses At A U.S. University, Rachel K. La Russo

Graduate Doctoral Dissertations

Although 1.5-generation students complete most of their K-12 schooling in the United States, at the university level they are often placed in ESL courses due to deficit views of multilingualism that assess their writing as grammatically inaccurate. Research shows ESL courses often fail to foster 1.5-generation students’ academic development, resulting in low educational achievement and high drop-out rates (Barsony, 2016; di Gennaro, 2016; Marchese, 2021; Uman, 2018). The purpose of this qualitative study is to investigate academic identity construction among 1.5-generation students enrolled in two de facto ESL Business Communication courses at a large urban university in Fall 2022. Drawing …

Accounts Of Student Financial Aid Counselors: Identifying And Reducing Obstacles In Their Counseling Roles And Responsibilities, Andrew Joshua Marx

Graduate Doctoral Dissertations

In the financial aid office, student financial aid counselor positions are held by professionals often new to the field of financial aid. Their work supports students’ access to financial aid through routine updates to students’ accounts, counseling students on navigating the financial aid process, and guiding students on petitions for exceptions. Their ability to resolve the financial aid concerns of students may be constrained by obstacles that result from financial aid policy, challenging work conditions, or resource limitations. Their attitudes, behaviors, and conduct not only shape how financial aid policy is implemented but, crucially, place it in the context of …

Talk To Me: Exploring The Sociocultural Ecology Of Home Language And Literacy Practices Of Families In India, Surbhi Puri

Graduate Doctoral Dissertations

Existing research highlights the role of home language and literacy environments (HLLE) in shaping early language and literacy development, yet few studies have examined the practices of multilingual families in India. While home environments offer rich learning opportunities, broader sociocultural and policy contexts influence how families support literacy and language development. Families’ insights into home language use, literacy routines, and cultural practices remain underexplored in early childhood education research.

The purpose of this qualitative multiple case study was to explore the HLLE of preschool-aged children in India and examine how families support early language and literacy development within multilingual home …

Whose Knowledge Is Sustained?: Dominican Students’ Cultural And Linguistic Experiences Navigating White, Female, And Monolingual Pedagogical Spaces, Carminia Lissette Castillo

Graduate Doctoral Dissertations

This qualitative study examined how Dominican newcomer youth experience schooling in U.S. secondary schools, with emphasis on language, curriculum, identity, belonging, and students’ visions for more humanizing educational environments. Grounded in student testimonios, the study explored how school structures, pedagogical practices, and teacher–student relationships shape students’ academic engagement, emotional well-being, and sense of recognition as they navigate migration, language transition, and racialized identity formation. Informed by raciolinguistic, culturally sustaining, and critical interpretive frameworks, this study centered Dominican students’ voices as sources of knowledge about schooling, exclusion, and possibility. The findings comprise three central themes. First, students described raciolinguistic schooling …

Developing The Evidence And Associated Service Models To Improve Pain Management In Older People Living With Frailty: A Synopsis Of The Poppy Mixed Method, Co-Design Study: Poppy, Patricia Schofield

School of Nursing and Midwifery

Background: Frailty increases vulnerability to adverse events (falls, illness) resulting in poorer health outcomes in later life. Persistent pain is common and impactful in older adults with frailty. Pain impact is potentially modifiable, and addressing it is important for supporting this population. The Pain in Older People with Frailty study aimed to generate evidence and develop service models to improve pain management for older adults with frailty and inform service provision for this underserved population. Objective(s): Phase 1: Map research evidence and synthesise findings from randomised controlled trials of multi-component pain management programmes and psychological therapies for community-dwelling older adults. …

Enhancing Physiological Complexity Through Mindfulness: A Wearable-Based Intervention For First Responders And Their Partners, Thurmon Lockhart, Rahul Soangra, Christopher W. Frames, Sun-Kyung Lee, Amberlee Martin, Susanne Lee, Abigail H. Gewirtz

Physical Therapy Faculty Articles and Research

Background/Objectives: First responders frequently encounter high-stress environments that challenge physiological resilience and autonomic regulation. Heart rate variability (HRV) complexity is a critical marker of adaptive capacity and stress regulation. This study assessed the impact of a wearable-based mindfulness intervention on HRV complexity among first responders using a smartwatch. Methods: A total of 87 first responders participated in a one-month wearable-based intervention. Participants wore Garmin Vivosmart 5 devices to continuously collect PPG data (photoplethysmogram), focusing on beat-to-beat intervals (BBIs). The intervention involved daily Ecological Momentary Assessments (EMAs) and individual randomization to either a mindfulness message, a prompt to access an audio …

Perinatal Mental Health Screening And Care Among Those With Pregnancy Complications, Alison N Goulding, Terri L Fletcher, Emily S Miller

Faculty, Staff and Students Publications

Perinatal mental health conditions are common and, without effective treatment, can contribute to adverse maternal and child outcomes. In the United States, mental health conditions are a leading cause of maternal morbidity and mortality, contributing to over 20% of pregnancy-related deaths. This expert review aims to assess current literature and provide recommendations regarding mental health care in high-risk patients who experience pregnancy complications. Individuals experiencing pregnancy complications are at increased risk for perinatal mental health conditions, including depression, anxiety, and post-traumatic stress disorder, as compared to those with uncomplicated pregnancies. Despite this increased disease burden, there is limited research on …

A Literature Review Of Burnout And Associated Tools In Residency Programs, Foluso Obisanya, Fatima Mncube-Barnes, Kudiratu A. Proctor, Charles A. Mcdaniel, Donna M. Alexander, Tyrece D. Hunter

Graduate Medical Education Research Journal

Background. Burnout poses considerable challenges in workplaces, particularly for resident physicians. This intricate phenomenon stems from a myriad of factors that include, but are not limited to, staff shortages, excessive workloads, specific job responsibilities, work environments, and individual psychological factors. The Accreditation Council for Graduate Medical Education encourages institutions to incorporate wellness as a fundamental component of residency training programs.

Methods. The aim of this review was to investigate burnout among resident physicians via a comprehensive literature review to elucidate this significant issue and identify potential preventative intervention strategies. We analyzed the issue of burnout across various residency specialties, providing …

The Importance Of Socialization: Family, School, Peer, And Media Influence On White Identity Development, Miandria Erickson

Honors Projects

This study aims to explore the different aspects of socialization that can impact one’s White racial identity development, in order to analyze why White individuals struggle to describe their racial identity. Acknowledging an individual’s White identity is an imperative aspect to understanding diversity and race, and yet, White individuals will often have difficulty recognizing and explaining their racial identity. This qualitative study used data collected from semi-structured interviews of 60 young White college participants (ages 18-25) in two different geographical locations, the Northwest and Southeast of the U.S.^[1] Several themes were extracted from these interviews, among them were family, …

A Call To Action: Towards A Compendium For Culturally Responsive And Inclusive Pain Management, Arvie Vitente, Rob Sweet, Lester Jones

Philippine Journal of Physical Therapy

Introduction: Pain is a pervasive global health problem, yet its assessment and management remain shaped by biomedical, monolingual, and culturally narrow assumptions that do not fully reflect the lived realities of diverse populations. Although contemporary pain science recognizes pain as a personal experience influenced by biological, psychological, and social factors, inequities persist across racial, ethnic, linguistic, and cultural groups.

Main Body: These inequities affect how pain is expressed, interpreted, documented, and treated, particularly among Indigenous peoples, migrants, refugees, and patients with limited English proficiency. In this perspective, we call for the development of a comprehensive compendium on culturally responsive and …

Leveraging Social Media Recruitment In Health Science Education: A Scoping Review, Crystalyn Richard, Natalie Nguyen, Luong Thien Nguyen, Alison Hansen

Philippine Journal of Physical Therapy

Background: Equitable recruitment practices are essential to the diversification of health science educational applicant pools. This scoping review aimed to understand the existing literature supporting the use and implementation of SM (SM) for recruitment in various health science educational programs. Methods: A comprehensive search utilizing the PRISMA Extension for Scoping Reviews (PRISMA-ScR) framework was used to collect and analyze existing articles. Keyword selection followed by an iterative process for article inclusion using Covidence application for article analysis and inclusion/exclusion. A thematic analysis method was employed to synthesize findings from the studies that met our inclusion criteria. Results: The initial keyword …

Working Out Your Self-Image: Strength, Self-Esteem, And Human Flourishing, Kingston K. Christie

Honors Projects

This project integrates empirical research in exercise science with theological anthropology to examine the psychological effects of resistance training and the meaning of strength within a Christian framework of human dignity and flourishing. The empirical component investigated the effects of a four-week progressive resistance training intervention on global self-esteem and physical self-concept among undergraduate university students with moderate-to-low baseline self-esteem. Eleven participants (N = 11; 20.15 ± 1.52 yrs) completed the Rosenberg Self-Esteem Scale (RSES) and Physical Self-Description Questionnaire Short Form (PSDQ-S) before and after the intervention, with muscular strength assessed via submaximal testing across the squat, bench press, deadlift, …

Trends Towards Political Communication Strategy On Social Media: A Bibliometrics Analysis, Annisa Atha Hanifah, La Mani, Zidane Ahmad Busthomi, Giovanni Sunrise, Matthew A. Kristanto, Indra Prawira

Jurnal Wacana Politik

Social media has become the center of digital political communication, enabling politicians to convey messages, form narratives, and mobilize public support directly and interactively. Social media platforms such as Twitter, Instagram, and TikTok serve not only as campaign tools but also as deliberative spaces where political discourse is formed and debated. This study uses a bibliometric approach to analyze global trends in research on political communication on social media during the period 2020-2024. Data were collected in October 2025 from Scopus database, comprising 608 documents from 253 publication sources and author affiliations in 24 countries. The search was conducted using …